Do health workers’ preferences influence their practices? Assessment of providers’ attitude and personal use of new treatment recommendations for management of uncomplicated malaria, Tanzania

Current education and training of community mental health workers in the West have focused on the accumulation of knowledge and on healing technology. Richard Katz,through ethnographic work in the Kalahari Desert and the Fiji Islands, presents an alternative model of healer education that stresses the transformation of the healer's character. This transformation connects the healer to healing resources beyond the self,commits the healer to service in the community, and becomes the context within which healing knowledge and technology can be used while the healer remains a fully contributing member of the community, disavowing the accumulation of power for personal use.

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Availability of Antimalarial Drugs and Evaluation of the Attitude and Practices for the Treatment of Uncomplicated Malaria in Bangui, Central African Republic

Journal of Tropical Medicine ◽

10.1155/2010/510834 ◽

2010 ◽

Vol 2010 ◽

pp. 1-5 ◽

Cited By ~ 7

Author(s):

Alexandre Manirakiza ◽

Siméon Pierre Njuimo ◽

Alain Le Faou ◽

Denis Malvy ◽

Pascal Millet

Keyword(s):

Uncomplicated Malaria ◽

Health Workers ◽

Combined Treatment ◽

Multidrug Resistant ◽

Antimalarial Drugs ◽

Health Care Facilities ◽

Management Policy ◽

National Guidelines ◽

Cross Sectional ◽

Artemisinin Derivatives

National malaria management policy is based upon the availability of effective and affordable antimalarial drugs. This study was undertaken to evaluate the quality of the treatment of uncomplicated malaria cases in Bangui, an area with multidrug-resistant parasites, at a time preceding implementation of a new therapeutic policy relying on the artemisinin derivative combined treatment artemether-lumefantrine. A cross-sectional study was carried out in Bangui city to assess availability of antimalarial drugs and the performances of health workers in the management of uncomplicated malaria. Availability of drugs was recorded in all drugs wholesalers (n=3), all pharmacies in health facilities (n=14), private drugstores (n=15), and in 60 non-official drug shops randomly chosen in the city. Despite a limited efficacy at the time of the survey, chloroquine remained widely available in the official and nonofficial markets. Artemisinin derivatives used in monotherapy or in combination were commonly sold. In health care facilities, 93% of the uncomplicated malaria cases were treated in the absence of any laboratory confirmation and the officially recommended treatment, amodiaquine-sulfadoxine/pyrimethamine, was seldom prescribed. Thus, the national guidelines for the treatment of uncomplicated malaria are not followed by health professionals in Bangui. Its use should be implemented while a control of importation of drug has to be reinforced.

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NIDA releases new treatment recommendations to cut costs, save money and reduce crime

PsycEXTRA Dataset ◽

10.1037/e426592008-022 ◽

2006 ◽

Keyword(s):

Treatment Recommendations ◽

New Treatment

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Exploring Barriers and Facilitators of Adherence to Artemisinin-Based Combination Therapies for the Treatment of Uncomplicated Malaria in Children in Freetown, Sierra Leone

Healthcare ◽

10.3390/healthcare9091233 ◽

2021 ◽

Vol 9 (9) ◽

pp. 1233

Author(s):

Kristin Banek ◽

Deborah D. DiLiberto ◽

Emily L. Webb ◽

Samuel Juana Smith ◽

Daniel Chandramohan ◽

...

Keyword(s):

Health System ◽

Sierra Leone ◽

Perceived Risk ◽

Uncomplicated Malaria ◽

Health Workers ◽

Controlled Trial ◽

Quality Care ◽

Medication Administration ◽

Combination Therapies ◽

Treatment Cascade

Medication adherence is an essential step in the malaria treatment cascade. We conducted a qualitative study embedded within a randomized controlled trial comparing the adherence to the recommended dosing of two artemisinin-based combination therapies (ACT) to treat uncomplicated malaria in Freetown, Sierra Leone. This study explored the circumstances and factors that influenced caregiver adherence to the ACT prescribed for their child in the trial. In-depth interviews were conducted with 49 caregivers; all interviews were recorded, transcribed, and translated. Transcripts were coded and aggregated into themes, applying a thematic content approach. We identified four key factors that influenced optimal treatment adherence: (1) health system influences, (2) health services, (3) caregivers’ experiences with malaria illness and treatment, and (4) medication characteristics. Specifically, caregivers reported confidence in the health system as facilities were well maintained and care was free. They also felt that health workers provided quality care, leading them to trust the health workers and believe the test results. Ease of medication administration and perceived risk of side effects coupled with caregivers’ prior experience treating malaria influenced how medications were administered. To ensure ACTs achieve maximum effectiveness, consideration of these contextual factors and further development of child-friendly antimalarials are needed.

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The need for new treatment recommendations for trichomoniasis among women

The Lancet Infectious Diseases ◽

10.1016/s1473-3099(18)30544-9 ◽

2018 ◽

Vol 18 (11) ◽

pp. 1168-1169 ◽

Cited By ~ 2

Author(s):

Erin M Keizur ◽

Jeffrey D Klausner

Keyword(s):

Treatment Recommendations ◽

New Treatment

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Patterns of Corruption in Ahmadu Bello University Teaching Hospital Shika, Zaria, Kaduna State, Nigeria

The Nigerian Journal of Sociology and Anthropology ◽

10.36108/njsa/0202/81(0170) ◽

2020 ◽

Vol 18 (1) ◽

pp. 99-113

Author(s):

Simiat Bidemi Abdulkareem

Keyword(s):

Teaching Hospital ◽

Health Workers ◽

Health Sector ◽

Public Hospitals ◽

University Teaching ◽

Group Discussions ◽

Scarce Resources ◽

Personal Use ◽

Medical Materials ◽

The Government

In Nigeria, corruption is the obstacle preventing the country from achieving its enormous potential.Corruption in the health sector is a concern in Nigeria where public resources are already scarce. Corruption in the health sector has made various health institutions to be ineffective while scarce resources invested in the sector are wasted. It weakens the social contract between the government and its people, and drains billions of dollars annually from the country’s economy. The deplorable condition of thehealth sector in Nigeria, in spite of government spending raises serious concerns. Theseconcerns include mismanagement, embezzlement, poor funding, shortage of drugs and medicalequipment in public hospitals etc. This paper therefore examines how corruption has impeded on theservice delivery in Ahmadu Bello University Teaching Hospital (ABUTH) Shika, Zaria. The main objective of this study is toinvestigate the effect of corruption on service delivery and how it affects patients in the study area. Data were collected from the targeted populations through in-depth interviews and focus group discussions. The findings revealed that there is diversion of drugs, injections and other materials for personal use and sales, also money meant for fuel and diesel diverted to personal pocket. It is recommended that any health workers caught in one corrupt act or the other should be dealt with severely to serve as deterrent to others and also Federal Ministry of Health should procure and distribute drugs and other medical materials needed in the hospital and the public must be aware of the drugs that are free.

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