Taking stock: provider prescribing practices in the presence and absence of ACT stock
Abstract Background Globally, the monitoring of prompt and effective treatment for malaria with artemisinin combination therapy (ACT) is conducted largely through household surveys. This measure; however, provides no information on case management processes at the health facility level. The aim of t...
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ftdoajarticles:oai:doaj.org/article:19f58508850c46009f3c578af15a46cb 2023-05-15T15:16:26+02:00 Taking stock: provider prescribing practices in the presence and absence of ACT stock Jones Caroline Bruce Jane Shretta Rima Paintain Lucy Hensen Bernadette Webster Jayne 2011-08-01T00:00:00Z https://doi.org/10.1186/1475-2875-10-218 https://doaj.org/article/19f58508850c46009f3c578af15a46cb EN eng BMC http://www.malariajournal.com/content/10/1/218 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-218 1475-2875 https://doaj.org/article/19f58508850c46009f3c578af15a46cb Malaria Journal, Vol 10, Iss 1, p 218 (2011) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2011 ftdoajarticles https://doi.org/10.1186/1475-2875-10-218 2022-12-31T02:50:57Z Abstract Background Globally, the monitoring of prompt and effective treatment for malaria with artemisinin combination therapy (ACT) is conducted largely through household surveys. This measure; however, provides no information on case management processes at the health facility level. The aim of this review was to assess evidence from health facility surveys on malaria prescribing practices using ACT, in the presence and absence of ACT stock, at time and place where treatment was sought. Methods A systematic search of published literature was conducted. Findings were collated and data extracted on proportion of patients prescribed ACT and alternative anti-malarials in the presence and absence of ACT stock. Results Of the 14 studies identified in which ACT prescription for uncomplicated malaria in the public sector was evaluated, just six, from three countries (Kenya, Uganda and Zambia), reported this in the context of ACT stock. Comparing facilities with ACT stock to facilities without stock (i) ACT prescribing was significantly higher in all six studies, increasing by a range of 21.3% in children < 5 yrs weighing ≥ 5 kg (p < 0.001; Kenya 2006) to 51.7% in children ≥ 10 kg (p < 0.001; Zambia 2006); (ii) SP prescribing decreased significantly in five studies, by a range of 14.4% (p < 0.001; Kenya 2006), to 46.3% (p < 0.001; Zambia 2006); (iii) Where quinine was a reported alternative, prescriptions decreased in five of the six studies by 0.1% (p = 1.0, Kenya 2010) to 10.2% (p < 0.001; Zambia 2006). At facilities with no ACT stock on the survey day, the proportion of febrile patients prescribed ACT was < 10% in five of the nine target groups included in the six studies, with the proportion prescribed ACT ranging from 0 to 28.4% (Uganda 2007). Conclusions Prescriber practices vary based on ACT availability. Although ACT prescriptions increased and alternative anti-malarials prescriptions decreased in the presence of ACT stock, ACT was prescribed in the absence, and alternative anti-malarials ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 10 1 |
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English |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Jones Caroline Bruce Jane Shretta Rima Paintain Lucy Hensen Bernadette Webster Jayne Taking stock: provider prescribing practices in the presence and absence of ACT stock |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Globally, the monitoring of prompt and effective treatment for malaria with artemisinin combination therapy (ACT) is conducted largely through household surveys. This measure; however, provides no information on case management processes at the health facility level. The aim of this review was to assess evidence from health facility surveys on malaria prescribing practices using ACT, in the presence and absence of ACT stock, at time and place where treatment was sought. Methods A systematic search of published literature was conducted. Findings were collated and data extracted on proportion of patients prescribed ACT and alternative anti-malarials in the presence and absence of ACT stock. Results Of the 14 studies identified in which ACT prescription for uncomplicated malaria in the public sector was evaluated, just six, from three countries (Kenya, Uganda and Zambia), reported this in the context of ACT stock. Comparing facilities with ACT stock to facilities without stock (i) ACT prescribing was significantly higher in all six studies, increasing by a range of 21.3% in children < 5 yrs weighing ≥ 5 kg (p < 0.001; Kenya 2006) to 51.7% in children ≥ 10 kg (p < 0.001; Zambia 2006); (ii) SP prescribing decreased significantly in five studies, by a range of 14.4% (p < 0.001; Kenya 2006), to 46.3% (p < 0.001; Zambia 2006); (iii) Where quinine was a reported alternative, prescriptions decreased in five of the six studies by 0.1% (p = 1.0, Kenya 2010) to 10.2% (p < 0.001; Zambia 2006). At facilities with no ACT stock on the survey day, the proportion of febrile patients prescribed ACT was < 10% in five of the nine target groups included in the six studies, with the proportion prescribed ACT ranging from 0 to 28.4% (Uganda 2007). Conclusions Prescriber practices vary based on ACT availability. Although ACT prescriptions increased and alternative anti-malarials prescriptions decreased in the presence of ACT stock, ACT was prescribed in the absence, and alternative anti-malarials ... |
format |
Article in Journal/Newspaper |
author |
Jones Caroline Bruce Jane Shretta Rima Paintain Lucy Hensen Bernadette Webster Jayne |
author_facet |
Jones Caroline Bruce Jane Shretta Rima Paintain Lucy Hensen Bernadette Webster Jayne |
author_sort |
Jones Caroline |
title |
Taking stock: provider prescribing practices in the presence and absence of ACT stock |
title_short |
Taking stock: provider prescribing practices in the presence and absence of ACT stock |
title_full |
Taking stock: provider prescribing practices in the presence and absence of ACT stock |
title_fullStr |
Taking stock: provider prescribing practices in the presence and absence of ACT stock |
title_full_unstemmed |
Taking stock: provider prescribing practices in the presence and absence of ACT stock |
title_sort |
taking stock: provider prescribing practices in the presence and absence of act stock |
publisher |
BMC |
publishDate |
2011 |
url |
https://doi.org/10.1186/1475-2875-10-218 https://doaj.org/article/19f58508850c46009f3c578af15a46cb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 10, Iss 1, p 218 (2011) |
op_relation |
http://www.malariajournal.com/content/10/1/218 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-10-218 1475-2875 https://doaj.org/article/19f58508850c46009f3c578af15a46cb |
op_doi |
https://doi.org/10.1186/1475-2875-10-218 |
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Malaria Journal |
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10 |
container_issue |
1 |
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1766346726216564736 |