Sham Lal from the London School of Hygiene & Tropical Medicine presents on behalf of the ACT Consortium at the European Congress on Tropical Medicine and International Health in Basel, Switzerland on 8 September 2015.

1. CHW-intervention
Health facility caseload changes during the introduction of a
CHW-intervention, in Uganda
Sham Lal (Poster number PST3.006)
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Numberofhealthcentrevisits
Pre-intervention period Intervention-period
Malaria visits
Non-malaria visits
CHW-intervention

2. ‐ 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