Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania
Abstract Background Ensuring universal access to malaria diagnosis and treatment is a key component of Pillar 1 of the World Health Organization Global Technical Strategy for Malaria 2016–2030. To achieve this goal it is essential to know the types of facilities where the population seeks care as we...
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ftdoajarticles:oai:doaj.org/article:4b0836a445ba4b0fa6f211cf7f2c3dda 2023-05-15T15:18:14+02:00 Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania Cameron Taylor Annē Linn Wenjuan Wang Lia Florey Hamdy Moussa 2019-07-01T00:00:00Z https://doi.org/10.1186/s12936-019-2892-x https://doaj.org/article/4b0836a445ba4b0fa6f211cf7f2c3dda EN eng BMC http://link.springer.com/article/10.1186/s12936-019-2892-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2892-x 1475-2875 https://doaj.org/article/4b0836a445ba4b0fa6f211cf7f2c3dda Malaria Journal, Vol 18, Iss 1, Pp 1-13 (2019) Malaria Care seeking Malaria-service readiness Fever Malawi Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-2892-x 2022-12-31T03:47:53Z Abstract Background Ensuring universal access to malaria diagnosis and treatment is a key component of Pillar 1 of the World Health Organization Global Technical Strategy for Malaria 2016–2030. To achieve this goal it is essential to know the types of facilities where the population seeks care as well as the malaria service readiness of these facilities in endemic countries. Methods To investigate the utilization and provision of malaria services, data on the sources of advice or treatment in children under 5 years with fever from the household-based Demographic and Health Surveys (DHS) and on the components of malaria service readiness from the facility-based Service Provision Assessment (SPA) surveys were examined in Malawi, Senegal and Tanzania. Facilities categorized as malaria-service ready were those with: (1) personnel trained in either malaria rapid diagnostic testing (RDT), microscopy or case management/treatment of malaria in children; (2) national guidelines for the diagnosis and treatment of malaria; (3) diagnostic capacity (available RDT tests or microscopy equipment as well as staff trained in its use); and, (4) unexpired artemisinin-based combination therapy (ACT) available on the day of the survey. Results In all three countries primary-level facilities (health centre/health post/health clinic) were the type of facility most used for care of febrile children. However, only 69% of these facilities in Senegal, 32% in Malawi and 19% in Tanzania were classified as malaria-service ready. Of the four components of malaria-service readiness in the facilities most frequented by febrile children, diagnostic capacity was the weakest area in all three countries, followed by trained personnel. All three countries performed well in the availability of ACT. Conclusions This analysis highlights the need to improve the malaria-service readiness of facilities in all three countries. More effort should be focused on facilities that are commonly used for care of fever, especially in the areas of malaria diagnostic ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pillar ENVELOPE(166.217,166.217,-77.583,-77.583) Malaria Journal 18 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Care seeking Malaria-service readiness Fever Malawi Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Care seeking Malaria-service readiness Fever Malawi Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Cameron Taylor Annē Linn Wenjuan Wang Lia Florey Hamdy Moussa Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania |
topic_facet |
Malaria Care seeking Malaria-service readiness Fever Malawi Tanzania Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Ensuring universal access to malaria diagnosis and treatment is a key component of Pillar 1 of the World Health Organization Global Technical Strategy for Malaria 2016–2030. To achieve this goal it is essential to know the types of facilities where the population seeks care as well as the malaria service readiness of these facilities in endemic countries. Methods To investigate the utilization and provision of malaria services, data on the sources of advice or treatment in children under 5 years with fever from the household-based Demographic and Health Surveys (DHS) and on the components of malaria service readiness from the facility-based Service Provision Assessment (SPA) surveys were examined in Malawi, Senegal and Tanzania. Facilities categorized as malaria-service ready were those with: (1) personnel trained in either malaria rapid diagnostic testing (RDT), microscopy or case management/treatment of malaria in children; (2) national guidelines for the diagnosis and treatment of malaria; (3) diagnostic capacity (available RDT tests or microscopy equipment as well as staff trained in its use); and, (4) unexpired artemisinin-based combination therapy (ACT) available on the day of the survey. Results In all three countries primary-level facilities (health centre/health post/health clinic) were the type of facility most used for care of febrile children. However, only 69% of these facilities in Senegal, 32% in Malawi and 19% in Tanzania were classified as malaria-service ready. Of the four components of malaria-service readiness in the facilities most frequented by febrile children, diagnostic capacity was the weakest area in all three countries, followed by trained personnel. All three countries performed well in the availability of ACT. Conclusions This analysis highlights the need to improve the malaria-service readiness of facilities in all three countries. More effort should be focused on facilities that are commonly used for care of fever, especially in the areas of malaria diagnostic ... |
format |
Article in Journal/Newspaper |
author |
Cameron Taylor Annē Linn Wenjuan Wang Lia Florey Hamdy Moussa |
author_facet |
Cameron Taylor Annē Linn Wenjuan Wang Lia Florey Hamdy Moussa |
author_sort |
Cameron Taylor |
title |
Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania |
title_short |
Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania |
title_full |
Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania |
title_fullStr |
Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania |
title_full_unstemmed |
Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania |
title_sort |
examination of malaria service utilization and service provision: an analysis of dhs and spa data from malawi, senegal, and tanzania |
publisher |
BMC |
publishDate |
2019 |
url |
https://doi.org/10.1186/s12936-019-2892-x https://doaj.org/article/4b0836a445ba4b0fa6f211cf7f2c3dda |
long_lat |
ENVELOPE(166.217,166.217,-77.583,-77.583) |
geographic |
Arctic Pillar |
geographic_facet |
Arctic Pillar |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 18, Iss 1, Pp 1-13 (2019) |
op_relation |
http://link.springer.com/article/10.1186/s12936-019-2892-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2892-x 1475-2875 https://doaj.org/article/4b0836a445ba4b0fa6f211cf7f2c3dda |
op_doi |
https://doi.org/10.1186/s12936-019-2892-x |
container_title |
Malaria Journal |
container_volume |
18 |
container_issue |
1 |
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1766348453093310464 |