Department of Community Medicine, Kaduna State University, Kaduna State, Nigeria.
Kaduna State Ministry of Health, Kaduna State, Nigeria.
West Afr J Med. 2023 May 27;40(5):469-475.
Knowledge and compliance with malaria treatment guidelines are among the major issues affecting treatment outcome for malaria in Nigeria. Primary health care (PHC) facilities are the first point of contact with the national health system for patients with malaria and other diseases.
This study assessed the knowledge and compliance with malaria National Treatment Guidelines (NTG) among PHC workers in Lere local government area of Kaduna State, North western Nigeria.
This was a descriptive cross-sectional study conducted among 42 community health workers. The total population of all eligible participants was used for subject selection. Data were analysed with SPSS IBM version 25.0 and STATA/SE 12. The level of statistical significance p-value was set at p<0.05.
The mean age of the respondents was 38.02±9.23 years. Majority of the respondents were males (25; 59.5%) and community health extension workers (CHEWs) (24; 57.1%). Almost one-third (28.6%) of the PHC workers had poor knowledge of the recommendations of the NTG for malaria, while 14.3% had poor compliance with the NTG. Bivariate analysis showed a significant relationship between older age and good knowledge of the NTG ( χ2 =0.03, p=0.04). Multivariate analysis further revealed that the odds for poor knowledge of NTG was 40% higher among CHEWs compared to other health workers (AOR=1.40, 95% CI=0.25-7.93). The odds for good knowledge was lower by 55% among those who had practiced for <10 years compared to >10 years (OR=0.45, 95% CI=0.06-3.32).
Poor knowledge and compliance to malaria NTG were commoner among lower cadre (CHEWs) staff with relatively fewer years in PHC practice. There is a need for training, retraining and equitable distribution of the NTG to ensure access and also improve knowledge and utilisation of the NTG for malaria by rural PHC workers.
在尼日利亚，医学专业学术文献翻译为简体中文是一项艰巨的任务。知识和对疟疾治疗指南的遵守是影响疟疾治疗结果的主要问题之一。初级卫生保健（PHC）设施是患者与国家卫生系统接触的第一站，无论是疟疾还是其他疾病。
本研究评估了尼日利亚西北部卡杜纳州 Lere 地方政府地区 PHC 工作人员对疟疾国家治疗指南（NTG）的知识和遵守情况。
这是一项在 42 名社区卫生工作者中进行的描述性横断面研究。所有合格参与者的总数被用于选择研究对象。数据使用 SPSS IBM 版本 25.0 和 STATA/SE 12 进行分析。统计显著性 p 值设定为 p<0.05。
受访者的平均年龄为 38.02±9.23 岁。大多数受访者是男性（25；59.5%）和社区卫生推广工作者（CHEWs）（24；57.1%）。将近三分之一（28.6%）的 PHC 工作人员对疟疾 NTG 的推荐知识较差，而 14.3%的人对 NTG 的遵守情况较差。二变量分析显示，年龄较大与对 NTG 的良好知识之间存在显著关系（ χ2 =0.03，p=0.04）。多变量分析进一步表明，与其他卫生工作者相比，CHEWs 对 NTG 的知识较差的可能性高 40%（AOR=1.40，95%CI=0.25-7.93）。与从事 PHC 实践>10 年的人相比，从事<10 年的人对 NTG 的了解较差的可能性降低了 55%（OR=0.45，95%CI=0.06-3.32）。
知识较差和对疟疾 NTG 的遵守情况在较低级别的工作人员（CHEWs）中更为常见，他们在 PHC 实践中相对较少。需要进行培训、再培训和公平分配 NTG，以确保农村 PHC 工作人员获得 NTG，并提高他们对疟疾 NTG 的知识和利用。
