Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda
Abstract Background Uganda adopted the Integrated Management of Malaria (IMM) guidelines, which require testing all suspected cases of malaria prior to treatment and which have been implemented throughout the country. However, adherence to IMM guidelines has not been explicitly investigated, especia...
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ftdoajarticles:oai:doaj.org/article:b243fa06d4c34ca8b761367e6f76db4b 2023-05-15T15:15:02+02:00 Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda Henry Kaula Sylvia Kiconco Luigi Nuñez 2018-11-01T00:00:00Z https://doi.org/10.1186/s12936-018-2577-x https://doaj.org/article/b243fa06d4c34ca8b761367e6f76db4b EN eng BMC http://link.springer.com/article/10.1186/s12936-018-2577-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2577-x 1475-2875 https://doaj.org/article/b243fa06d4c34ca8b761367e6f76db4b Malaria Journal, Vol 17, Iss 1, Pp 1-9 (2018) Uganda Malaria Integrated Management of Malaria Adherence Kaliro Buyende Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2018 ftdoajarticles https://doi.org/10.1186/s12936-018-2577-x 2022-12-31T11:40:45Z Abstract Background Uganda adopted the Integrated Management of Malaria (IMM) guidelines, which require testing all suspected cases of malaria prior to treatment and which have been implemented throughout the country. However, adherence to IMM guidelines has not been explicitly investigated, especially in lakeshore areas such as Buyende and Kaliro, two districts that remain highly burdened by malaria. This study assesses the level of adherence to IMM guidelines and pinpoints factors that influence IMM adherence by health providers in Buyende and Kaliro. A cross-sectional study among 197 patients and 26 healthcare providers was conducted. The algorithm for adherence to IMM guidelines was constructed to include physical examination, medical history, laboratory diagnosis, and anti-malarial drug prescription. Adherence was measured as a binary variable, and binary regression was used to identify factors associated with adherence to IMM guidelines. Results Only 16 (8.1%) of the 197 patients had their medical history and physical examinations taken, while the majority (65.5%) of the patients were recommended for malaria (laboratory) testing. Regarding adherence to prescription guidelines, 127 (64.5%) of the patients received artemisinin combination therapy (ACT) drug prescription. On the other hand, 18.6% of those who tested negative received an ACT drug/prescription and 10.1% tested positive but did not receive an ACT drug or prescription. Overall adherence to IMM guidelines was only 3.1%. The only factor that significantly influenced adherence to IMM guidelines was training; healthcare providers who had attended recent training on these guidelines were almost three times more likely to adhere to the IMM guidelines compared to those who had not attended recent training (OR = 2.858, 95% CI 1.754–4.659). Conclusions The findings indicate very low levels of adherence to IMM guidelines among healthcare workers in the lakeshore areas of Kaliro and Buyende districts. Since adherence was independently influenced, majorly by ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 17 1 |
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ftdoajarticles |
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English |
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Uganda Malaria Integrated Management of Malaria Adherence Kaliro Buyende Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Uganda Malaria Integrated Management of Malaria Adherence Kaliro Buyende Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Henry Kaula Sylvia Kiconco Luigi Nuñez Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda |
topic_facet |
Uganda Malaria Integrated Management of Malaria Adherence Kaliro Buyende Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Uganda adopted the Integrated Management of Malaria (IMM) guidelines, which require testing all suspected cases of malaria prior to treatment and which have been implemented throughout the country. However, adherence to IMM guidelines has not been explicitly investigated, especially in lakeshore areas such as Buyende and Kaliro, two districts that remain highly burdened by malaria. This study assesses the level of adherence to IMM guidelines and pinpoints factors that influence IMM adherence by health providers in Buyende and Kaliro. A cross-sectional study among 197 patients and 26 healthcare providers was conducted. The algorithm for adherence to IMM guidelines was constructed to include physical examination, medical history, laboratory diagnosis, and anti-malarial drug prescription. Adherence was measured as a binary variable, and binary regression was used to identify factors associated with adherence to IMM guidelines. Results Only 16 (8.1%) of the 197 patients had their medical history and physical examinations taken, while the majority (65.5%) of the patients were recommended for malaria (laboratory) testing. Regarding adherence to prescription guidelines, 127 (64.5%) of the patients received artemisinin combination therapy (ACT) drug prescription. On the other hand, 18.6% of those who tested negative received an ACT drug/prescription and 10.1% tested positive but did not receive an ACT drug or prescription. Overall adherence to IMM guidelines was only 3.1%. The only factor that significantly influenced adherence to IMM guidelines was training; healthcare providers who had attended recent training on these guidelines were almost three times more likely to adhere to the IMM guidelines compared to those who had not attended recent training (OR = 2.858, 95% CI 1.754–4.659). Conclusions The findings indicate very low levels of adherence to IMM guidelines among healthcare workers in the lakeshore areas of Kaliro and Buyende districts. Since adherence was independently influenced, majorly by ... |
format |
Article in Journal/Newspaper |
author |
Henry Kaula Sylvia Kiconco Luigi Nuñez |
author_facet |
Henry Kaula Sylvia Kiconco Luigi Nuñez |
author_sort |
Henry Kaula |
title |
Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda |
title_short |
Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda |
title_full |
Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda |
title_fullStr |
Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda |
title_full_unstemmed |
Cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of Buyende and Kaliro districts, Uganda |
title_sort |
cross-sectional study on the adherence to malaria guidelines in lakeshore facilities of buyende and kaliro districts, uganda |
publisher |
BMC |
publishDate |
2018 |
url |
https://doi.org/10.1186/s12936-018-2577-x https://doaj.org/article/b243fa06d4c34ca8b761367e6f76db4b |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 17, Iss 1, Pp 1-9 (2018) |
op_relation |
http://link.springer.com/article/10.1186/s12936-018-2577-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-018-2577-x 1475-2875 https://doaj.org/article/b243fa06d4c34ca8b761367e6f76db4b |
op_doi |
https://doi.org/10.1186/s12936-018-2577-x |
container_title |
Malaria Journal |
container_volume |
17 |
container_issue |
1 |
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1766345416936259584 |