Major Improvements in the Quality of Malaria Case-Management under the 'Test and Treat' Policy in Kenya

Autor: Dorothy Memusi, Andrew Nyandigisi, Robert W. Snow, Beatrice Machini, Alex Muturi, Samuel Kigen, Gabriel Otieno, Dejan Zurovac, Sophie Githinji
Rok vydání: 2014
Předmět:
Male
Pediatrics
Cross-sectional study
Treatment adherence
Health Care Providers
Global Health
0302 clinical medicine
Health facility
Medicine and Health Sciences
Public and Occupational Health
030212 general & internal medicine
Child
Multidisciplinary
Data Collection
1. No poverty
Case management
Quality Improvement
3. Good health
Test (assessment)
Infectious Diseases
Research Design
Child
Preschool
Medicine
Female
Health Services Research
Guideline Adherence
Research Article
Adult
medicine.medical_specialty
Adolescent
Clinical Research Design
Science
030231 tropical medicine
Research and Analysis Methods
03 medical and health sciences
parasitic diseases
Parasitic Diseases
medicine
Humans
Dosing
Health Care Quality
Health Care Policy
Survey Research
business.industry
Infant
medicine.disease
Medical Practice Management
Kenya
Malaria
Health Care
Cross-Sectional Studies
Emergency medicine
Test and treat
business
Delivery of Health Care
Zdroj: PLoS ONE, Vol 9, Iss 3, p e92782 (2014)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundMonitoring implementation of the "test and treat" case-management policy for malaria is an important component of all malaria control programmes in Africa. Unfortunately, routine information systems are commonly deficient to provide necessary information. Using health facility surveys we monitored health systems readiness and malaria case-management practices prior to and following implementation of the 2010 "test and treat" policy in Kenya.Methods/findingsBetween 2010 and 2013 six national, cross-sectional, health facility surveys were undertaken. The number of facilities assessed ranged between 172 and 176, health workers interviewed between 216 and 237 and outpatient consultations for febrile patients evaluated between 1,208 and 2,408 across six surveys. Comparing baseline and the last survey results, all readiness indicators showed significant (pConclusionsMajor improvements in the implementation of "test and treat" policy were observed in Kenya. Some gaps towards universal targets still remained. Other countries facing similar needs and challenges may consider health facility surveys to monitor malaria case-management.
Databáze: OpenAIRE
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