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A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana

Despite successes in malaria control interventions over the past two decades, malaria remains a major public health concern. Over 125 million women live in endemic areas and experience adverse pregnancy outcomes due to malaria. Understanding health workers’ perspectives on malaria identification and...

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Autores principales: Adokiya, Martin Nyaaba, Boah, Michael, Atinbire, Solomon Abotiba, Achana, Felix, Ndago, Joyce Aputere, Kanligi, David Abatanie, Abotiyire, Zakaria, Moyer, Cheryl A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208508/
https://www.ncbi.nlm.nih.gov/pubmed/37224167
http://dx.doi.org/10.1371/journal.pgph.0001963
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author Adokiya, Martin Nyaaba
Boah, Michael
Atinbire, Solomon Abotiba
Achana, Felix
Ndago, Joyce Aputere
Kanligi, David Abatanie
Abotiyire, Zakaria
Moyer, Cheryl A.
author_facet Adokiya, Martin Nyaaba
Boah, Michael
Atinbire, Solomon Abotiba
Achana, Felix
Ndago, Joyce Aputere
Kanligi, David Abatanie
Abotiyire, Zakaria
Moyer, Cheryl A.
author_sort Adokiya, Martin Nyaaba
collection PubMed
description Despite successes in malaria control interventions over the past two decades, malaria remains a major public health concern. Over 125 million women live in endemic areas and experience adverse pregnancy outcomes due to malaria. Understanding health workers’ perspectives on malaria identification and management is important to informing policy changes on the control and eradication of the disease. This study explored the perspectives of health workers on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana. A qualitative study with a phenomenology design was conducted among participants. Participants were purposively selected and interviewed using a semi-structured interview guide. Thematic analysis was performed and the results were presented as themes and sub-themes. Four themes and eight sub-themes regarding case identification and management of malaria in pregnancy were identified including malaria case identification training (trained and untrained), identification approach (signs/symptoms and routine laboratory test), diagnostic tools (rapid diagnostic test and microscopy) and management options. It revealed that attending malaria training programs was generally optional. Some of the participants had not undergone any refresher training for malaria identification after their formal training at health institutions. Participants identified malaria by its signs and symptoms. However, they often referred clients for routine laboratory tests for confirmation. When malaria is confirmed in pregnancy, quinine is used for first trimester treatment, while Artemisinin-based Combination Therapies are prescribed after the first trimester. Clindamycin was not used in the first trimester treatment. This study found that training programs were optional for health workers. Some participants have not received refresher training after graduating from health institutions. Treatment of confirmed cases did not include clindamycin for first trimester malaria infections. Malaria refresher training programs should be made mandatory for health workers. Every suspected case should be confirmed using Rapid Diagnostic Test or microscopy before treatment.
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spelling pubmed-102085082023-05-25 A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana Adokiya, Martin Nyaaba Boah, Michael Atinbire, Solomon Abotiba Achana, Felix Ndago, Joyce Aputere Kanligi, David Abatanie Abotiyire, Zakaria Moyer, Cheryl A. PLOS Glob Public Health Research Article Despite successes in malaria control interventions over the past two decades, malaria remains a major public health concern. Over 125 million women live in endemic areas and experience adverse pregnancy outcomes due to malaria. Understanding health workers’ perspectives on malaria identification and management is important to informing policy changes on the control and eradication of the disease. This study explored the perspectives of health workers on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana. A qualitative study with a phenomenology design was conducted among participants. Participants were purposively selected and interviewed using a semi-structured interview guide. Thematic analysis was performed and the results were presented as themes and sub-themes. Four themes and eight sub-themes regarding case identification and management of malaria in pregnancy were identified including malaria case identification training (trained and untrained), identification approach (signs/symptoms and routine laboratory test), diagnostic tools (rapid diagnostic test and microscopy) and management options. It revealed that attending malaria training programs was generally optional. Some of the participants had not undergone any refresher training for malaria identification after their formal training at health institutions. Participants identified malaria by its signs and symptoms. However, they often referred clients for routine laboratory tests for confirmation. When malaria is confirmed in pregnancy, quinine is used for first trimester treatment, while Artemisinin-based Combination Therapies are prescribed after the first trimester. Clindamycin was not used in the first trimester treatment. This study found that training programs were optional for health workers. Some participants have not received refresher training after graduating from health institutions. Treatment of confirmed cases did not include clindamycin for first trimester malaria infections. Malaria refresher training programs should be made mandatory for health workers. Every suspected case should be confirmed using Rapid Diagnostic Test or microscopy before treatment. Public Library of Science 2023-05-24 /pmc/articles/PMC10208508/ /pubmed/37224167 http://dx.doi.org/10.1371/journal.pgph.0001963 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Adokiya, Martin Nyaaba
Boah, Michael
Atinbire, Solomon Abotiba
Achana, Felix
Ndago, Joyce Aputere
Kanligi, David Abatanie
Abotiyire, Zakaria
Moyer, Cheryl A.
A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana
title A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana
title_full A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana
title_fullStr A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana
title_full_unstemmed A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana
title_short A qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in Savelugu Municipality, Ghana
title_sort qualitative study of health workers’ perspectives on malaria case identification and management among pregnant women in savelugu municipality, ghana
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10208508/
https://www.ncbi.nlm.nih.gov/pubmed/37224167
http://dx.doi.org/10.1371/journal.pgph.0001963
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