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

Oral presentation

Analysis of malaria diagnosis and treatment data amongst pregnant women after the implementation of test-treat-track policy, Brong Ahafo Region-2017

Cite this: Pan African Medical Journal - Conference Proceedings. Oct 2017; 3(3): 93. doi:10.11604/pamj.cp.2017.3.93.218

Submitted: 10 Oct 17   Accepted: 10 Oct 17   Published: 27 Oct 17

Key words: Malaria, pregnant women, laboratory diagnosis

© AAsare-Ntow Kofi 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/2017/3/93/abstract

Corresponding author: Asare-Ntow Kofi, Ghana Health Service, Tain, Ghana (asarentowkofi@yahoo.com)

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

Analysis of malaria diagnosis and treatment data amongst pregnant women after the implementation of test-treat-track policy, Brong Ahafo Region-2017

Asare-Ntow Kofi1,&, George Kuma1, Micheal Rockson Adjei1

 

1Ghana Health Service, Tain, Ghana

 

 

&Corresponding author
Asare-Ntow Kofi, Ghana Health Service, Tain, Ghana

 

 

Abstract

Introduction: in 2015, WHO estimated 212 million malaria cases, with resulting 429 000 deaths globally. In the same year, Africa recorded 90% of malaria cases and 92% of malaria deaths. In Ghana, among pregnant women, malaria accounts for 17.6% of OPD attendance, 13.7% of admissions, and 3.4% of maternal deaths. Strategy for malaria control in endemic countries hinges on diagnosis, treatment, and surveillance. However, the proportion of suspected Malaria treated without laboratory diagnosis has remained high. In 2012, WHO initiated the Test-Treat-Track (T3) policy to reduce the proportion of suspected malaria not confirmed by a laboratory before treatment. We analyzed malaria data amongst pregnant women to determine trends of laboratory diagnosis to provide information on the progress of the T3 policy in the Brong Ahafo Region (BAR).

 

Methods: we conducted a retrospective descriptive data analysis of suspected malaria among pregnant women in BAR, for the period 2012 to 2016. We abstracted data from the District Health Information Management System (DHIMS) data base, consulting room, admissions and Ante-natal Clinic registers. Variables collected included diagnostic and treatment status, age, and district of residence. Data were analyzed using Microsoft Excel for frequencies and proportions and presented in text, tables, and charts.

 

Results: a total of 99,896 pregnant women were suspected of malaria for the period 2012-2015 in BAR. The age range was 10-49 years (median 26 years). Majority of suspected cases were age group 20-34years, 4560/99896 (4.6%). Of the total suspected cases, 7826/99896 (7.8%) were treated without laboratory diagnosis confirmation. The trend of proportion of suspected cases not confirmed by laboratory was 2014, 3.3% (3336/99896), 2015, 1.9% (1849/99896), and 2016, 2.6% (2641/99896). There was no data for laboratory confirmed cases for the period 2012 and 2013 in the DHIMS data base. The highest proportion of suspected cases without laboratory confirmation was from Techiman Municipal 12.8% (1004/7826), while the least proportion was from Nkoranza North 0.3% (21/7826).

 

Conclusion: the proportion of treated malaria in pregnancy not confirmed by a laboratory has increased from 2015 (1.9%) to 2016 (2.6%) in BAR, despite the T3 policy implementation. We recommend Brong Ahafo regional health directorate to sensitize clinician on the need for laboratory testing before treatment of malaria amongst pregnant women.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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)