Case management of malaria in Swaziland, 2011-2015: on track for elimination?

Hdl Handle:
http://hdl.handle.net/10144/619154
Title:
Case management of malaria in Swaziland, 2011-2015: on track for elimination?
Authors:
Dlamini, SV; Kosgei, RJ; Mkhonta, N; Zulu, Z; Makadzange, K; Zhou, S; Owiti, P; Sikhondze, W; Namboze, J; Reid, A; Kunene, S
Journal:
Public Health Action
Abstract:
Objective: To assess adherence to malaria diagnosis and treatment guidelines (2010 and 2014) in all health care facilities in Swaziland between 2011 and 2015. Methods: This was a cross-sectional descriptive study involving all health care facilities that diagnosed and managed malaria cases in Swaziland. Patients' age, sex, diagnosis method and type of treatment were analysed. Results: Of 1981 records for severe and uncomplicated malaria analysed, 56% of cases were uncomplicated and 14% had severe malaria. The type of malaria was not recorded for 30% of cases. Approximately 71% of cases were confirmed by rapid diagnostic tests (RDT) alone, 3% by microscopy alone and 26% by both RDT and microscopy. Of the uncomplicated cases, 93% were treated with artemether-lumefantrine (AL) alone, 5% with quinine alone and 2% with AL and quinine. Amongst the severe cases, 11% were treated with AL alone, 44% with quinine alone and 45% with AL and quinine. For severe malaria, clinics and health centres prescribed AL alone more often than hospitals (respectively 13%, 12% and 4%, P = 0.03). Conclusion: RDTs and/or microscopy results are used at all facilities to inform treatment. Poor recording of malaria type causes difficulties in assessing the prescription of antimalarial drugs.
Publisher:
International Union Against Tuberculosis and Lung Disease
Issue Date:
25-Apr-2018
URI:
http://hdl.handle.net/10144/619154
DOI:
10.5588/pha.17.0047
PubMed ID:
29713586
Submitted date:
2018-05-11
Language:
en
ISSN:
2220-8372
Appears in Collections:
Operational Research Courses

Full metadata record

DC FieldValue Language
dc.contributor.authorDlamini, SVen
dc.contributor.authorKosgei, RJen
dc.contributor.authorMkhonta, Nen
dc.contributor.authorZulu, Zen
dc.contributor.authorMakadzange, Ken
dc.contributor.authorZhou, Sen
dc.contributor.authorOwiti, Pen
dc.contributor.authorSikhondze, Wen
dc.contributor.authorNamboze, Jen
dc.contributor.authorReid, Aen
dc.contributor.authorKunene, Sen
dc.date.accessioned2018-05-17T14:44:48Z-
dc.date.available2018-05-17T14:44:48Z-
dc.date.issued2018-04-25-
dc.date.submitted2018-05-11-
dc.identifier.citationCase management of malaria in Swaziland, 2011-2015: on track for elimination? 2018, 8 (Suppl 1):S3-S7 Public Health Actionen
dc.identifier.issn2220-8372-
dc.identifier.pmid29713586-
dc.identifier.doi10.5588/pha.17.0047-
dc.identifier.urihttp://hdl.handle.net/10144/619154-
dc.description.abstractObjective: To assess adherence to malaria diagnosis and treatment guidelines (2010 and 2014) in all health care facilities in Swaziland between 2011 and 2015. Methods: This was a cross-sectional descriptive study involving all health care facilities that diagnosed and managed malaria cases in Swaziland. Patients' age, sex, diagnosis method and type of treatment were analysed. Results: Of 1981 records for severe and uncomplicated malaria analysed, 56% of cases were uncomplicated and 14% had severe malaria. The type of malaria was not recorded for 30% of cases. Approximately 71% of cases were confirmed by rapid diagnostic tests (RDT) alone, 3% by microscopy alone and 26% by both RDT and microscopy. Of the uncomplicated cases, 93% were treated with artemether-lumefantrine (AL) alone, 5% with quinine alone and 2% with AL and quinine. Amongst the severe cases, 11% were treated with AL alone, 44% with quinine alone and 45% with AL and quinine. For severe malaria, clinics and health centres prescribed AL alone more often than hospitals (respectively 13%, 12% and 4%, P = 0.03). Conclusion: RDTs and/or microscopy results are used at all facilities to inform treatment. Poor recording of malaria type causes difficulties in assessing the prescription of antimalarial drugs.en
dc.language.isoenen
dc.publisherInternational Union Against Tuberculosis and Lung Diseaseen
dc.rightsArchived with thanks to Public Health Actionen
dc.titleCase management of malaria in Swaziland, 2011-2015: on track for elimination?en
dc.identifier.journalPublic Health Actionen

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