Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda
Abstract Background Deployment of highly effective artemisinin-based combination therapy for treating uncomplicated malaria calls for better targeting of malaria treatment to improve case management and minimize drug pressure for selecting resistant parasites. The Integrated Management of Malaria cu...
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ftdoajarticles:oai:doaj.org/article:4e43aa521986404d944188acae63189d 2023-05-15T15:16:09+02:00 Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda Namagembe Allen Ssekabira Umaru Weaver Marcia R Blum Nancy Burnett Sarah Dorsey Grant Sebuyira Lydia Ojaku Alex Schneider Gisela Willis Kelly Yeka Adoke 2012-02-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-44 https://doaj.org/article/4e43aa521986404d944188acae63189d EN eng BMC http://www.malariajournal.com/content/11/1/44 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-44 1475-2875 https://doaj.org/article/4e43aa521986404d944188acae63189d Malaria Journal, Vol 11, Iss 1, p 44 (2012) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-44 2022-12-31T01:15:42Z Abstract Background Deployment of highly effective artemisinin-based combination therapy for treating uncomplicated malaria calls for better targeting of malaria treatment to improve case management and minimize drug pressure for selecting resistant parasites. The Integrated Management of Malaria curriculum was developed to train multi-disciplinary teams of clinical, laboratory and health information assistants. Methods Evaluation of training was conducted in nine health facilities that were Uganda Malaria Surveillance Programme (UMSP) sites. From December 2006 to June 2007, 194 health professionals attended a six-day course. One-hundred and one of 118 (86%) clinicians were observed during patient encounters by expert clinicians at baseline and during three follow-up visits approximately six weeks, 12 weeks and one year after the course. Experts used a standardized tool for children less than five years of age and similar tool for patients five or more years of age. Seventeen of 30 laboratory professionals (57%) were assessed for preparation of malaria blood smears and ability to interpret smear results of 30 quality control slides. Results Percentage of patients at baseline and first follow-up, respectively, with proper history-taking was 21% and 43%, thorough physical examination 18% and 56%, correct diagnosis 51% and 98%, treatment in compliance with national policy 42% and 86%, and appropriate patient education 17% and 83%. In estimates that adjusted for individual effects and a matched sample, relative risks were 1.86 (95% CI: 1.20,2.88) for history-taking, 2.66 (95%CI: 1.60,4.41) for physical examination, 1.77 (95%CI: 1.41,2.23) for diagnosis, 1.96 (95%CI: 1.46,2.63) for treatment, and 4.47 (95%CI: 2.68,7.46) for patient education. Results were similar for subsequent follow-up and in sub-samples stratified by patient age. Quality of malaria blood smear preparation improved from 21.6% at baseline to 67.3% at first follow-up ( p < 0.008); sensitivity of interpretation of quality control slides increased ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 44 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Namagembe Allen Ssekabira Umaru Weaver Marcia R Blum Nancy Burnett Sarah Dorsey Grant Sebuyira Lydia Ojaku Alex Schneider Gisela Willis Kelly Yeka Adoke Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Deployment of highly effective artemisinin-based combination therapy for treating uncomplicated malaria calls for better targeting of malaria treatment to improve case management and minimize drug pressure for selecting resistant parasites. The Integrated Management of Malaria curriculum was developed to train multi-disciplinary teams of clinical, laboratory and health information assistants. Methods Evaluation of training was conducted in nine health facilities that were Uganda Malaria Surveillance Programme (UMSP) sites. From December 2006 to June 2007, 194 health professionals attended a six-day course. One-hundred and one of 118 (86%) clinicians were observed during patient encounters by expert clinicians at baseline and during three follow-up visits approximately six weeks, 12 weeks and one year after the course. Experts used a standardized tool for children less than five years of age and similar tool for patients five or more years of age. Seventeen of 30 laboratory professionals (57%) were assessed for preparation of malaria blood smears and ability to interpret smear results of 30 quality control slides. Results Percentage of patients at baseline and first follow-up, respectively, with proper history-taking was 21% and 43%, thorough physical examination 18% and 56%, correct diagnosis 51% and 98%, treatment in compliance with national policy 42% and 86%, and appropriate patient education 17% and 83%. In estimates that adjusted for individual effects and a matched sample, relative risks were 1.86 (95% CI: 1.20,2.88) for history-taking, 2.66 (95%CI: 1.60,4.41) for physical examination, 1.77 (95%CI: 1.41,2.23) for diagnosis, 1.96 (95%CI: 1.46,2.63) for treatment, and 4.47 (95%CI: 2.68,7.46) for patient education. Results were similar for subsequent follow-up and in sub-samples stratified by patient age. Quality of malaria blood smear preparation improved from 21.6% at baseline to 67.3% at first follow-up ( p < 0.008); sensitivity of interpretation of quality control slides increased ... |
format |
Article in Journal/Newspaper |
author |
Namagembe Allen Ssekabira Umaru Weaver Marcia R Blum Nancy Burnett Sarah Dorsey Grant Sebuyira Lydia Ojaku Alex Schneider Gisela Willis Kelly Yeka Adoke |
author_facet |
Namagembe Allen Ssekabira Umaru Weaver Marcia R Blum Nancy Burnett Sarah Dorsey Grant Sebuyira Lydia Ojaku Alex Schneider Gisela Willis Kelly Yeka Adoke |
author_sort |
Namagembe Allen |
title |
Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda |
title_short |
Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda |
title_full |
Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda |
title_fullStr |
Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda |
title_full_unstemmed |
Improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in Uganda |
title_sort |
improved clinical and laboratory skills after team-based, malaria case management training of health care professionals in uganda |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-44 https://doaj.org/article/4e43aa521986404d944188acae63189d |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 44 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/44 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-44 1475-2875 https://doaj.org/article/4e43aa521986404d944188acae63189d |
op_doi |
https://doi.org/10.1186/1475-2875-11-44 |
container_title |
Malaria Journal |
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11 |
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1 |
container_start_page |
44 |
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