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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Improved malaria case management after integrated team-based training of health care workers in Uganda
American Journal of Tropical Medicine and Hygiene, Volume 79, No. 6, Year 2008
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Description
Malaria case management in Africa is characterized by presumptive treatment and substantial overtreatment. We evaluated an integrated team-based training program on malaria case management. Surveillance data 120 days before and after training were compared at eight health facilities in Uganda. After training, the proportion of patients with suspected malaria referred for blood smears increased from 38.3% to 54.6% (P = 0.04) in persons < 5 years of age years and from 34.1 % to 53.4% (P = 0.02) in those ≥ 5 years of age. The proportion of patients with negative blood smears prescribed antimalarial drugs decreased from 47.9% to 19.6% (P < 0.001) in persons < 5 years of age and from 38.8% to 15.6% (P < 0.001) in those ≥ 5 years of age. Training did not improve the proportion of patients with positive blood smears prescribed antimalarial drugs, the proportion of patients prescribed appropriate antimalarial drugs, or the diagnostic accuracy of microscopy. Integrated team-based training may improve malaria case management and reduce the number of unnecessary antimalarial treatments. Copyright © 2008 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Ssekabira, Umaru
Unknown Affiliation
Bukirwa, Hasifa
Unknown Affiliation
Hopkins, Heidi A.
Unknown Affiliation
Namagembe, Allen
Unknown Affiliation
Weaver, Marcia R.
Unknown Affiliation
Sebuyira, Lydia Mpanga
Unknown Affiliation
Quick, Linda
Unknown Affiliation
Staedke, Sarah G.
Unknown Affiliation
Yeka, Adoke
Unknown Affiliation
Kiggundu, Moses
Unknown Affiliation
Schneider, Gisela
Unknown Affiliation
McAdam, Keith P.W.J.
Unknown Affiliation
Wabwire-Mangen, Fred
Unknown Affiliation
Dorsey, Grant M.
Unknown Affiliation
Statistics
Citations: 67
Authors: 14
Affiliations: 6
Identifiers
Doi:
10.4269/ajtmh.2008.79.826
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Study Locations
Uganda