Determinants of quality in home-based management of malaria by community health volunteers in rural Kenya

This study assessed factors influencing the quality of community case management of malaria (CCMM) by community health volunteers (CHVs) in Bungoma County, Kenya. Among 147 CHVs observed and interviewed, 62% provided quality services, defined as scoring ≥75%. Key determinants of quality included consistent supplies of artemether-lumefantrine (AL) and malaria rapid diagnostic tests (RDTs), as well as recent supervisory support. CHVs with regular supervision were four times more likely to perform well, and those with reliable AL and RDT supplies performed three times better. The study underscores the importance of supervision, supply chain reliability, and safety training in enhancing CHV performance in malaria management.

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