Mayxay Mayfong, Pongvongsa Tiengkham, Phompida Samlane, Phetsouvanh Rattanaxay, White Nicholas J, Newton Paul N
Wellcome Trust - Mahosot Hospital - Oxford Tropical Medicine Research Collaboration, Mahosot Hospital, Vientiane, Lao PDR.
Trop Med Int Health. 2007 Apr;12(4):540-6. doi: 10.1111/j.1365-3156.2007.01820.x.
We assessed the knowledge of malaria diagnosis and management by community health providers in rural Vientiane and Savannakhet Provinces, Lao PDR. Sixty health providers (17 pharmacy owners/drug sellers and 43 village health volunteers) were interviewed. All diagnosed malaria using symptoms and signs only; 14% were aware of >2 criteria for the diagnosis of severe malaria. Although chloroquine and quinine, the then recommended Lao national policy for uncomplicated malaria treatment, were the most common antimalarials prescribed - 65% gave incorrect doses and 70% did not know the side effects. Although not recommended by the then national policy, 27% of the health providers used combinations of antimalarials as they considered monotherapy ineffective. This study strongly suggests that further training of Lao rural health providers in malaria diagnosis and management is needed to improve the quality of health services in areas remote from district hospitals.
我们评估了老挝万象省和沙湾拿吉省农村地区社区卫生服务提供者对疟疾诊断和管理的知识水平。对60名卫生服务提供者（17名药店店主/药品销售人员和43名乡村卫生志愿者）进行了访谈。所有人仅根据症状和体征诊断疟疾；14%的人知晓2条以上重症疟疾诊断标准。尽管氯喹和奎宁是当时老挝国家推荐的非重症疟疾治疗用药，也是最常开具的抗疟药，但65%的人用药剂量错误，70%的人不知道其副作用。尽管当时国家政策不推荐，但27%的卫生服务提供者因认为单一疗法无效而使用了抗疟药组合。这项研究强烈表明，需要对老挝农村卫生服务提供者进行疟疾诊断和管理方面的进一步培训，以提高偏远地区远离县级医院的卫生服务质量。
