Health workers adjustment for elimination of Malaria in a low endemic area

Shahandeh, Khandan; Basseri, Hamid Reza; Majdzadeh, Reza; Sadeghi, Roya; Safari, Reza; Shojaeizadeh, Davoud

doi:10.4103/2008-7802.169022

Cited by 5 publications

(2 citation statements)

References 32 publications

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“…Types of interventions were either elimination-focused interventions involved scale-up of vector control (8–17), mass drug administration (9, 18–23), mass screen and treat campaign (9, 21, 23–25), and foreign source reduction and malaria movement (9, 12, 24, 26–32), or general interventions on educational, prevention and treatment of malaria. For example, training private health care providers (33), using behavior change communication prevention malaria strategy (22, 29, 32–39) and empowering community on malaria by community -directed educational intervention (30, 33, 34, 40, 41), diagnostic tools for identifying very low parasite densities in asymptomatic carriers (24, 25).…”

Section: Resultsmentioning

confidence: 99%

Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review

Shahandeh¹,

Basseri²

2020

ijph

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Background: This systematic review was conducted to highlights key challenges, and outlines important next steps to maximize the potential to contribute to the broader malaria elimination interventions. Methods: This systematic review on malaria elimination intervention and challenges was undertaken searching six databases, between 1995 and 2018. Inclusion and exclusion criteria were set. The references were collated and categorized according to type of study, intervention, population, and health outcome. Articles selection based on title and abstract, retrieval of full text and additions of articles from reference lists and recommendations from experts. Disagreement in data extraction was solved by consultation of third reviewer. Results: Overall, 4039 records were examined related to malaria elimination that initially identified by our designated electronic databases search. Overall, 35 studies contained 14 experimental studies (40%) and 21 analytic observational studies (60%) met the inclusion criteria for this review. Studies used a wide variety of malaria elimination interventions. Types of interventions either elimination-focused interventions or general interventions on educational, prevention and treatment of malaria are included. This review pointed out the variety of challenges for eliminate malaria among low and high endemic countries. Conclusion: Malaria elimination is facilitated by strong health systems, determined leadership, appropriate incentivization, an effective surveillance system, and regional collaborations. We have identified areas for elimination-specific interventions deserve more attention in the conduct and reporting.

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Section: Resultsmentioning

confidence: 99%

Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review

Shahandeh¹,

Basseri²

2020

ijph

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“…Health workers’ knowledge and practices regarding malaria diagnosis and national treatment guidelines is crucial [ 10 ] and closely related to many socio-economic factors [ 11 , 12 ], including the background of participants, their level of education, the type of health organization and years of experience [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea

Blanco

Suárez-Sánchez

García

et al. 2021

Malar J

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Background In 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. Methods A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Results Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. Conclusions It is essential to reinforce practitioners’ knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.

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Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas

Azizi

Davtalab-Esmaeili

Farahbakhsh

et al. 2020

Malar J

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Background: Malaria mortality and morbidity have decreased in recent years. Malaria elimination (ME) and effective efforts to achieve ME is one of the most important priorities for health systems in countries in the elimination phase. In very low transmission areas, the ME programme is faced with serious challenges. This study aimed to assess the trend while getting a better understanding of Health Service Providers' (HSPs) readiness and challenges for ME in a clear area of Iran. Methods: This study was performed in two phases. At first, the malaria trend in East Azerbaijan Province, was surveyed from 2001 to 2018; afterward, it was compared with the national situation for a better understanding of the second phase of the study. Data were collected from the Ministry of Health's protocol and the health centre of the province. In the second phase, malaria control programme experts, health system researchers, and health managers' opinions were collected via in-depth interviews. They were asked regarding HSPs readiness and appropriate Malaria Case Management (MCM) in a clear area and possible challenges. Results: A total of 135 and 154,560 cases were reported in the last 18 years in East Azerbaijan Province and Iran, respectively. The incidence rate decreased in East Azerbaijan Province from 0.4/10,000 in 2001 to zero in 2018. Furthermore, no indigenous transmission was reported for 14 years. Also, for the first time, there was no indigenous transmission in Iran in 2018. The main elicited themes of HSPs readiness through in-depth interviews were: appropriate MCM, holistic and role-playing studies for assessment of HSPs performance, system mobilization, improving identification and diagnosis of suspected cases in the first line. Similarly, the main possible challenges were found to be decreasing health system sensitivity, malaria re-introduction, and withdrawing febrile suspected cases from the surveillance chain. Conclusion: Health systems in eliminating phase should be aware that the absence of malaria cases reported does not necessarily mean that malaria is eliminated; in order to obtain valid data and to determine whether it is

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Health workers adjustment for elimination of Malaria in a low endemic area

Cited by 5 publications

References 32 publications

Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review

Challenges and the Path Forward on Malaria Elimination Intervention: A Systematic Review

Knowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea

Malaria situation in a clear area of Iran: an approach for the better understanding of the health service providers’ readiness and challenges for malaria elimination in clear areas

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