Evidence map›Paper›PMID 28761609›Full record

ArticleThe Pan African medical journal2017

Evaluation of severe malaria case management in Mazowe District, Zimbabwe, 2014.

Bargley Makumbe, Cremence Tshuma, Gerald Shambira, More Mungati, Notion Tafara Gombe, Donewell Bangure, Tsitsi Patience Juru, Mufuta Tshimanga

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Article in The Pan African medical journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Bargley MakumbeDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
Cremence TshumaMinistries of Health and Child Care, Provincial Medical Directorate Mashonaland Central, Bindura, Zimbabwe.
Gerald ShambiraDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
More MungatiDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
Notion Tafara GombeDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
Donewell BangureDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
Tsitsi Patience JuruDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.
Mufuta TshimangaDepartment of Community Medicine, University of Zimbabwe, Harare, Zimbabwe.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMalaria is a preventable and curable disease. Mazowe district had been experiencing a lower malaria transmission rate in comparison to other districts in the Mashonaland Central province but it experienced a huge outbreak in the 2013-2014 rainy seasons with a case fatality rate (CFR) of 0.21%. This CFR was the highest in the province and it was twice as much as the national CFR (0.12%) for the same period. We evaluated severe malaria case management in Mazowe district to determine if practice is as per standard treatment guidelines.

methodsA descriptive cross sectional study was conducted in Mazowe district using the Logical Framework approach. District Health Executives (DHE) members, nurses and severe malaria case notes were purposively and conveniently selected into the study. Key informant Interviews and review of case notes were carried out. All data were analysed using Epi Info 3.5.1.to calculate means and frequencies. Permission to conduct the study was obtained from the Mashonaland Central Provincial Medical Directorate (PMD) Institutional Ethical Review Board (IRB).

resultsThe median age in years of the cases was 16 (Q1=7.3; Q3=30.8) and up to 58.1% of the cases were female. Inputs including staff, medicines and medical and laboratory equipment for severe case management were inadequate in the district. Only 60% of severe cases were diagnosed using blood slides and up to 95.6% of cases presented with one or more of the clinical signs of severe malaria. All severe cases were treated using correct anti-malarial and analgesic doses. Patient monitoring was not done as per prerequisite intervals and up to 5% of cases died. The health workers had above average knowledge on severe malaria.

conclusionSevere malaria case management inputs were inadequate in the district. For many cases, the district did not follow complicated malaria treatment guidelines for diagnosis, treatment and monitoring. Untrained staff needs training in Severe Malaria Case Management and monitoring of commodity stocks needs to be strengthened.

Indexed as

Health Knowledge, Attitudes, PracticePractice Guidelines as TopicAdolescentAdultAgedAnalgesicsAntimalarialsCase ManagementChildChild, PreschoolCross-Sectional StudiesFemaleHealth PersonnelHumansMalariaMaleAnalgesicsAntimalarialscase managementpatient monitoringSevere malaria

Identifiers

PMID28761609
PMCPMC5516657

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