Navigation Links
Financial incentives may hold key to cutting child malaria deaths
Date:10/23/2007

Giving small financial incentives to health workers in low-income countries may hold the key to reducing the huge death toll from malaria in young children, according to a study published on bmj.com today.

This paper has been selected by an expert panel as one of eight of the most outstanding articles to address critical issues of global health research and policy and will be presented at the launch of the global theme issue at the US National Institutes of Health in Washington on Monday 22 October 2007.

The study was conducted on the childrens ward at the national hospital in Guinea-Bisaau with poor conditions, no direct access to medical drugs, and poorly paid, unmotivated workers. In 2004, 12% of deaths (case fatalities) on the ward were due to malaria.

Staff training alone is not a solution, so researchers evaluated whether training, together with availability of drugs and small financial incentives, could save lives.

Before the study began, all personnel were trained in the use of standardised malaria case management guidelines. Both nurses and physicians were randomised to work on the intervention or the control ward. Personnel working on the intervention ward received a small financial incentive ($50/month) and their compliance with the guidelines was closely monitored.

At the start of the study, 951 children aged three months to five years who were admitted to hospital with a diagnosis of malaria were randomised to the intervention or control wards and a 28 day follow-up visit was arranged.

Case fatality was 5% for the intervention group and 10% in the control group, so effectively the intervention halved the case fatality among children.

These findings show that the quality of care in the paediatric ward depends not only on training and availability of drugs, but also on financial incentives adequate to allow staff to work fully and efficiently in the hospital, say the authors.

The results of this study are likely to be directly relevant in other national and district hospitals in developing countries facing the same conditions and problems. Although it is against the policy of most donors to give salary top-ups, this study provides powerful evidence that that policy should change, they conclude.


'/>"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
Source:Eurekalert

Related medicine news :

1. Financial Allowances Being Offered To Poor Vietnamese HIV Carriers
2. NHS Audit Commission Warns Possible Financial Collapse In Sussex And Surrey
3. Health conditions and patient treatment affected by a financial crunch
4. NHS financial crisis may lead to roll back of flexi-work scheme and private acquisition
5. Bird Flu: Fear of the Unknown Could Put Financial Markets in a Soup
6. Huge financial losses due to Bird flu scare!
7. Sexual Health Service Is Under Pressure and Faced With Financial Challenges
8. Elective Surgery - the Financial Whipping Boy
9. British Hospitals Face Financial Crisis
10. Kidney donors do not realize financial gains
11. Bird-Flu Pandemic will be a Huge Financial Drain, says World Bank
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... (PRWEB) , ... June 26, 2016 , ... PawPaws ... a new product that was developed to enhance the health of felines. The formula ... , The two main herbs in the PawPaws Cat Kidney Support Supplement ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, ... Mohs Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. ... skin cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, ... and his M.D from the David Geffen School of Medicine at UCLA. He trained ... Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... A recent ... that most people are unfamiliar with. The article goes on to state that individuals ... also many of these less common operations such as calf and cheek reduction. The ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary Hypertension Association ... it will receive two significant new grants to support its work to advance ... 25th anniversary by recognizing patients, medical professionals and scientists for their work in ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 If ... Leaders Scholarship is any indication, the future is in ... at www.diabetesscholars.org by the Diabetes Scholars Foundation ... the way of academic and community service excellence. ... since 2012, and continues to advocate for people with ...
(Date:6/23/2016)... June 23, 2016 Revolutionary technology ... Oticon , industry leaders in advanced audiology and ... Oticon Opn ™, the world,s first internet connected ... for IoT devices.      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ... a number of ,world firsts,: , TwinLink™ ...
(Date:6/23/2016)... Pa. , June 23, 2016 The ... in an outpatient dialysis facility.  Treatments are usually 3 ... 6 hours per visit, including travel time, equipment preparation ... a patient, but especially grueling for patients who are ... of a skilled nursing and rehabilitation centers for some ...
Breaking Medicine Technology: