加纳博苏姆推蒂地区遵循世卫组织疟疾控制的“检测、治疗和跟踪”战略。

Compliance with the WHO strategy of test, treat and track for malaria control at Bosomtwi District in Ghana.

机构信息

Ghana Field Epidemiology and Laboratory Training Program, Department of Epidemiology, School of Public Health, College of Health Sciences, University of Ghana Legon, Accra, Ghana.

出版信息

Ghana Med J. 2020 Jun;54(2 Suppl):40-44. doi: 10.4314/gmj.v54i2s.7.

DOI:10.4314/gmj.v54i2s.7

PMID:33536667

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7837352/

Abstract

BACKGROUND

We reviewed malaria morbidity data to assess compliance to malaria T3 strategy in Bosomtwi District, Ashanti Region, Ghana.

DESIGN

The study was descriptive secondary data analysis.

SETTING

Bosomtwi District.

DATA SOURCE

District Health Information Management Systems (DHIMS2).

MAIN OUTCOME

Proportion of recorded cases tested, proportion of tested cases treated and proportion of cases tracked.

RESULTS

Data for suspected and tested malaria cases was complete for only 3 years (2014-2016). Malaria testing reduced from 84.4% in 2015 to 76.8% in 2016 (national average 77.3%; regional average 70%). The proportion of untested but treated malaria cases declined from 46.3% in 2015 to 4.9% in 2016. Proportion of confirmed malaria cases put on antimalarial drugs was highest in 2016 at 63.9%. Pramso sub-district although home to largest facility in the district, under prescribed antimalarial drugs. Reports generated on malaria showed information on only confirmed suspected cases, under five, and above five malaria mortalities. The district did not determine their malaria thresholds.

CONCLUSION

The malaria-testing rate in the Bosomtwi District is higher than the regional average and close to the national average. About a third of confirmed malaria cases missed getting appropriate antimalarial drugs. Limited analysis on malaria data reduced the information required to inform policy.

FUNDING

Author GO was fully sponsored by President's Malaria Initiative (PMI)-CDC CoAg 6NU2GGH001876.

摘要

背景

我们回顾了疟疾发病率数据，以评估加纳阿散蒂地区博苏姆特维区疟疾 T3 策略的执行情况。

设计

这项研究是描述性的二次数据分析。

地点

博苏姆特维区。

数据来源

区卫生信息管理系统（DHIMS2）。

主要结果

记录病例的检测比例、检测病例的治疗比例和病例追踪比例。

结果

只有 3 年（2014-2016 年）的数据完整记录了疑似和确诊疟疾病例。疟疾检测率从 2015 年的 84.4%下降到 2016 年的 76.8%（全国平均水平为 77.3%；地区平均水平为 70%）。未经检测但接受治疗的疟疾病例比例从 2015 年的 46.3%下降到 2016 年的 4.9%。确诊疟疾病例接受抗疟药物治疗的比例在 2016 年最高，为 63.9%。尽管普拉姆索分区是该地区最大的医疗设施所在地，但它开的是处方外的抗疟药物。疟疾报告只提供了确诊疑似病例、五岁以下和五岁以上疟疾死亡病例的信息。该地区没有确定自己的疟疾阈值。