METHODS: We conducted an analytical cross-sectional questionnaire survey, among consenting PHC workers involved in the diagnosis and treatment of malaria, from January 15, 2020 to February 5, 2020. Data was collected via structured self-administered questionnaire and analysed using descriptive statistics and bivariate and multivariate generalized estimating equations.
RESULTS: Of the 490 participants surveyed: 81.4% usually/routinely used MRDT for malaria diagnosis and 18.6% usually used only clinical symptoms; 78.0% used MRDT for malaria diagnosis for all/most of their patients suspected of having malaria in the preceding month while 22.0% used MRDT for none/few/some; 74.9% had good anti-malarial drug prescription practice; and 68.0% reported appropriate response to negative MRDT results (never/rarely prescribed anti-malarial drugs for the patients) while 32.0% reported inappropriate response (sometimes/often/always prescribed anti-malarial drugs). The identified predictor(s): of the use of MRDT was working in health facilities supported by the United States\' President\'s Malaria Initiative (PMI-supported health facilities); of good anti-malarial drug prescription practice were having good opinion about MRDT, having good knowledge about malaria diagnosis and MRDT, being a health attendant, working in PMI-supported health facilities, and increase in age; and of appropriate response to negative MRDT results was having good opinion about MRDT.
CONCLUSIONS: The evidence indicate the need for, and highlight factors to be considered by, further policy actions and interventions for optimal use of MRDT and anti-malarial drug prescription practices among the PHC workers in Ebonyi state, Nigeria, and similar settings.
方法:我们进行了分析性横断面问卷调查,在参与疟疾诊断和治疗的PHC工作者中,从2020年1月15日至2020年2月5日。通过结构化的自我管理问卷收集数据,并使用描述性统计以及双变量和多变量广义估计方程进行分析。
结果:在接受调查的490名参与者中:81.4%的人通常/常规使用MRDT进行疟疾诊断,18.6%的人通常仅使用临床症状;78.0%的人使用MRDT对所有/大多数怀疑患有疟疾的患者进行疟疾诊断,而22.0%的人使用MRDT对无/少数/某些患者使用MRDT;74.9%的抗疟疾药物处方效果良好/不确定的预测指标:MRDT的使用在美国总统疟疾倡议(PMI支持的医疗机构)支持的医疗机构中工作;良好的抗疟疾药物处方实践对MRDT有很好的看法,对疟疾诊断和MRDT有很好的了解,作为一名健康服务员,在PMI支持的医疗机构工作,和年龄的增加;对MRDT阴性结果的适当反应对MRDT有很好的评价。
结论:证据表明,并强调要考虑的因素,在Ebonyi州的PHC工作人员中,为最佳使用MRDT和抗疟疾药物处方实践采取进一步的政策行动和干预措施,尼日利亚,和类似的设置。