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Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1796
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| Title: | Improved malaria case management after Integrated Team-Based Training of health care workers in Uganda |
| Authors: | Ssekabira, Umaru
Bukirwa, Hasifa
Hopkins, Heidi
Namagembe, Allen
Weaver, Marcia R.
Sebuyira, Lydia Mpanga
Quick, Linda
Staedke, Sarah
Yeka, Adoke
Kiggundu, Moses
Schneider, Gisela
McAdam, Keith
Wabwire-Mangen, Fred
Dorsey, Grant |
| Keywords: | Malaria
Antimalarial therapy
Malaria treatment
Africa
Integrated Team-based Training
Health workers
Uganda
Training |
| Issue Date: | 2008 |
| Publisher: | American Society of Tropical Medicine and Hygiene |
| Citation: | Ssekabira, U., Bukirwa, H., Hopkins, H., Namagembe, A., Weaver, M.R., Sebuyira, L.M., Quick, L., Staedke, S., Yeka, A., Kiggundu, M., Schneider, G., McAdam, K., Wabwire-Mangen, F., Dorsey, G. (2008). Improved malaria case management after Integrated Team-Based Training of health care workers in Uganda. American Journal of Tropical Medicine and Hygiene, 79(6) |
| Abstract: | Malaria case management in Africa is characterized by presumptive treatment and substantial overtreatment.
We evaluated an integrated team-based training program on malaria case management. Surveillance data 120 days
before and after training were compared at eight health facilities in Uganda. After training, the proportion of patients
with suspected malaria referred for blood smears increased from 38.3% to 54.6% (P = 0.04) in persons < 5 years of age
years and from 34.1% to 53.4% (P = 0.02) in those ≥ 5 years of age. The proportion of patients with negative blood
smears prescribed antimalarial drugs decreased from 47.9% to 19.6% (P < 0.001) in persons < 5 years of age and from
38.8% to 15.6% (P < 0.001) in those ≥ 5 years of age. Training did not improve the proportion of patients with positive
blood smears prescribed antimalarial drugs, the proportion of patients prescribed appropriate antimalarial drugs, or the
diagnostic accuracy of microscopy. Integrated team-based training may improve malaria case management and reduce
the number of unnecessary antimalarial treatments. |
| URI: | http://hdl.handle.net/123456789/1796 |
| ISSN: | 0002-9637 |
| Appears in Collections: | Research Articles (Health-Sciences)
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| Ssekabira-chs-res.pdf | | 661Kb | Adobe PDF | View/Open |
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