Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016
Abstract Background Health workers' compliance with outpatient malaria case-management guidelines has been improving, specifically regarding the universal testing of suspected cases and the use of artemisinin-based combination therapy (ACT) only for positive results (i.e., ‘test and treat’). Wh...
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ftdoajarticles:oai:doaj.org/article:ab415a77fb9f4dbb8dd953c5af0498c6 2023-05-15T15:18:33+02:00 Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 Beatrice Amboko Kasia Stepniewska Peter M. Macharia Beatrice Machini Philip Bejon Robert W. Snow Dejan Zurovac 2020-11-01T00:00:00Z https://doi.org/10.1186/s12936-020-03479-z https://doaj.org/article/ab415a77fb9f4dbb8dd953c5af0498c6 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03479-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03479-z 1475-2875 https://doaj.org/article/ab415a77fb9f4dbb8dd953c5af0498c6 Malaria Journal, Vol 19, Iss 1, Pp 1-14 (2020) Malaria Outpatient Case-management Malaria endemicity Compliance ‘Test and treat’ Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03479-z 2022-12-31T11:30:14Z Abstract Background Health workers' compliance with outpatient malaria case-management guidelines has been improving, specifically regarding the universal testing of suspected cases and the use of artemisinin-based combination therapy (ACT) only for positive results (i.e., ‘test and treat’). Whether the improvements in compliance with ‘test and treat’ guidelines are consistent across different malaria endemicity areas has not been examined. Methods Data from 11 national, cross-sectional, outpatient malaria case-management surveys undertaken in Kenya from 2010 to 2016 were analysed. Four primary indicators (i.e., ‘test and treat’) and eight secondary indicators of artemether-lumefantrine (AL) dosing, dispensing, and counselling were measured. Mixed logistic regression models were used to analyse the annual trends in compliance with the indicators across the different malaria endemicity areas (i.e., from highest to lowest risk being lake endemic, coast endemic, highland epidemic, semi-arid seasonal transmission, and low risk). Results Compliance with all four ‘test and treat’ indicators significantly increased in the area with the highest malaria risk (i.e., lake endemic) as follows: testing of febrile patients (OR = 1.71 annually; 95% CI = 1.51–1.93), AL treatment for test-positive patients (OR = 1.56; 95% CI = 1.26–1.92), no anti-malarial for test-negative patients (OR = 2.04; 95% CI = 1.65–2.54), and composite ‘test and treat’ compliance (OR = 1.80; 95% CI = 1.61–2.01). In the low risk areas, only compliance with test-negative results significantly increased (OR = 2.27; 95% CI = 1.61–3.19) while testing of febrile patients showed declining trends (OR = 0.89; 95% CI = 0.79–1.01). Administration of the first AL dose at the facility significantly increased in the areas of lake endemic (OR = 2.33; 95% CI = 1.76–3.10), coast endemic (OR = 5.02; 95% CI = 2.77–9.09) and semi-arid seasonal transmission (OR = 1.44; 95% CI = 1.02–2.04). In areas of the lowest risk of transmission and highland epidemic zone, none of the ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
topic |
Malaria Outpatient Case-management Malaria endemicity Compliance ‘Test and treat’ Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Malaria Outpatient Case-management Malaria endemicity Compliance ‘Test and treat’ Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Beatrice Amboko Kasia Stepniewska Peter M. Macharia Beatrice Machini Philip Bejon Robert W. Snow Dejan Zurovac Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 |
topic_facet |
Malaria Outpatient Case-management Malaria endemicity Compliance ‘Test and treat’ Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Health workers' compliance with outpatient malaria case-management guidelines has been improving, specifically regarding the universal testing of suspected cases and the use of artemisinin-based combination therapy (ACT) only for positive results (i.e., ‘test and treat’). Whether the improvements in compliance with ‘test and treat’ guidelines are consistent across different malaria endemicity areas has not been examined. Methods Data from 11 national, cross-sectional, outpatient malaria case-management surveys undertaken in Kenya from 2010 to 2016 were analysed. Four primary indicators (i.e., ‘test and treat’) and eight secondary indicators of artemether-lumefantrine (AL) dosing, dispensing, and counselling were measured. Mixed logistic regression models were used to analyse the annual trends in compliance with the indicators across the different malaria endemicity areas (i.e., from highest to lowest risk being lake endemic, coast endemic, highland epidemic, semi-arid seasonal transmission, and low risk). Results Compliance with all four ‘test and treat’ indicators significantly increased in the area with the highest malaria risk (i.e., lake endemic) as follows: testing of febrile patients (OR = 1.71 annually; 95% CI = 1.51–1.93), AL treatment for test-positive patients (OR = 1.56; 95% CI = 1.26–1.92), no anti-malarial for test-negative patients (OR = 2.04; 95% CI = 1.65–2.54), and composite ‘test and treat’ compliance (OR = 1.80; 95% CI = 1.61–2.01). In the low risk areas, only compliance with test-negative results significantly increased (OR = 2.27; 95% CI = 1.61–3.19) while testing of febrile patients showed declining trends (OR = 0.89; 95% CI = 0.79–1.01). Administration of the first AL dose at the facility significantly increased in the areas of lake endemic (OR = 2.33; 95% CI = 1.76–3.10), coast endemic (OR = 5.02; 95% CI = 2.77–9.09) and semi-arid seasonal transmission (OR = 1.44; 95% CI = 1.02–2.04). In areas of the lowest risk of transmission and highland epidemic zone, none of the ... |
format |
Article in Journal/Newspaper |
author |
Beatrice Amboko Kasia Stepniewska Peter M. Macharia Beatrice Machini Philip Bejon Robert W. Snow Dejan Zurovac |
author_facet |
Beatrice Amboko Kasia Stepniewska Peter M. Macharia Beatrice Machini Philip Bejon Robert W. Snow Dejan Zurovac |
author_sort |
Beatrice Amboko |
title |
Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 |
title_short |
Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 |
title_full |
Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 |
title_fullStr |
Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 |
title_full_unstemmed |
Trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010–2016 |
title_sort |
trends in health workers’ compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in kenya, 2010–2016 |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03479-z https://doaj.org/article/ab415a77fb9f4dbb8dd953c5af0498c6 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-14 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03479-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03479-z 1475-2875 https://doaj.org/article/ab415a77fb9f4dbb8dd953c5af0498c6 |
op_doi |
https://doi.org/10.1186/s12936-020-03479-z |
container_title |
Malaria Journal |
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19 |
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1 |
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1766348741763137536 |