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| Content Provider | African Journals Online (AJOL) |
|---|---|
| Author | Keziah Laurencia Malm Samuel Sackey Fred Wurapa Edwin Andrews Afari Donne Kofi Ameme Kofi Mensah Nyarko |
| Abstract | Introduction: in Ghana, malaria continues to top outpatient morbidities; accounting for about 40% of all attendances. Effective case-management is key to its control. We evaluated case-management practices of uncomplicated malaria in Kwahu South District (KSD) health facilities to determine their conformity to guidelines. Methods: we conducted a cross sectional survey at all public health facilities in three randomly selected sub-districts in KSD. A non-participatory observation of suspected malaria consultations was conducted. Suspected malaria was defined as any person with fever (by history or measured axillary temperature > or equal 37.5 oC) presenting at the selected health facilities between 19th and 29th April 2013. Findings were expressed as frequencies, relative frequencies, mean (± standard deviation) and median. Results: of 70 clinical observations involving 10 prescribers in six health facilities, 40 (57.1%) were females and 16 (22.9%) were below five years. Median age was 18 years (interquartile range: 5-33). Overall, 63 (90.0%) suspected case-patients had diagnostic tests. Two (3.6%) were treated presumptively. All 31 confirmed and 10 (33.3%) of the test negative case-patients received Artemisinin-based Combination Therapies (ACTs). However, only 12 (27.9%) of the 43 case-patients treated with ACT received Artesunate-Amodiaquine (AA). Only three (18.8%) of the under-fives were examined for non-malarial causes of fever. Mean number of drugs per patient was 3.7 drugs (± 1.1). Only 45 (64.3%) patients received at least one counseling message. Conclusion: conformity of malaria case-management practices to guidelines in KSD was suboptimal. Apart from high rate of diagnostic testing and ACT use, prescription of AA, physical examination and counseling needed improvement. |
| File Format | |
| e-ISSN | 19378688 |
| Journal | Pan African Medical Journal |
| Issue Number | 1 |
| Volume Number | 19 |
| Language | English |
| Publisher Date | 2022-07-14 |
| Access Restriction | Open |
| Subject Keyword | General Science Humanities Health Malaria case-management Ghana observation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine Decision Sciences |
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