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Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study

BACKGROUND: The World Health Organization World Malaria Report of 2019 indicated an estimated 228 million cases of malaria occurred worldwide in 2018. More than 75% of the total area of Ethiopia is malarious, making malaria a leading public health problem in Ethiopia. Adherence to clinical guideline...

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Autores principales: Gindola, Yamlak, Getahun, Desalegn, Sugerman, David, Tongren, Eric, Tokarz, Ryan, Wossen, Mesfin, Demissie, Kassahun, Zemelak, Etsehiwot, Okugn, Akuma, Wendimu, Jimmawork, Hailu, Girmay, Tegistu, Mesfin, Begna, Dumesa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166442/
https://www.ncbi.nlm.nih.gov/pubmed/35658968
http://dx.doi.org/10.1186/s12936-022-04206-6
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author Gindola, Yamlak
Getahun, Desalegn
Sugerman, David
Tongren, Eric
Tokarz, Ryan
Wossen, Mesfin
Demissie, Kassahun
Zemelak, Etsehiwot
Okugn, Akuma
Wendimu, Jimmawork
Hailu, Girmay
Tegistu, Mesfin
Begna, Dumesa
author_facet Gindola, Yamlak
Getahun, Desalegn
Sugerman, David
Tongren, Eric
Tokarz, Ryan
Wossen, Mesfin
Demissie, Kassahun
Zemelak, Etsehiwot
Okugn, Akuma
Wendimu, Jimmawork
Hailu, Girmay
Tegistu, Mesfin
Begna, Dumesa
author_sort Gindola, Yamlak
collection PubMed
description BACKGROUND: The World Health Organization World Malaria Report of 2019 indicated an estimated 228 million cases of malaria occurred worldwide in 2018. More than 75% of the total area of Ethiopia is malarious, making malaria a leading public health problem in Ethiopia. Adherence to clinical guidelines improves the quality of care received by patients, thus improving patient outcomes. This study investigates healthcare workers’ adherence to malaria testing and treatment guidelines in selected private clinics of Gambela Town, Ethiopia. METHODS: A mixed study design involving a retrospective review of 425 patient files and 20 healthcare worker interviews in private clinics was implemented. Data were collected using pre-tested data collection forms. The collected data were then cleaned and entered into statistical software for analysis, with a level of significance set at < 0.05. A qualitative analysis was also conducted using healthcare worker interviews to identify the existing barriers to guideline adherence. RESULTS: Among the 430 cases of suspected malaria, only 65% were tested for malaria. Of those tested, 75% tested positive and 25% tested negative. The most common co-morbidity in patients treated for malaria was anaemia (30%), followed by gastroenteritis (10%). Patients with co-morbidities were more likely to receive appropriate treatment (p = 0.03) compared to those without co-morbidities. All healthcare workers interviewed were aware of the existence of the malaria treatment guidelines. However, many were not aware of the contents of the guidelines and only 40% had been trained to understand the guidelines. Overall, 85% of the workers claimed to adhere to guidelines, with 15% claiming non-adherence. CONCLUSION: The gap between knowledge of the malaria treatment guidelines and their application by healthcare workers remains wide. The level of knowledge of these guidelines was also low. Continuous training, follow-up, supportive supervision, and improved adherence to the malaria guidelines are therefore recommended.
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spelling pubmed-91664422022-06-05 Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study Gindola, Yamlak Getahun, Desalegn Sugerman, David Tongren, Eric Tokarz, Ryan Wossen, Mesfin Demissie, Kassahun Zemelak, Etsehiwot Okugn, Akuma Wendimu, Jimmawork Hailu, Girmay Tegistu, Mesfin Begna, Dumesa Malar J Research BACKGROUND: The World Health Organization World Malaria Report of 2019 indicated an estimated 228 million cases of malaria occurred worldwide in 2018. More than 75% of the total area of Ethiopia is malarious, making malaria a leading public health problem in Ethiopia. Adherence to clinical guidelines improves the quality of care received by patients, thus improving patient outcomes. This study investigates healthcare workers’ adherence to malaria testing and treatment guidelines in selected private clinics of Gambela Town, Ethiopia. METHODS: A mixed study design involving a retrospective review of 425 patient files and 20 healthcare worker interviews in private clinics was implemented. Data were collected using pre-tested data collection forms. The collected data were then cleaned and entered into statistical software for analysis, with a level of significance set at < 0.05. A qualitative analysis was also conducted using healthcare worker interviews to identify the existing barriers to guideline adherence. RESULTS: Among the 430 cases of suspected malaria, only 65% were tested for malaria. Of those tested, 75% tested positive and 25% tested negative. The most common co-morbidity in patients treated for malaria was anaemia (30%), followed by gastroenteritis (10%). Patients with co-morbidities were more likely to receive appropriate treatment (p = 0.03) compared to those without co-morbidities. All healthcare workers interviewed were aware of the existence of the malaria treatment guidelines. However, many were not aware of the contents of the guidelines and only 40% had been trained to understand the guidelines. Overall, 85% of the workers claimed to adhere to guidelines, with 15% claiming non-adherence. CONCLUSION: The gap between knowledge of the malaria treatment guidelines and their application by healthcare workers remains wide. The level of knowledge of these guidelines was also low. Continuous training, follow-up, supportive supervision, and improved adherence to the malaria guidelines are therefore recommended. BioMed Central 2022-06-03 /pmc/articles/PMC9166442/ /pubmed/35658968 http://dx.doi.org/10.1186/s12936-022-04206-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Gindola, Yamlak
Getahun, Desalegn
Sugerman, David
Tongren, Eric
Tokarz, Ryan
Wossen, Mesfin
Demissie, Kassahun
Zemelak, Etsehiwot
Okugn, Akuma
Wendimu, Jimmawork
Hailu, Girmay
Tegistu, Mesfin
Begna, Dumesa
Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study
title Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study
title_full Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study
title_fullStr Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study
title_full_unstemmed Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study
title_short Adherence to national malaria clinical management and testing guidelines in selected private clinics of Gambela Town, Gambela Region, Ethiopia: a mixed method study
title_sort adherence to national malaria clinical management and testing guidelines in selected private clinics of gambela town, gambela region, ethiopia: a mixed method study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166442/
https://www.ncbi.nlm.nih.gov/pubmed/35658968
http://dx.doi.org/10.1186/s12936-022-04206-6
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