坦桑尼亚梅阿图地区医护人员对疟疾病例管理标准诊断和治疗指南的依从性、认知度、可及性及使用情况
Adherence, Awareness, Access, and Use of Standard Diagnosis and Treatment Guideline for Malaria Case Management among Healthcare Workers in Meatu, Tanzania.
作者信息
Budimu Adela, Emidi Basiliana, Mkumbaye Sixbert, Kajeguka Debora C
机构信息
Faculty of Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania.
Meatu District Hospital, Simiyu, Tanzania.
出版信息
J Trop Med. 2020 Feb 18;2020:1918583. doi: 10.1155/2020/1918583. eCollection 2020.
BACKGROUND
Effective case management is a vital component of malaria control and elimination strategies. However, the level of adherence to the malaria diagnostic test and treatment guideline is not known, particularly at Meatu district. Therefore, this study aimed at determining the adherence, awareness, access, and use of standard diagnosis and treatment guidelines among healthcare workers in Meatu district.
METHOD
This was a descriptive cross-sectional study, which enrolled a total of 196 healthcare workers in Meatu district. Healthcare workers were sampled purposively to reach the required sample size. A structured questionnaire was used for data collection.
RESULTS
Generally, 189 (96.4%) were aware of malaria treatment guidelines, while 148 (75.5%) had access and 98 (50.0%) used malaria treatment guidelines. One hundred and seven (54.6%) of all the healthcare workers adhered strictly to the diagnosis and national treatment guidelines. Ten (5.1%) partially adhered to the guideline when choosing antimalarials without confirmed malaria cases. Nonadherence to the prescription of recommended antimalarial drugs and laboratory confirmation was 79 (40.3%).
CONCLUSION
Half of healthcare worker's adhere to malaria diagnostic test and treatment guidelines. Most the healthcare workers are aware of the malaria diagnostic test and treatment guidelines. Continued education and assessment of the personal attitudes towards malaria diagnostic test and treatment guidelines are recommended.
背景
有效的病例管理是疟疾控制与消除策略的重要组成部分。然而,对疟疾诊断检测和治疗指南的遵守程度尚不清楚,尤其是在梅图区。因此,本研究旨在确定梅图区医护人员对标准诊断和治疗指南的遵守情况、知晓程度、获取情况及使用情况。
方法
这是一项描述性横断面研究,共纳入梅图区196名医护人员。采用目的抽样法选取医护人员以达到所需样本量。使用结构化问卷收集数据。
结果
总体而言,189名(96.4%)知晓疟疾治疗指南,148名(75.5%)能够获取并98名(50.0%)使用了疟疾治疗指南。所有医护人员中有107名(54.6%)严格遵守诊断和国家治疗指南。在未确诊疟疾病例时选择抗疟药时,有10名(5.1%)部分遵守指南。不遵守推荐抗疟药处方和实验室确诊的情况有79名(40.3%)。
结论
一半的医护人员遵守疟疾诊断检测和治疗指南。大多数医护人员知晓疟疾诊断检测和治疗指南。建议持续开展教育并评估个人对疟疾诊断检测和治疗指南的态度。