Malaria diagnosis and treatment practices in Tolon district, Northern Region
Tahiru Ukasha1,2,&, Donne Ameme1, Ernest Kenu1, Hafia Safia2, Richael Mills1
1Ghana Field Epidemiology and Laboratory Training Program, Ghana, 2Ghana Health Service, Ghana
Tahiru Ukasha, Ghana Field Epidemiology and Laboratory Training Program, Ghana Health Service, Ghana
effective case management involving prompt parasitological diagnosis and
treatment with Artemisinin-based Combination Therapy (ACT) has been recognized
as the cornerstone of malaria control strategies. Despite Ghana’s adoption of
these recommendations, malaria accounts for 66% of all OPD cases in Tolon
district which is higher than the regional average. This raises doubts about
diagnosis and treatment practice. This study therefore sought to assess malaria
diagnosis and treatment practices in the Tolon district.
a health facility based cross sectional study was conducted in the Tolon
district from December 2014 to May 2015 to assess malaria diagnosis and treatment
practices. Direct observation of patient consultations, interviews and record
abstraction were employed for data collection. Categorical variables were expressed
as proportions and continuous variables were summarized. Logistic regression
was used to assess associations between test and treat and the independent variables.
the study assessed six health centers, 25 health workers, 175 patient consultations and 420 patient records. Testing rate was 67.1% (278/420). ACT was prescribed to 89.3% of the patients and only 41.0% of suspected malaria patients were diagnosed and treated with ACT. However, 57.5% (50/87) of patients with negative test results received ACT and 75.9% (104/137) of those who were not tested also received ACT. Compliance to treatment guidelines was found to be associated with: compared to health centers, CHPS has 0.64 times [AOR = 0.64, 95% CI: 0.43-0.95] decreased likelihood of compliance to guidelines, supervision [AOR = 2.50, 95% CI: 1.15 5.41]. Cadre of health worker, training, years served by health worker and patient age were not significantly associated with compliance to treatment guidelines.
malaria diagnosis and treatment practice in Tolon district is sub optimal.
Despite availability of RDT, only 67.1% (282/420) of suspected malaria cases
were tested. 89.3% (375/420) of the patients received the first line treatment
drug AA. 57.5% (50/87) of patients who tested negative for malaria and 75.9%
(104/137) of patients not tested for malaria received ACT. Compliance is higher
in health centers than in CHPS. Supervision should be intensified especially
in the CHPS compounds.
1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra)
Dates: 18 Sep 17 - 21 Sep 17
Venue: Swiss Spirit and Suites Alisa Hotels
Organizers: Ghana Field Epidemiology and Laboratory Training Programme
Contact person: Dr. Ernest Kenu (firstname.lastname@example.org)