Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea

The Papua New Guinea (PNG) Department of Health introduced a 'test and treat' malaria case management protocol in 2011. This study assesses health worker compliance with the test and treat protocol on a wide range of measures, examines self-reported barriers to health worker compliance as...

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Detalhes bibliográficos
Autores: Pulford, Justin, Smith, Iso, Mueller, Ivo, Siba, Peter, Hetzel, Manuel W.
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:España
Recursos:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/101567
Acesso em linha:https://hdl.handle.net/2445/101567
Access Level:acceso abierto
Palavra-chave:Malària
Vacuna de la malària
Papua Nova Guinea
Malaria
Malaria vaccine
Papua New Guinea
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spelling Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New GuineaPulford, JustinSmith, IsoMueller, IvoSiba, PeterHetzel, Manuel W.MalàriaVacuna de la malàriaPapua Nova GuineaMalariaMalaria vaccinePapua New GuineaThe Papua New Guinea (PNG) Department of Health introduced a 'test and treat' malaria case management protocol in 2011. This study assesses health worker compliance with the test and treat protocol on a wide range of measures, examines self-reported barriers to health worker compliance as well as health worker attitudes towards the test and treat protocol. Data were collected by cross-sectional survey conducted in randomly selected primary health care facilities in 2012 and repeated in 2014. The combined survey data included passive observation of current or recently febrile patients (N = 771) and interviewer administered questionnaires completed with health workers (N = 265). Across the two surveys, 77.6% of patients were tested for malaria infection by rapid diagnostic test (RDT) or microscopy, 65.6% of confirmed malaria cases were prescribed the correct antimalarials and 15.3% of febrile patients who tested negative for malaria infection were incorrectly prescribed an antimalarial. Overall compliance with a strictly defined test and treat protocol was 62.8%. A reluctance to test current/recently febrile patients for malaria infection by RDT or microscopy in the absence of acute malaria symptoms, reserving recommended antimalarials for confirmed malaria cases only and choosing to clinically diagnose a malaria infection, despite a negative RDT result were the most frequently reported barriers to protocol compliance. Attitudinal support for the test and treat protocol, as assessed by a nine-item measure, improved across time. In conclusion, health worker compliance with the full test and treat malaria protocol requires improvement in PNG and additional health worker support will likely be required to achieve this. The broader evidence base would suggest any such support should be delivered over a longer period of time, be multi-dimensional and multi-modal.Public Library of Science (PLoS)2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/101567Articles publicats en revistes (ISGlobal)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://dx.doi.org/10.1371/journal.pone.0158780PLoS One, 2016, vol. 11, num. 7, p. e0158780http://dx.doi.org/10.1371/journal.pone.0158780cc by (c) Pulford et al., 2016http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1015672026-05-27T06:46:51Z
dc.title.none.fl_str_mv Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
title Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
spellingShingle Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
Pulford, Justin
Malària
Vacuna de la malària
Papua Nova Guinea
Malaria
Malaria vaccine
Papua New Guinea
title_short Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
title_full Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
title_fullStr Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
title_full_unstemmed Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
title_sort Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea
dc.creator.none.fl_str_mv Pulford, Justin
Smith, Iso
Mueller, Ivo
Siba, Peter
Hetzel, Manuel W.
author Pulford, Justin
author_facet Pulford, Justin
Smith, Iso
Mueller, Ivo
Siba, Peter
Hetzel, Manuel W.
author_role author
author2 Smith, Iso
Mueller, Ivo
Siba, Peter
Hetzel, Manuel W.
author2_role author
author
author
author
dc.subject.none.fl_str_mv Malària
Vacuna de la malària
Papua Nova Guinea
Malaria
Malaria vaccine
Papua New Guinea
topic Malària
Vacuna de la malària
Papua Nova Guinea
Malaria
Malaria vaccine
Papua New Guinea
description The Papua New Guinea (PNG) Department of Health introduced a 'test and treat' malaria case management protocol in 2011. This study assesses health worker compliance with the test and treat protocol on a wide range of measures, examines self-reported barriers to health worker compliance as well as health worker attitudes towards the test and treat protocol. Data were collected by cross-sectional survey conducted in randomly selected primary health care facilities in 2012 and repeated in 2014. The combined survey data included passive observation of current or recently febrile patients (N = 771) and interviewer administered questionnaires completed with health workers (N = 265). Across the two surveys, 77.6% of patients were tested for malaria infection by rapid diagnostic test (RDT) or microscopy, 65.6% of confirmed malaria cases were prescribed the correct antimalarials and 15.3% of febrile patients who tested negative for malaria infection were incorrectly prescribed an antimalarial. Overall compliance with a strictly defined test and treat protocol was 62.8%. A reluctance to test current/recently febrile patients for malaria infection by RDT or microscopy in the absence of acute malaria symptoms, reserving recommended antimalarials for confirmed malaria cases only and choosing to clinically diagnose a malaria infection, despite a negative RDT result were the most frequently reported barriers to protocol compliance. Attitudinal support for the test and treat protocol, as assessed by a nine-item measure, improved across time. In conclusion, health worker compliance with the full test and treat malaria protocol requires improvement in PNG and additional health worker support will likely be required to achieve this. The broader evidence base would suggest any such support should be delivered over a longer period of time, be multi-dimensional and multi-modal.
publishDate 2016
dc.date.none.fl_str_mv 2016
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/101567
url https://hdl.handle.net/2445/101567
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/10.1371/journal.pone.0158780
PLoS One, 2016, vol. 11, num. 7, p. e0158780
http://dx.doi.org/10.1371/journal.pone.0158780
dc.rights.none.fl_str_mv cc by (c) Pulford et al., 2016
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Pulford et al., 2016
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Public Library of Science (PLoS)
publisher.none.fl_str_mv Public Library of Science (PLoS)
dc.source.none.fl_str_mv Articles publicats en revistes (ISGlobal)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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