Health workers’ perception of malaria rapid diagnostic test and factors influencing compliance with test results in Ebonyi state, Nigeria


Autoři: Izuchukwu Frank Obi aff001;  Kabiru Sabitu aff002;  Abdulhakeem Olorukooba aff002;  Ayo Stephen Adebowale aff004;  Rabi Usman aff001;  Ugochukwu Nwokoro aff001;  Olufemi Ajumobi aff005;  Suleiman Idris aff002;  Lawrence Nwankwo aff007;  IkeOluwapo O. Ajayi aff001
Působiště autorů: Nigeria Field Epidemiology and Laboratory Training Program, Abuja, FCT, Nigeria aff001;  Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria aff002;  Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria aff003;  Department of Epidemiology and Medical Statistics, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria aff004;  Malaria Consortium, Abuja, Nigeria aff005;  National Malaria Elimination Program, Federal Ministry of Health, Abuja, Nigeria aff006;  Malaria Elimination Program, Ministry of Health, Abakaliki, Ebonyi State, Nigeria aff007
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0223869

Souhrn

Background

The standard practice in treating uncomplicated malaria is to prescribe artemisinin-based combination therapy (ACT) for only patients with positive test results. However, health workers (HWs) sometimes prescribe ACTs for patients with negative malaria rapid diagnostic test (mRDT) results. Available evidence on HWs perception of mRDT and their level of compliance with test results in Nigeria lacks adequate stratification by state and context. We assessed HWs perception of mRDT and factors influencing ACTs prescription to patients with negative mRDT results in Ebonyi state, Nigeria.

Methods

A cross-sectional survey was conducted among 303 HWs who treat suspected malaria patients in 40 randomly selected public and private health facilities in Ebonyi state. Health workers’ perception of mRDT was assessed with 18 equally weighted five-point likert scale questions with maximum obtainable total score of 90. Scores ≥72 were graded as good and less, as poor perception. Data were analysed using descriptive statistics and logistic regression model at 5% significance level.

Results

Mean age of respondents was 34.6±9.4 years, 229 (75.6%) were females, 180 (59.4%) community health workers and 67 (22.1%) medical doctors. Overall, 114 (37.6%) respondents across healthcare facility strata had poor perception of mRDT. Respondents who prescribed ACTs to patients with negative mRDT results within six months preceding the survey were 154 (50.8%) [PHCs: 50 (42.4%), General hospitals: 18 (47.4%), tertiary facility: 51 (79.7%) and missionary hospitals: 35 (42.2%)]. Poor HWs’ perception of mRDT promoted prescription of ACT to patients with negative mRDT results (AOR = 5.6, 95% C.I = 3.2–9.9). The likelihood of prescribing ACTs to patients with negative mRDT results was higher among HWs in public health facilities (AOR = 2.8, 95% C.I = 1.4–5.5) than those in the private.

Conclusions

The poor perception of mRDT and especially common prescribing of ACTs to patients with negative mRDT results among HWs in Ebonyi state calls for context specific interventions to improve their perception and compliance with mRDT test results.

Klíčová slova:

Antimalarials – Diagnostic medicine – Health care facilities – Malaria – Malarial parasites – Medical doctors – Nigeria – Social systems


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Článek vyšel v časopise

PLOS One


2019 Číslo 10