Fever case management at private health facilities and private pharmacies on the Kenyan coast: analysis of data from two rounds of client exit interviews and mystery client visits
| Autor: | Dorothy Memusi, Rebecca Kiptui, Cristina Lussiana, Nicole Charman, Andrea Cutherell, Anne Musuva, Stephanie Dolan, Nancy Njoki, Stephen Poyer, Robi Okara, Dana Sievers, Waqo Ejersa |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Kenya medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Fever lcsh:RC955-962 030231 tropical medicine Registered pharmacy Pharmacy Rapid diagnostic test lcsh:Infectious and parasitic diseases Case management 03 medical and health sciences 0302 clinical medicine Health facility parasitic diseases Diagnosis medicine Humans lcsh:RC109-216 030212 general & internal medicine Public Sector business.industry Diagnostic Tests Routine Public health Research Public sector Private sector medicine.disease Malaria Infectious Diseases Cross-Sectional Studies Family medicine Parasitology Female Private Sector Health Facilities business Dental Alloys |
| Zdroj: | Malaria Journal Malaria Journal, Vol 17, Iss 1, Pp 1-17 (2018) |
| ISSN: | 1475-2875 |
| Popis: | Background Private sector availability and use of malaria rapid diagnostic tests (RDTs) lags behind the public sector in Kenya. Increasing channels through which quality malaria diagnostic services are available can improve access to testing and help meet the target of universal diagnostic testing. Registered pharmacies are currently not permitted to perform blood tests, and evidence of whether malaria RDTs can be used by non-laboratory private providers in line with the national malaria control guidelines is required to inform ongoing policy discussions in Kenya. Methods Two rounds of descriptive cross-sectional exit interviews and mystery client surveys were conducted at private health facilities and registered pharmacies in 2014 and 2015, 6 and 18 months into a multi-country project to prime the private sector market for the introduction of RDTs. Data were collected on reported RDT use, medicines received and prescribed, and case management of malaria test-negative mystery clients. Analysis compared outcomes at facilities and pharmacies independently for the two survey rounds. Results Across two rounds, 534 and 633 clients (including patients) from 130 and 120 outlets were interviewed, and 214 and 250 mystery client visits were completed. Reported testing by any malaria diagnostic test was higher in private health facilities than registered pharmacies in both rounds (2014: 85.6% vs. 60.8%, p |
| Databáze: | OpenAIRE |
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