Proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (Accra, 2017)

Oral presentation

Malaria diagnosis and treatment practices in Tolon district, Northern Region

Cite this: Pan African Medical Journal - Conference Proceedings. Nov 2017; 3(3): 112. doi:10.11604/pamj.cp.2017.3.112.267

Submitted: 13 Oct 17   Accepted: 23 Oct 17   Published: 01 Nov 17

Key words: Parasitological diagnosis, Tolon district, Artemisinin-based Combination Therapy (ACT)

© Tahiru Ukasha et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.proceedings.panafrican-med-journal.com/conferences/2017/3/112/abstract

Corresponding author: Tahiru Ukasha, Ghana Field Epidemiology and Laboratory Training Program, Ghana Health Service, Ghana (tahiruukasha@yahoo.com)

This abstract is published as part of the proceedings of 1st Ghana Field Epidemiology and Laboratory Training Programme Scientific conference (GHANA, )

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

 

 

&Corresponding author
Tahiru Ukasha, Ghana Field Epidemiology and Laboratory Training Program, Ghana Health Service, Ghana

 

 

Abstract

Introduction: 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 malaria diagnosis and treatment practice. This study therefore sought to assess malaria diagnosis and treatment practices in the Tolon district.

 

Methods: 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.

 

Results: 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.

 

Conclusion: 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)

Country: GHANA

Dates: 18 Sep 17 - 21 Sep 17

Venue: Swiss Spirit and Suites Alisa Hotels

Organizers: Ghana Field Epidemiology and Laboratory Training Programme

Secretariat: gfeltp@gmail.com

Contact person: Dr. Ernest Kenu (ernest_kenu@yahoo.com)