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Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria.

التفاصيل البيبلوغرافية
العنوان: Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria.
المؤلفون: Ajibaye O; Department of Biochemistry and Nutrition, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria., Balogun EO; Department of Biochemistry, Ahmadu Bello University, Zaria, Nigeria.; Department of Biomedical Chemistry, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan., Olukosi YA; Department of Biochemistry and Nutrition, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria., Orok BA; Department of Biochemistry and Nutrition, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria., Oyebola KM; Department of Biochemistry and Nutrition, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria., Iwalokun BA; Department of Molecular Biology and Biotechnology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria., Aina OO; Department of Biochemistry and Nutrition, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria., Shittu O; Department of Zoology, Parasitology Unit, University of Ilorin, Ilorin, Nigeria., Adeneye AK; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan., Ojewunmi OO; Sickle Cell Foundation on Nigeria, Idi-Araba, Lagos, Nigeria., Kita K; School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan., Awolola ST; Department of Public Health and Molecular Entomology, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
المصدر: Tropical parasitology [Trop Parasitol] 2019 Jan-Jun; Vol. 9 (1), pp. 36-44. Date of Electronic Publication: 2019 May 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Medknow Publ Country of Publication: India NLM ID: 101580198 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2229-5070 (Print) Linking ISSN: 22295070 NLM ISO Abbreviation: Trop Parasitol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Mumbai : Medknow Publ., 2011-
مستخلص: Background: The National Malaria Eradication Program and international agencies are keen on scaling up the use of malaria rapid diagnostic tests (mRDTs) and artemisinin-based combination therapies (ACTs) for effective diagnosis and treatment of the disease. However, poor diagnostic skills and inappropriate treatment are limiting the efforts. In Nigeria, a large proportion of infected patients self-diagnose and treat while many others seek care from informal drug attendants and voluntary health workers.
Aims: This study describes the impact of training voluntary health workers, drug shop attendants, and mothers on effective case detection and treatment of malaria in Lagos, Nigeria. METHODS: We trained mothers accessing antenatal care, drug shop attendants, and voluntary health workers selected from the three districts of Lagos, on the use of histidine-rich protein-2-based mRDTs and ACTs. Pre- and post-training assessments, focus group discussions (FGDs), and in-depth interviews (IDIs) were carried out.
Results: The knowledge, attitude, and skill of the participants to achieve the goal of "test, treat, and track" using mRDT and ACTs were low (11%-55%). There was a low awareness of other non-malaria fevers among mothers. Self-medication was widely practiced (31.3%). FGDs and IDIs revealed that health-care providers administered antimalarials without diagnosis. Training significantly improved participants' knowledge and expertise on the use of mRDTs and ACTs ( P = 0.02). The participants' field performance on mRDT use was significantly correlated with their category (bivariate r = 0.51, P = 0.001). There was no statistically significant association between the participants' level of education or previous field experience and their field performance on mRDT ( r = 0.12, P = 0.9; χ 2 = 38, df = 2 and P = 0.49).
Conclusion: These findings suggest that training of stakeholders in malaria control improves diagnosis and treatment of malaria. However, a broader scope of training in other settings may be required for an effective malaria control in Nigeria.
Competing Interests: There are no conflicts of interest.
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فهرسة مساهمة: Keywords: Artemisinin; Nigeria; histidine-rich protein; malaria; rapid diagnostic test
تواريخ الأحداث: Date Created: 20190605 Latest Revision: 20220408
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC6542308
DOI: 10.4103/tp.TP_36_18
PMID: 31161091
قاعدة البيانات: MEDLINE
الوصف
تدمد:2229-5070
DOI:10.4103/tp.TP_36_18