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CHW- intervention Health facility caseload changes during the introduction of a CHW-intervention, in Uganda Sham Lal (Poster number PST3.006) May Jul Sep Nov Jan Mar May Jul Sep Nov Jan Apr Jun Aug Oct Dec 0 100 200 300 400 500 600 700 Number of health centre visits Pre-intervention period Intervention-period Malaria visits Non-malaria visits CHW- intervention

Health facility caseload changes during the introduction of a CHW-intervention, in Uganda

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Page 1: Health facility caseload changes during the introduction of a CHW-intervention, in Uganda

CHW-intervention

Health facility caseload changes during the introduction of a CHW-intervention, in UgandaSham Lal (Poster number PST3.006)

May Jun Jul

Aug

Sep

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May Jun Jul

Aug

Sep

Oct

Nov

Dec

Jan

Mar

Apr

May Jun Jul

Aug

Sep

Oct

Nov

Dec0

100

200

300

400

500

600

700

Num

ber o

f hea

lth ce

ntre

visi

ts

Pre-intervention period Intervention-period

Malaria visitsNon-malaria vis-its

CHW-intervention

Page 2: Health facility caseload changes during the introduction of a CHW-intervention, in Uganda

‐ Interrupted time series approach‐ Linear segmented regression models‐ Pre-intervention trends vs. intervention-period trends

‐ Findings‐ Malaria visits declined sharply after a CHW-intervention ‐ Three months after, malaria visits declined by 69%, compared to the pre-intervention period.‐ Non-malaria visits remained the same

‐ Conclusions‐ Reduced utilisation at health centres may make more time available

for health workers‐ The health worker’s role may be expanded to include additional roles

PLOS One Lal S, et al. Health Facility Utilisation Changes during the Introduction of Community Case Management of Malaria in South Western Uganda: An Interrupted Time Series Approach. PLoS One. 2015; doi:10.1371/journal.pone.0137448