Direct observation of outpatient management of malaria in a rural ghanaian district
INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their con...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Donne Kofi Ameme [verfasserIn] Edwin Andrews Afari [verfasserIn] Kofi Mensah Nyarko [verfasserIn] Keziah Laurencia Malm [verfasserIn] Samuel Sackey [verfasserIn] Fred Wurapa [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch ; Französisch |
| Erschienen: |
2014 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: The Pan African Medical Journal ; 19(2014), 367 volume:19 ; year:2014 ; number:367 |
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| Links: |
Link aufrufen |
|---|
| DOI / URN: |
10.11604/pamj.2014.19.367.4719 |
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| Katalog-ID: |
DOAJ071724451 |
|---|
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| 520 | |a INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. | ||
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10.11604/pamj.2014.19.367.4719 doi (DE-627)DOAJ071724451 (DE-599)DOAJ0d33aa5f37e746aa93e6d9071cf2c842 DE-627 ger DE-627 rakwb eng fre Donne Kofi Ameme verfasserin aut Direct observation of outpatient management of malaria in a rural ghanaian district 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. malaria case-management ghana observation Medicine R Edwin Andrews Afari verfasserin aut Kofi Mensah Nyarko verfasserin aut Keziah Laurencia Malm verfasserin aut Samuel Sackey verfasserin aut Fred Wurapa verfasserin aut In The Pan African Medical Journal 19(2014), 367 volume:19 year:2014 number:367 https://doi.org/10.11604/pamj.2014.19.367.4719 kostenfrei https://doaj.org/article/0d33aa5f37e746aa93e6d9071cf2c842 kostenfrei https://www.panafrican-med-journal.com/content/article/19/367/pdf/367.pdf kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 19 2014 367 |
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10.11604/pamj.2014.19.367.4719 doi (DE-627)DOAJ071724451 (DE-599)DOAJ0d33aa5f37e746aa93e6d9071cf2c842 DE-627 ger DE-627 rakwb eng fre Donne Kofi Ameme verfasserin aut Direct observation of outpatient management of malaria in a rural ghanaian district 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. malaria case-management ghana observation Medicine R Edwin Andrews Afari verfasserin aut Kofi Mensah Nyarko verfasserin aut Keziah Laurencia Malm verfasserin aut Samuel Sackey verfasserin aut Fred Wurapa verfasserin aut In The Pan African Medical Journal 19(2014), 367 volume:19 year:2014 number:367 https://doi.org/10.11604/pamj.2014.19.367.4719 kostenfrei https://doaj.org/article/0d33aa5f37e746aa93e6d9071cf2c842 kostenfrei https://www.panafrican-med-journal.com/content/article/19/367/pdf/367.pdf kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 19 2014 367 |
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10.11604/pamj.2014.19.367.4719 doi (DE-627)DOAJ071724451 (DE-599)DOAJ0d33aa5f37e746aa93e6d9071cf2c842 DE-627 ger DE-627 rakwb eng fre Donne Kofi Ameme verfasserin aut Direct observation of outpatient management of malaria in a rural ghanaian district 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. malaria case-management ghana observation Medicine R Edwin Andrews Afari verfasserin aut Kofi Mensah Nyarko verfasserin aut Keziah Laurencia Malm verfasserin aut Samuel Sackey verfasserin aut Fred Wurapa verfasserin aut In The Pan African Medical Journal 19(2014), 367 volume:19 year:2014 number:367 https://doi.org/10.11604/pamj.2014.19.367.4719 kostenfrei https://doaj.org/article/0d33aa5f37e746aa93e6d9071cf2c842 kostenfrei https://www.panafrican-med-journal.com/content/article/19/367/pdf/367.pdf kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 19 2014 367 |
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10.11604/pamj.2014.19.367.4719 doi (DE-627)DOAJ071724451 (DE-599)DOAJ0d33aa5f37e746aa93e6d9071cf2c842 DE-627 ger DE-627 rakwb eng fre Donne Kofi Ameme verfasserin aut Direct observation of outpatient management of malaria in a rural ghanaian district 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. malaria case-management ghana observation Medicine R Edwin Andrews Afari verfasserin aut Kofi Mensah Nyarko verfasserin aut Keziah Laurencia Malm verfasserin aut Samuel Sackey verfasserin aut Fred Wurapa verfasserin aut In The Pan African Medical Journal 19(2014), 367 volume:19 year:2014 number:367 https://doi.org/10.11604/pamj.2014.19.367.4719 kostenfrei https://doaj.org/article/0d33aa5f37e746aa93e6d9071cf2c842 kostenfrei https://www.panafrican-med-journal.com/content/article/19/367/pdf/367.pdf kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 19 2014 367 |
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10.11604/pamj.2014.19.367.4719 doi (DE-627)DOAJ071724451 (DE-599)DOAJ0d33aa5f37e746aa93e6d9071cf2c842 DE-627 ger DE-627 rakwb eng fre Donne Kofi Ameme verfasserin aut Direct observation of outpatient management of malaria in a rural ghanaian district 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. malaria case-management ghana observation Medicine R Edwin Andrews Afari verfasserin aut Kofi Mensah Nyarko verfasserin aut Keziah Laurencia Malm verfasserin aut Samuel Sackey verfasserin aut Fred Wurapa verfasserin aut In The Pan African Medical Journal 19(2014), 367 volume:19 year:2014 number:367 https://doi.org/10.11604/pamj.2014.19.367.4719 kostenfrei https://doaj.org/article/0d33aa5f37e746aa93e6d9071cf2c842 kostenfrei https://www.panafrican-med-journal.com/content/article/19/367/pdf/367.pdf kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei https://doaj.org/toc/1937-8688 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 19 2014 367 |
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| author |
Donne Kofi Ameme |
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Direct observation of outpatient management of malaria in a rural ghanaian district malaria case-management ghana observation |
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Direct observation of outpatient management of malaria in a rural ghanaian district |
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Direct observation of outpatient management of malaria in a rural ghanaian district |
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Donne Kofi Ameme |
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The Pan African Medical Journal |
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Donne Kofi Ameme Edwin Andrews Afari Kofi Mensah Nyarko Keziah Laurencia Malm Samuel Sackey Fred Wurapa |
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Elektronische Aufsätze |
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Donne Kofi Ameme |
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10.11604/pamj.2014.19.367.4719 |
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direct observation of outpatient management of malaria in a rural ghanaian district |
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Direct observation of outpatient management of malaria in a rural ghanaian district |
| abstract |
INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. |
| abstractGer |
INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. |
| abstract_unstemmed |
INTRODUCTION: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu SouthDistrict (KSD) health facilities to determine their conformity to guidelines. METHODS: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature = or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean ( standard deviation) and median. RESULTS: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs ( 1.1). Only 45 (64.3%) patients received at least one counseling message. CONCLUSION: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. |
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Direct observation of outpatient management of malaria in a rural ghanaian district |
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https://doi.org/10.11604/pamj.2014.19.367.4719 https://doaj.org/article/0d33aa5f37e746aa93e6d9071cf2c842 https://www.panafrican-med-journal.com/content/article/19/367/pdf/367.pdf https://doaj.org/toc/1937-8688 |
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Edwin Andrews Afari Kofi Mensah Nyarko Keziah Laurencia Malm Samuel Sackey Fred Wurapa |
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2024-07-03T21:51:31.812Z |
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