Determinants of health workers management of patients with negative malaria rapid test result, Oyo state, Nigeria, 2016
Akinfemi Oyewumi Akinyode1,2,&, Ikeoluwapo Ajayi1,2, Muhammed Ibrahim3, Joshua Akinyemi1,2, Olufemi Ajumobi4,5
1Nigeria Field Epidemiology and Laboratory Programme, Abuja, Nigeria, 2Department of Epidemiology and Medical Statistics, University of Ibadan, Nigeria, 3Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria, 4National Malaria Elimination Programme, Federal Ministry of Health, Abuja, Nigeria, 5Africa Field Epidemiology Network, Nigeria
Akinfemi Oyewumi Akinyode, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria
as part of efforts to prevent resistance to the currently effective antimalarial medicines, the World Health Organization (WHO) guidelines recommends that they should be offered only to patients with positive malaria parasitological test result. Health workers however continue to prescribe antimalarial medicines to patients with negative malaria Rapid Diagnostic Test (RDT) result. The reasons why they do so is not clearly understood. This study was carried out to identify the practices of health workers in managing patients with negative RDT results and the factors associated with such practices.
a cross-sectional study was conducted in Oyo State, Nigeria, in June 2016. Questionnaires were administered by trained interviewers to 423 health workers who were selected by multistage sampling technique. Data were collected on their training and supervision experience, fever management practices and access to laboratory support. Collected data were analyzed using descriptive statistics, Chi square and logistic regression model at 5% level of significance.
two hundred and forty-eight (58.7%) of the respondents were Community Health Workers. When a patientís RDT result is negative, 362/423 (85.6%) refer the patient for further laboratory investigations, 195/423 (46.1%) prescribe antibiotics, while 110/423 (24.1%) prescribe antimalarial medicine to them. Prescription of antimalarial medicine was higher among health workers who were not trained on the use of RDT (AOR = 3.20; 95% CI [1.58 - 6.50]) and among those that were not trained on case management of malaria (AOR = 2.22; 95% CI [1.10 - 4.48]) compared with those who were trained.
lack of training influenced health workers to prescribe antimalarial medicine to RDT negative patients. Training of untrained health workers therefore helps to improve their compliance with the WHO recommendations.
Nigeria CDC/Nigeria Field Epidemiology and Laboratory Training Programme 2<sup>nd</sup> Annual Scientific Conference (Abuja)
To create a platform for epidemiologists and public health physicians to share their scientific works, NCDC/NFELTP organized the 2nd annual scientific conference with the theme "strengthening one health through field epidemiology training" at Transcorp Hilton Hotel, Abuja, Nigeria from July 5-7, 2017. The objectives of the conference were to provide residents and graduates a forum to share findings from their field activities; provide training opportunity for trainees on scientific communication; provide an opportunity for epidemiological networking as well as create a forum to discuss pertinent public health issues. In attendance were dignitaries from the United States Centers for Disease Control and Prevention (CDC), USAID, WHO, Africa CDC, Ministries Departments and Agencies, University officials and other implementing partners. With the current rise in zoonotic diseases, the conference also featured a two-day pre-conference workshop on One Health which prioritized zoonotic infectious diseases in Nigeria using standardized prioritization methods. A second workshop focused on antimicrobial resistance. There were 38 oral presentations, 60 poster presentations and 2 plenary sessions. The presentations covered various sub-themes ranging from outbreak investigations, case management, health system strengthening, vaccine preventable diseases, communicable diseases and surveillance. The conference featured a National Night and climaxed with awards to outstanding presenters.
Dates: 05 Jul 17 - 07 Jul 17
Venue: Transcorp Hilton Hotel
Organizers: Nigeria Centre for Disease Control / Nigeria Field Epidemiology and Laboratory Training Programme
Contact person: Dr Patrick Nguku (firstname.lastname@example.org)