Connaissances et pratiques des agents de santé de la région de Thiès concernant la nouvelle thérapie des accès palustres

Abstract

The emergence of increasing plasmodium falciparum resistance to chloroquine in Africa has prompted national malaria programmes to develop new policies regarding appropriate and essential treatment, moving from the use of chloroquine to a new set of bi-therapy methods. In Senegal, the malaria treatment policy has shifted from chloroquine to amodiaquine/sulfadoxine-pyrimethamine. The authors studied the availability of these new drugs and their use by the care providers in 10 rural health district dispensaries. Patient records were examined and nurses were interviewed on their knowledge about and implementation of the new policy. It was noted that the nurses have not yet mastered the proper use of these new medications, and the prescriptions given were not always in line with regulations and practice corresponding to the required or necessary doses. The families which were interviewed stated that they were not aware of the changes in treatment which had been recommended. The conclusion of this study was that it brought to the forefront the need to put specific emphasis on population information and awareness campaigns as well as that of ensuring that caregivers receive thorough training to secure the successful and sustainable implementation and maintenance of the new policy.

Malaria training for community health workers in the setting of elimination: a qualitative study from China

“…Training and education are the traditional interventions for maintaining a good performance of health workers, which are certainly essential to malaria elimination programmes [ 22 , 23 ]. The literature frequently reported assessments of the heath workers’ knowledge of malaria in different malaria endemic settings, and recommends more training if the results are not satisfactory [ 13 – 15 , 17 ]. However, little is known of the perceptions and expectations of health workers, as training recipients, of malaria-related training programmes in a low malaria endemicity setting.…”

“…Health worker knowledge, attitudes, and practices on the diagnosis, treatment, and management of malaria have been evaluated in different epidemiological contexts, with the clear recommendation to provide malaria-related training programmes if such knowledge is not satisfactory [ 13 – 17 ]. However, little is known of the perceptions and expectations of malaria training and education programmes of health workers being engaged in countries with malaria elimination programmes.…”

Risk management of adverse effects of antimalarial drugs: Knowledge of Physicians and Pharmacists in KAYES, MALI

“…However, most sub-Saharan African countries lack expertise, resources [12], and medical personnel seem to have little knowledge of the adverse effects of these new therapeutic strategies [15].…”