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Dates: 2012-2016
Funding: Health Economics Research Centre, University of Oxford
Collaborators: Joelle Castellani, Maastricht University; Melba Gomes, World Health Organisation

A high burden of malaria persists in many areas of Africa, with timely access to malaria diagnosis and treatment crucial for complete recovery and avoidance of disability and mortality. A large study, carried out in 172 villages in Burkina Faso, Nigeria, and Uganda between 2009 and 2015, investigated the feasibility of training and using Community Health Worker (CHW) volunteers to provide rapid malaria diagnosis, oral artemisinin combination therapy and rectal artesunate treatment for children in their communities. Dr Boby Mihaylova collaborated with Joelle Castellani, a PhD-candidate at Maastricht University, Dr. Melba Gomes from the World Health Organisation, other researchers from WHO, Maastricht University and local collaborators in Burkina Faso, Nigeria, and Uganda to evaluate the time that CHWs spent providing health care and the impact of this increased access to care in the community on private household costs.


Borislava Mihaylova

Associate Professor and University Research Lecturer

+44 (0)1865 289226


Castellani J, Mihaylova B, Evers SM, et al. Out-of-Pocket Costs and Other Determinants of Access to Healthcare for Children with Febrile Illnesses: A Case-Control Study in Rural Tanzania. PLoS One 2015; 10(4): e0122386.

Castellani J, Nsungwa-Sabiiti J, Mihaylova B et al. Impact of Improving Community-Based Access to Malaria Diagnosis and Treatment on Household Costs. Clin Infect Dis 2016;63:S256-S263.

Castellani J, Mihaylova B, Ajayi IO et al. Quantifying and Valuing Community Health Worker Time in Improving Access to Malaria Diagnosis and Treatment. Clin Infect Dis 2016;63:S298-S305.