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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

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 inappr...

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Autores principales: Ajibaye, Olusola, Balogun, Emmanuel O., Olukosi, Yetunde A., Orok, Bassey A., Oyebola, Kolapo M., Iwalokun, Bamidele A., Aina, Olugbenga O., Shittu, Olalere, Adeneye, Adeniyi K., Ojewunmi, Oyesola O., Kita, K., Awolola, Samson T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542308/
https://www.ncbi.nlm.nih.gov/pubmed/31161091
http://dx.doi.org/10.4103/tp.TP_36_18
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author Ajibaye, Olusola
Balogun, Emmanuel O.
Olukosi, Yetunde A.
Orok, Bassey A.
Oyebola, Kolapo M.
Iwalokun, Bamidele A.
Aina, Olugbenga O.
Shittu, Olalere
Adeneye, Adeniyi K.
Ojewunmi, Oyesola O.
Kita, K.
Awolola, Samson T.
author_facet Ajibaye, Olusola
Balogun, Emmanuel O.
Olukosi, Yetunde A.
Orok, Bassey A.
Oyebola, Kolapo M.
Iwalokun, Bamidele A.
Aina, Olugbenga O.
Shittu, Olalere
Adeneye, Adeniyi K.
Ojewunmi, Oyesola O.
Kita, K.
Awolola, Samson T.
author_sort Ajibaye, Olusola
collection PubMed
description 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.
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spelling pubmed-65423082019-06-03 Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria Ajibaye, Olusola Balogun, Emmanuel O. Olukosi, Yetunde A. Orok, Bassey A. Oyebola, Kolapo M. Iwalokun, Bamidele A. Aina, Olugbenga O. Shittu, Olalere Adeneye, Adeniyi K. Ojewunmi, Oyesola O. Kita, K. Awolola, Samson T. Trop Parasitol Original Article 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. Wolters Kluwer - Medknow 2019 2019-05-22 /pmc/articles/PMC6542308/ /pubmed/31161091 http://dx.doi.org/10.4103/tp.TP_36_18 Text en Copyright: © 2019 Tropical Parasitology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Ajibaye, Olusola
Balogun, Emmanuel O.
Olukosi, Yetunde A.
Orok, Bassey A.
Oyebola, Kolapo M.
Iwalokun, Bamidele A.
Aina, Olugbenga O.
Shittu, Olalere
Adeneye, Adeniyi K.
Ojewunmi, Oyesola O.
Kita, K.
Awolola, Samson T.
Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria
title Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria
title_full Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria
title_fullStr Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria
title_full_unstemmed Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria
title_short Impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in Lagos, Nigeria
title_sort impact of training of mothers, drug shop attendants and voluntary health workers on effective diagnosis and treatment of malaria in lagos, nigeria
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542308/
https://www.ncbi.nlm.nih.gov/pubmed/31161091
http://dx.doi.org/10.4103/tp.TP_36_18
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