ArticleMalaria journal2015
Prescription practices for malaria in Mozambique: poor adherence to the national protocols for malaria treatment in 22 public health facilities.
Article in Malaria journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 33 citations in OpenAlex.
- Article
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- Health workers' adherence to malaria case management protocols in Northern Sudan: a qualitative study.Malaria journal · 2024Article
- Adherence to malaria treatment guidelines among health care workers in private health facilities in Kampala's informal settlements, Uganda.PLOS global public health · 2023Article
- Characterisation of human exposure to nocturnal biting by malaria and arbovirus vectors in a rural community in Chókwè district, southern Mozambique.Wellcome open research · 2023Article
- Climate variability, socio-economic conditions and vulnerability to malaria infections in Mozambique 2016-2018: a spatial temporal analysis.Frontiers in public health · 2023Article
- Achieving malaria testing and treatment targets for children under five in Mozambique: a cost-effectiveness analysis.Malaria journal · 2022Article
- Malaria diagnostic methods with the elimination goal in view.Parasitology research · 2022Review
- Adherence to malaria management guidelines by health care workers in the Busoga sub-region, eastern Uganda.Malaria journal · 2022Article
- Knowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea.Malaria journal · 2021Article
- Ethnobotanical study of plants used by the traditional healers to treat malaria in Mogovolas district, northern Mozambique.Heliyon · 2020Article
- Trends in health workers' compliance with outpatient malaria case-management guidelines across malaria epidemiological zones in Kenya, 2010-2016.Malaria journal · 2020Article
- To screen or not to screen: an interactive framework for comparing costs of mass malaria treatment interventions.BMC medicine · 2020Article
- Adherence to malaria rapid diagnostic test result among healthcare workers in Sokoto metropolis, Nigeria.Malaria journal · 2020Article
- Quality of malaria services offered in public health facilities in three provinces of Mozambique: a cross-sectional study.Malaria journal · 2019Article
- A comparison of thick-film microscopy, rapid diagnostic test, and polymerase chain reaction for accurate diagnosis of Plasmodium falciparum malaria.Malaria journal · 2019Article
- Failures in the case management of children with uncomplicated malaria in Bata district of Equatorial Guinea and associated factors.PloS one · 2019Article
- Case management of malaria in Swaziland, 2011-2015: on track for elimination?Public health action · 2018Article
- Practice of antimalarial prescription to patients with negative rapid test results and associated factors among health workers in Oyo State, Nigeria.The Pan African medical journal · 2018Article
- Mozambique field epidemiology and laboratory training program: a pathway for strengthening human resources in applied epidemiology.The Pan African medical journal · 2017Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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Abstract
backgroundCurrent World Health Organization and national protocols recommend the 'test and treat' strategy for the management of uncomplicated malaria, to reduce over prescription of artemisinin-based combination treatment (ACT). Therefore, adherence to these protocols varies in different sub-Saharan African countries and no information is available for Mozambique. This study was conducted with the aim to evaluate the prescription practices of ACT in Mozambique.
methodsRetrospective audit of medical records corresponding to the period between July and December 2011 was conducted in 22 health units across 11 provinces in Mozambique. Two health units were selected per province according to availability of laboratory data (performing microscopy and rapid diagnostics testing-RDT or RDT only) and geographic setting (rural versus urban). At each facility, demographic data, laboratory results (blood smear or RDT), and prescription of ACT were all collected from the existing records.
resultsBetween July and December 2011, a total of 61,730 cases were tested for malaria, of which 42.7 % (26,369/61,730) were positive. A total of 35.361 patients were malaria negative, and ACT was prescribed to 72.0 % (25.448/35.361) of them. Prescription of ACT to malaria negative patients was higher in the central region of the country as compared to the northern and southern (81.1 % in the central region versus 72.4 and 63.7 % in the northern and southern, respectively, p = 0.000) and in urban settings (88.7 % in rural versus 58.0 % in urban settings, p = 0.000). Stock out of RDT was observed in six (27.3 %) of the health facilities. When no RDT was available, patients were empirically treated with ACT.
conclusionFindings from this study demonstrate that health care worker's adherence to the new guidelines for malaria treatment is poor in Mozambique and prescription of ACT to malaria negative patients remains very high. Enhanced training and supervision activities, community education and external quality assurance might lead to significant improvements in the clinician's adherence to the new guideline for malaria treatment in Mozambique.
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