Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana
Abstract Background The Ministry of Health, Ghana, in accordance with global policy, recommends that all suspected malaria cases be confirmed parasitologically before treatment. Not all clinicians, however, base their treatment on test results. Patients also spend a lot of time at health facilities...
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ftdoajarticles:oai:doaj.org/article:f32b64c7407f4c1597ccc9253dbdc7b0 2023-05-15T15:18:39+02:00 Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana Jonathan Mawutor Gmanyami Asiwome Ameko Saviour Selase Ahiafe Samuel Adolf Bosoka Margaret Kweku Evelyn Korkor Ansah 2020-03-01T00:00:00Z https://doi.org/10.1186/s12936-020-03189-6 https://doaj.org/article/f32b64c7407f4c1597ccc9253dbdc7b0 EN eng BMC http://link.springer.com/article/10.1186/s12936-020-03189-6 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03189-6 1475-2875 https://doaj.org/article/f32b64c7407f4c1597ccc9253dbdc7b0 Malaria Journal, Vol 19, Iss 1, Pp 1-9 (2020) Pre-consultation testing Post-consultation testing Clinician Adherence Waiting time Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2020 ftdoajarticles https://doi.org/10.1186/s12936-020-03189-6 2022-12-31T08:57:39Z Abstract Background The Ministry of Health, Ghana, in accordance with global policy, recommends that all suspected malaria cases be confirmed parasitologically before treatment. Not all clinicians, however, base their treatment on test results. Patients also spend a lot of time at health facilities waiting to consult a clinician before being asked to go for testing and to see a clinician with test results. The purpose of the study was to determine if testing all children aged 6 to 59 months with fever reporting at an outpatients department (OPD) for malaria before consultation with a clinician (pre-consultation testing) will influence clinicians to adhere to test results and also reduce the time spent by such patients. Methods A quasi-experimental study design was used involving two randomly selected government-owned hospitals in the Northern Volta, Ghana. In each hospital, 439 children were recruited between November 2018 and January 2019. The intervention hospital implemented pre-consultation testing. In the comparator arm, standard practices, which involved patients seeing the clinician before he/she decides whether to send the patient for testing or not, were maintained. Results Out of 878 children screened the overall prevalence of malaria was 31.9% by malaria rapid diagnostic test (RDT) and 26.7% by microscopy. Clinicians in the intervention arm adhered more to the malaria test results than those in the comparator arm (93.2 vs. 84.3%; p < 0.001). The proportion of children who tested negative but were still diagnosed with malaria was significantly lower in the intervention arm compared to the comparator arm (8.4 vs. 21.2%: p < 0.001). Clinicians and mothers/caregivers in both arms preferred pre-consulting testing. Six out of every 10 mothers/caregivers in the comparator arm viewed the waiting time as ‘too long’’ compared to 4 out of every 10 mothers in the intervention arm. On average, patient waiting time was significantly lower in the intervention arm (2.61 h) than in the comparator arm (3.42 h). ... 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 |
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Pre-consultation testing Post-consultation testing Clinician Adherence Waiting time Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Pre-consultation testing Post-consultation testing Clinician Adherence Waiting time Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Jonathan Mawutor Gmanyami Asiwome Ameko Saviour Selase Ahiafe Samuel Adolf Bosoka Margaret Kweku Evelyn Korkor Ansah Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana |
topic_facet |
Pre-consultation testing Post-consultation testing Clinician Adherence Waiting time Ghana Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background The Ministry of Health, Ghana, in accordance with global policy, recommends that all suspected malaria cases be confirmed parasitologically before treatment. Not all clinicians, however, base their treatment on test results. Patients also spend a lot of time at health facilities waiting to consult a clinician before being asked to go for testing and to see a clinician with test results. The purpose of the study was to determine if testing all children aged 6 to 59 months with fever reporting at an outpatients department (OPD) for malaria before consultation with a clinician (pre-consultation testing) will influence clinicians to adhere to test results and also reduce the time spent by such patients. Methods A quasi-experimental study design was used involving two randomly selected government-owned hospitals in the Northern Volta, Ghana. In each hospital, 439 children were recruited between November 2018 and January 2019. The intervention hospital implemented pre-consultation testing. In the comparator arm, standard practices, which involved patients seeing the clinician before he/she decides whether to send the patient for testing or not, were maintained. Results Out of 878 children screened the overall prevalence of malaria was 31.9% by malaria rapid diagnostic test (RDT) and 26.7% by microscopy. Clinicians in the intervention arm adhered more to the malaria test results than those in the comparator arm (93.2 vs. 84.3%; p < 0.001). The proportion of children who tested negative but were still diagnosed with malaria was significantly lower in the intervention arm compared to the comparator arm (8.4 vs. 21.2%: p < 0.001). Clinicians and mothers/caregivers in both arms preferred pre-consulting testing. Six out of every 10 mothers/caregivers in the comparator arm viewed the waiting time as ‘too long’’ compared to 4 out of every 10 mothers in the intervention arm. On average, patient waiting time was significantly lower in the intervention arm (2.61 h) than in the comparator arm (3.42 h). ... |
format |
Article in Journal/Newspaper |
author |
Jonathan Mawutor Gmanyami Asiwome Ameko Saviour Selase Ahiafe Samuel Adolf Bosoka Margaret Kweku Evelyn Korkor Ansah |
author_facet |
Jonathan Mawutor Gmanyami Asiwome Ameko Saviour Selase Ahiafe Samuel Adolf Bosoka Margaret Kweku Evelyn Korkor Ansah |
author_sort |
Jonathan Mawutor Gmanyami |
title |
Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana |
title_short |
Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana |
title_full |
Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana |
title_fullStr |
Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana |
title_full_unstemmed |
Effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the Northern Zone of Volta Region of Ghana |
title_sort |
effect of pre-consultation testing on clinicians’ adherence to malaria test results and waiting time among children under 5 years in the northern zone of volta region of ghana |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12936-020-03189-6 https://doaj.org/article/f32b64c7407f4c1597ccc9253dbdc7b0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 19, Iss 1, Pp 1-9 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12936-020-03189-6 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-020-03189-6 1475-2875 https://doaj.org/article/f32b64c7407f4c1597ccc9253dbdc7b0 |
op_doi |
https://doi.org/10.1186/s12936-020-03189-6 |
container_title |
Malaria Journal |
container_volume |
19 |
container_issue |
1 |
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1766348839514537984 |