Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation
Abstract Background Malaria is one of the main causes of death in Angola, particularly among children under 5 years of age. An essential means to improve the situation is with strong malaria case management; this includes diagnosing suspected patients with a confirmatory test, either with a rapid di...
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ftdoajarticles:oai:doaj.org/article:f1eaca19c6704b96983a7f0e2e7bbac3 2023-05-15T15:18:16+02:00 Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation Sergio C. Lopes Rukaaka Mugizi João Esteves Pires Fernando David José Martins Pedro Rafael Dimbu Filomeno Fortes Joana Rosário Richard Allan 2020-07-01T00:00:00Z https://doi.org/10.1186/s12936-020-03338-x https://doaj.org/article/f1eaca19c6704b96983a7f0e2e7bbac3 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03338-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03338-x 1475-2875 https://doaj.org/article/f1eaca19c6704b96983a7f0e2e7bbac3 Malaria Journal, Vol 19, Iss 1, Pp 1-12 (2020) Malaria Supervision Angola Case management Test Treat Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03338-x 2022-12-31T03:23:51Z Abstract Background Malaria is one of the main causes of death in Angola, particularly among children under 5 years of age. An essential means to improve the situation is with strong malaria case management; this includes diagnosing suspected patients with a confirmatory test, either with a rapid diagnostic test (RDT) or microscopy, prompt and correct treatment with artemisinin-based combination therapy (ACT), and proper case registration (track). In 2011, the United States President’s Malaria Initiative (PMI) launched a country-wide programme to improve malaria case management through the provision of regular training and supervision at different levels of health care provision. An evaluation of malaria testing, treatment and registration practices in eight provinces, and at health facilities of various capacities, across Angola was conducted to assess progress of the national programme implementation. Methods A retrospective assessment analysed data collected during supervision visits to health facilities conducted between 2012 and 2016 in 8 provinces in Angola. The supervision tool used data collected for malaria knowledge, testing, treatment and case registration practices among health workers as well as health facilities stock outs from different levels of health care delivery. Contingency tables with Pearson chi-squared (χ 2) tests were used to identify factors associated with “knowledge”, “test”, “treat” and “track.” Multivariable logistic regression models were used to assess factors associated with the defined outcomes. Results A total of 7156 supervisions were conducted between September 2012 and July 2016. The overall knowledge, testing, treatment and tracking practices among health care workers (HCWs) increased significantly from 2013 to 2016. Health care workers in 2016 were 3.3 times (95% CI: 2.7–3.9) as likely to have a higher knowledge about malaria case management as in 2013 (p < 0.01), 7.4 (95% CI: 6.1–9.0) times as likely to test more suspected cases (p < 0.01), 10.9 (95% CI: 8.6–13.6) ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 19 1 |
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ftdoajarticles |
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English |
topic |
Malaria Supervision Angola Case management Test Treat Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Supervision Angola Case management Test Treat Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Sergio C. Lopes Rukaaka Mugizi João Esteves Pires Fernando David José Martins Pedro Rafael Dimbu Filomeno Fortes Joana Rosário Richard Allan Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
topic_facet |
Malaria Supervision Angola Case management Test Treat Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria is one of the main causes of death in Angola, particularly among children under 5 years of age. An essential means to improve the situation is with strong malaria case management; this includes diagnosing suspected patients with a confirmatory test, either with a rapid diagnostic test (RDT) or microscopy, prompt and correct treatment with artemisinin-based combination therapy (ACT), and proper case registration (track). In 2011, the United States President’s Malaria Initiative (PMI) launched a country-wide programme to improve malaria case management through the provision of regular training and supervision at different levels of health care provision. An evaluation of malaria testing, treatment and registration practices in eight provinces, and at health facilities of various capacities, across Angola was conducted to assess progress of the national programme implementation. Methods A retrospective assessment analysed data collected during supervision visits to health facilities conducted between 2012 and 2016 in 8 provinces in Angola. The supervision tool used data collected for malaria knowledge, testing, treatment and case registration practices among health workers as well as health facilities stock outs from different levels of health care delivery. Contingency tables with Pearson chi-squared (χ 2) tests were used to identify factors associated with “knowledge”, “test”, “treat” and “track.” Multivariable logistic regression models were used to assess factors associated with the defined outcomes. Results A total of 7156 supervisions were conducted between September 2012 and July 2016. The overall knowledge, testing, treatment and tracking practices among health care workers (HCWs) increased significantly from 2013 to 2016. Health care workers in 2016 were 3.3 times (95% CI: 2.7–3.9) as likely to have a higher knowledge about malaria case management as in 2013 (p < 0.01), 7.4 (95% CI: 6.1–9.0) times as likely to test more suspected cases (p < 0.01), 10.9 (95% CI: 8.6–13.6) ... |
format |
Article in Journal/Newspaper |
author |
Sergio C. Lopes Rukaaka Mugizi João Esteves Pires Fernando David José Martins Pedro Rafael Dimbu Filomeno Fortes Joana Rosário Richard Allan |
author_facet |
Sergio C. Lopes Rukaaka Mugizi João Esteves Pires Fernando David José Martins Pedro Rafael Dimbu Filomeno Fortes Joana Rosário Richard Allan |
author_sort |
Sergio C. Lopes |
title |
Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
title_short |
Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
title_full |
Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
title_fullStr |
Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
title_full_unstemmed |
Malaria Test, Treat and Track policy implementation in Angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
title_sort |
malaria test, treat and track policy implementation in angola: a retrospective study to assess the progress achieved after 4 years of programme implementation |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03338-x https://doaj.org/article/f1eaca19c6704b96983a7f0e2e7bbac3 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-12 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03338-x https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03338-x 1475-2875 https://doaj.org/article/f1eaca19c6704b96983a7f0e2e7bbac3 |
op_doi |
https://doi.org/10.1186/s12936-020-03338-x |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
_version_ |
1766348470759718912 |