Improved Malaria Case Management after Integrated Team-based Training of Health Care Workers in Uganda.


Ssekabira, U; Bukirwa, H; Hopkins, H; Namagembe, A; Weaver, MR; Sebuyira, LM; Quick, L; Staedke, S; Yeka, A; Kiggundu, M; Schneider, G; McAdam, K; Wabwire-Mangen, F; Dorsey, G; (2008) Improved Malaria Case Management after Integrated Team-based Training of Health Care Workers in Uganda. The American journal of tropical medicine and hygiene, 79 (6). pp. 826-33. ISSN 0002-9637

Full text not available from this repository.

Abstract

: Malaria case management in Africa is characterized by presumptive treatment and substantial overtreatment. We evaluated an integrated team-based training program on malaria case management. Surveillance data 120 days before and after training were compared at eight health facilities in Uganda. After training, the proportion of patients with suspected malaria referred for blood smears increased from 38.3% to 54.6% (P=0.04) in persons<5 years of age years and from 34.1% to 53.4% (P=0.02) in those>or=5 years of age. The proportion of patients with negative blood smears prescribed antimalarial drugs decreased from 47.9% to 19.6% (P<0.001) in persons<5 years of age and from 38.8% to 15.6% (P<0.001) in those>or=5 years of age. Training did not improve the proportion of patients with positive blood smears prescribed antimalarial drugs, the proportion of patients prescribed appropriate antimalarial drugs, or the diagnostic accuracy of microscopy. Integrated team-based training may improve malaria case management and reduce the number of unnecessary antimalarial treatments.<br/>

Item Type: Article
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Clinical Research
Faculty of Infectious and Tropical Diseases > Dept of Disease Control
Research Centre: Antimicrobial Resistance Centre (AMR)
Malaria Centre
PubMed ID: 19052287
Web of Science ID: 261644400004
URI: http://researchonline.lshtm.ac.uk/id/eprint/6562

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
294Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item