Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation
Abstract Background Nigeria commenced a phased programmatic deployment of rapid diagnostic tests (RDT) at the primary health care (PHC) facility levels since 2011. Despite various efforts, the national testing rate for malaria is still very low. The uptake of RDT has been variable. This study was un...
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ftdoajarticles:oai:doaj.org/article:0e13a47dbfdb441ca27fd2745ddf3cbc 2023-05-15T15:17:26+02:00 Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation Olugbenga A. Mokuolu Olufemi O. Ajumobi Godwin N. Ntadom Olanrewaju T. Adedoyin Alero A. Roberts Chimere O. Agomo Kate U. Edozieh Henrietta U. Okafor Robinson D. Wammanda Friday A. Odey Ibrahim K. Maikore Olatayo O. Abikoye Adekunle D. Alabi Chiomah Amajoh Bala M. Audu 2018-05-01T00:00:00Z https://doi.org/10.1186/s12936-018-2346-x https://doaj.org/article/0e13a47dbfdb441ca27fd2745ddf3cbc EN eng BMC http://link.springer.com/article/10.1186/s12936-018-2346-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2346-x 1475-2875 https://doaj.org/article/0e13a47dbfdb441ca27fd2745ddf3cbc Malaria Journal, Vol 17, Iss 1, Pp 1-9 (2018) Rapid diagnostic test Malaria Primary health care workers Community Perception Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-018-2346-x 2022-12-31T14:01:46Z Abstract Background Nigeria commenced a phased programmatic deployment of rapid diagnostic tests (RDT) at the primary health care (PHC) facility levels since 2011. Despite various efforts, the national testing rate for malaria is still very low. The uptake of RDT has been variable. This study was undertaken to determine the provider and patient perceptions to RDT use at the PHC level in Nigeria with their implications for improving uptake and compliance. Methods A cross-sectional survey was conducted in 120 randomly selected PHCs across six states, across the six-geopolitical zones of Nigeria in January 2013. Health facility staff interviews were conducted to assess health workers (HW) perception, prescription practices and determinants of RDT use. Patient exit interviews were conducted to assess patient perception of RDT from ten patients/caregivers who met the eligibility criterion and were consecutively selected in each PHC, and to determine HW’s compliance with RDT test results indirectly. Community members, each selected by their ward development committees in each Local Government Area were recruited for focus group discussion on their perceptions to RDT use. Results Health workers would use RDT results because of confidence in RDT results (95.4%) and its reduction in irrational use of artemisinin-based combination therapy (ACT) (87.2%). However, in Enugu state, RDT was not used by health workers because of the pervasive notion RDT that results were inaccurate. Among the 1207 exit interviews conducted, 549 (45.5%) had received RDT test. Compliance rate (administering ACT to positive patients and withholding ACT from negative patients) from patient exit interviews was 90.2%. Among caregivers/patients who had RDT done, over 95% knew that RDT tested for malaria, felt it was necessary and liked the test. Age of patients less than 5 years (p = 0.04) and “high” educational status (p = 0.0006) were factors influencing HW’s prescription of ACT to RDT negative patients. Conclusion The study demonstrated positive ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 17 1 |
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Directory of Open Access Journals: DOAJ Articles |
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Rapid diagnostic test Malaria Primary health care workers Community Perception Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Rapid diagnostic test Malaria Primary health care workers Community Perception Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Olugbenga A. Mokuolu Olufemi O. Ajumobi Godwin N. Ntadom Olanrewaju T. Adedoyin Alero A. Roberts Chimere O. Agomo Kate U. Edozieh Henrietta U. Okafor Robinson D. Wammanda Friday A. Odey Ibrahim K. Maikore Olatayo O. Abikoye Adekunle D. Alabi Chiomah Amajoh Bala M. Audu Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation |
topic_facet |
Rapid diagnostic test Malaria Primary health care workers Community Perception Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Nigeria commenced a phased programmatic deployment of rapid diagnostic tests (RDT) at the primary health care (PHC) facility levels since 2011. Despite various efforts, the national testing rate for malaria is still very low. The uptake of RDT has been variable. This study was undertaken to determine the provider and patient perceptions to RDT use at the PHC level in Nigeria with their implications for improving uptake and compliance. Methods A cross-sectional survey was conducted in 120 randomly selected PHCs across six states, across the six-geopolitical zones of Nigeria in January 2013. Health facility staff interviews were conducted to assess health workers (HW) perception, prescription practices and determinants of RDT use. Patient exit interviews were conducted to assess patient perception of RDT from ten patients/caregivers who met the eligibility criterion and were consecutively selected in each PHC, and to determine HW’s compliance with RDT test results indirectly. Community members, each selected by their ward development committees in each Local Government Area were recruited for focus group discussion on their perceptions to RDT use. Results Health workers would use RDT results because of confidence in RDT results (95.4%) and its reduction in irrational use of artemisinin-based combination therapy (ACT) (87.2%). However, in Enugu state, RDT was not used by health workers because of the pervasive notion RDT that results were inaccurate. Among the 1207 exit interviews conducted, 549 (45.5%) had received RDT test. Compliance rate (administering ACT to positive patients and withholding ACT from negative patients) from patient exit interviews was 90.2%. Among caregivers/patients who had RDT done, over 95% knew that RDT tested for malaria, felt it was necessary and liked the test. Age of patients less than 5 years (p = 0.04) and “high” educational status (p = 0.0006) were factors influencing HW’s prescription of ACT to RDT negative patients. Conclusion The study demonstrated positive ... |
format |
Article in Journal/Newspaper |
author |
Olugbenga A. Mokuolu Olufemi O. Ajumobi Godwin N. Ntadom Olanrewaju T. Adedoyin Alero A. Roberts Chimere O. Agomo Kate U. Edozieh Henrietta U. Okafor Robinson D. Wammanda Friday A. Odey Ibrahim K. Maikore Olatayo O. Abikoye Adekunle D. Alabi Chiomah Amajoh Bala M. Audu |
author_facet |
Olugbenga A. Mokuolu Olufemi O. Ajumobi Godwin N. Ntadom Olanrewaju T. Adedoyin Alero A. Roberts Chimere O. Agomo Kate U. Edozieh Henrietta U. Okafor Robinson D. Wammanda Friday A. Odey Ibrahim K. Maikore Olatayo O. Abikoye Adekunle D. Alabi Chiomah Amajoh Bala M. Audu |
author_sort |
Olugbenga A. Mokuolu |
title |
Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation |
title_short |
Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation |
title_full |
Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation |
title_fullStr |
Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation |
title_full_unstemmed |
Provider and patient perceptions of malaria rapid diagnostic test use in Nigeria: a cross-sectional evaluation |
title_sort |
provider and patient perceptions of malaria rapid diagnostic test use in nigeria: a cross-sectional evaluation |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-018-2346-x https://doaj.org/article/0e13a47dbfdb441ca27fd2745ddf3cbc |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-9 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-018-2346-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2346-x 1475-2875 https://doaj.org/article/0e13a47dbfdb441ca27fd2745ddf3cbc |
op_doi |
https://doi.org/10.1186/s12936-018-2346-x |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
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1766347679395217408 |