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Rebecca Voelker

JAMA. 2000;284:1235.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Ethiopian children stricken with malaria face poor odds for survival: community health workers are sparse, and the illness strikes so swiftly that rural mothers often cannot obtain treatment in time to save them.

Following the end of a civil war in the northern region of Tigray in 1991, researchers from Johns Hopkins University School of Hygiene and Public Health designed a new approach to help Ethiopian children survive malaria. The researchers trained local mothers as coordinators of malaria care to augment community-based care in clusters of villages known as tabias.

Researchers taught the mothers to keep monthly records of births, deaths, referral sites for sick children, and receipt of essential drugs at their local health stations. Of 24 tabias in the study, 12 were randomly selected as intervention sites where the mother-coordinators also were taught how to recognize malaria symptoms, administer chloroquine, and detect adverse reactions to . . . [Full Text of this Article]

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