Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol
Abstract Background This study aimed to document malaria case management practices in Papua New Guinea prior to the introduction of a revised national malaria treatment protocol. The revised protocol stipulates routine testing of malaria infection by rapid diagnostic test or microscopy, anti-malaria...
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ftdoajarticles:oai:doaj.org/article:66f312919acf49a8926db6c37531b0ab 2023-05-15T15:15:13+02:00 Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol Pulford Justin Mueller Ivo Siba Peter M Hetzel Manuel W 2012-05-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-157 https://doaj.org/article/66f312919acf49a8926db6c37531b0ab EN eng BMC http://www.malariajournal.com/content/11/1/157 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-157 1475-2875 https://doaj.org/article/66f312919acf49a8926db6c37531b0ab Malaria Journal, Vol 11, Iss 1, p 157 (2012) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-157 2022-12-31T01:41:26Z Abstract Background This study aimed to document malaria case management practices in Papua New Guinea prior to the introduction of a revised national malaria treatment protocol. The revised protocol stipulates routine testing of malaria infection by rapid diagnostic test or microscopy, anti-malarial prescription to test positive cases only, and the introduction of a new artemisinin-based first-line anti-malarial. Findings presented in this paper primarily focus on diagnostic, prescription and treatment counselling practices. Methods In a national cross-sectional survey of 79 randomly selected health facilities, data were collected via non-participant observation of the clinical case management of patients presenting with fever or a recent history of fever. Data were recorded on a structured clinical observation instrument. Results Overall, 15% of observed fever patients (n = 468) were tested for malaria infection by rapid diagnostic test and a further 3.6% were tested via microscopy. An anti-malarial prescription was made in 96.4% (451/468) of cases, including 100% (17/17) of test positive cases and 82% (41/50) of test negative cases. In all, 79.8% of anti-malarial prescriptions conformed to the treatment protocol current at the time of data collection. The purpose of the prescribed medication was explained to patients in 63.4% of cases, dosage/regimen instructions were provided in 75.7% of cases and the possibility of adverse effects and what they might look like were discussed in only 1.1% of cases. Conclusion The revised national malaria treatment protocol will require a substantial change in current clinical practice if it is to be correctly implemented and adhered to. Areas that will require the most change include the shift from presumptive to RDT/microscopy confirmed diagnosis, prescribing (or rather non-prescribing) of anti-malarials to patients who test negative for malaria infection, and the provision of thorough treatment counselling. A comprehensive clinician support programme, possibly inclusive of ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
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Directory of Open Access Journals: DOAJ Articles |
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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 Pulford Justin Mueller Ivo Siba Peter M Hetzel Manuel W Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background This study aimed to document malaria case management practices in Papua New Guinea prior to the introduction of a revised national malaria treatment protocol. The revised protocol stipulates routine testing of malaria infection by rapid diagnostic test or microscopy, anti-malarial prescription to test positive cases only, and the introduction of a new artemisinin-based first-line anti-malarial. Findings presented in this paper primarily focus on diagnostic, prescription and treatment counselling practices. Methods In a national cross-sectional survey of 79 randomly selected health facilities, data were collected via non-participant observation of the clinical case management of patients presenting with fever or a recent history of fever. Data were recorded on a structured clinical observation instrument. Results Overall, 15% of observed fever patients (n = 468) were tested for malaria infection by rapid diagnostic test and a further 3.6% were tested via microscopy. An anti-malarial prescription was made in 96.4% (451/468) of cases, including 100% (17/17) of test positive cases and 82% (41/50) of test negative cases. In all, 79.8% of anti-malarial prescriptions conformed to the treatment protocol current at the time of data collection. The purpose of the prescribed medication was explained to patients in 63.4% of cases, dosage/regimen instructions were provided in 75.7% of cases and the possibility of adverse effects and what they might look like were discussed in only 1.1% of cases. Conclusion The revised national malaria treatment protocol will require a substantial change in current clinical practice if it is to be correctly implemented and adhered to. Areas that will require the most change include the shift from presumptive to RDT/microscopy confirmed diagnosis, prescribing (or rather non-prescribing) of anti-malarials to patients who test negative for malaria infection, and the provision of thorough treatment counselling. A comprehensive clinician support programme, possibly inclusive of ... |
format |
Article in Journal/Newspaper |
author |
Pulford Justin Mueller Ivo Siba Peter M Hetzel Manuel W |
author_facet |
Pulford Justin Mueller Ivo Siba Peter M Hetzel Manuel W |
author_sort |
Pulford Justin |
title |
Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol |
title_short |
Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol |
title_full |
Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol |
title_fullStr |
Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol |
title_full_unstemmed |
Malaria case management in Papua New Guinea prior to the introduction of a revised treatment protocol |
title_sort |
malaria case management in papua new guinea prior to the introduction of a revised treatment protocol |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-157 https://doaj.org/article/66f312919acf49a8926db6c37531b0ab |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 157 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/157 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-157 1475-2875 https://doaj.org/article/66f312919acf49a8926db6c37531b0ab |
op_doi |
https://doi.org/10.1186/1475-2875-11-157 |
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Malaria Journal |
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11 |
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1 |
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1766345592397627392 |