scholarly journals Quality of care for children with malaria at private health facilities in Mid-Western Region of Uganda: A cross section study

2020 ◽  
Author(s):  
Humphrey Wanzira ◽  
Daniel Tumwine ◽  
Patrick Bukoma ◽  
Allan Musiime ◽  
Juliet Biculu ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Case Management ◽  
Data Management ◽  
Malaria Case ◽  
Malaria Treatment ◽  
Health Facilities ◽  
Western Region ◽  
Malaria Case Management

Abstract Background: Approximately 50 percent of the population in Uganda seeks health care from private facilities but there is limited data on the quality of care for malaria in these facilities. This study aimed to document the quality of malaria case management in private health facilities innine districts in the Mid-Western region of Uganda, an area of moderate malaria transmission. Methods: This was a cross sectional study in which purposive sampling was used to select fifteen private-for-profit facilities from each district. An interviewer-administered questionnaire that contained both quantitative and open-ended questions was used. Information was collected on availability of treatment aides, knowledge on malaria, malaria case management, laboratory practices, malaria drugs stock and data management. We determined the proportion of health workers that adequately provided malaria case management according to national standards. Results: Of the 135 health facilities staff interviewed, 61.48% (52.91 - 69.40) had access to malaria treatment protocols while 48.89% (40.19 - 57.63) received malaria training. The majority of facilities, 98.52% (94.75 - 99.82) had malaria diagnostic services and the most commonly available anti-malarial drug was artemether-lumefantrine, 85.19% (78 - 91), followed by Quinine, 74.81% (67 - 82) and intravenous artesunate, 72.59% (64 – 80). Only 14.07% (8.69 – 21.10) responded adequately to the acceptable cascade of malaria case management practice. Specifically, 33.33% (25.46 - 41.96) responded correctly to management of a patient with a fever, 40.00% (31.67 - 48.79) responded correctly to the first line treatment for uncomplicated malaria, whereas 85.19% (78.05 - 90.71) responded correctly to severe malaria treatment. Only 28.83% submitted monthly reports, where malaria data was recorded, to the national database. Conclusion: This study revealed sub-optimal malaria case management practices at private health facilities with approximately 14% of health care workers demonstrating correct malaria case management cascade practices. To strengthen the quality of malaria case management, it is recommended that the NMCD distributes up to date guidelines and tools, coupled with training; continuous mentorship and integrated supportive supervision; provision of adequate stock of essential anti-malarials and RDTs; reinforcing communication and behavior change approach and increasing support for data management at private health facilities.

scholarly journals Quality of Care for Children with Malaria at Private Health Facilities in Mid-Western Region of Uganda: A Cross Section Study

2020 ◽  
Author(s):  
Humphrey Wanzira ◽  
Daniel Tumwine ◽  
Patrick Bukoma ◽  
Allan Musiime ◽  
Juliet Biculu ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Case Management ◽  
Malaria Case ◽  
Malaria Treatment ◽  
Health Facilities ◽  
National Database ◽  
Western Region ◽  
Malaria Case Management

Abstract Background Approximately 50 percent of the population in Uganda seeks health care from private facilities but there is limited data on the quality of care for malaria in these facilities. This study aimed to document the quality of malaria case management in private health facilities in nine districts in the Mid-Western region of Uganda, an area of moderate malaria transmission.Methods This was a cross sectional study in which purposive sampling was used to select fifteen private-for-profit facilities from each district. An interviewer-administered questionnaire that contained both quantitative and open-ended questions was used. Information was collected on availability of treatment aides, knowledge on malaria, malaria case management, laboratory practices, malaria drugs stock and data management. We determined the proportion of health workers that adequately provided malaria case management according to national standards.Results Of the 135 health facilities staff interviewed, 61.48% (52.91 - 69.40) had access to malaria treatment protocols while 48.89% (40.19 - 57.63) received malaria training. The majority of facilities, 98.52% (94.75 - 99.82) had malaria diagnostic services and the most commonly available anti-malarial drug was artemether-lumefantrine, 85.19% (78 - 91), followed by Quinine, 74.81% (67 - 82) and intravenous artesunate, 72.59% (64 – 80). Only 14.07% (8.69 – 21.10) responded adequately to the acceptable cascade of malaria case management practice. Specifically, 33.33% (25.46 - 41.96) responded correctly to management of a patient with a fever, 40.00% (31.67 - 48.79) responded correctly to the first line treatment for uncomplicated malaria, whereas 85.19% (78.05 - 90.71) responded correctly to severe malaria treatment. Only 28.83% submitted monthly reports, where malaria data was recorded, to the national database.Conclusion This study revealed sub-optimal malaria case management practices at private health facilities with approximately 14% of health care workers demonstrating correct malaria case management cascade practices. This was due to limited access to malaria case management protocols and guidelines, lack of adequate staff training and supportive supervision, stock-outs of essential anti-malarial commodities and inadequate malaria related community level sensitization. The national malaria control programme could consider this information to inform specific areas of focus for strengthening malaria case management in the private health facilities.

scholarly journals A retrospective evaluation of the quality of malaria case management at twelve health facilities in four districts in Zambia

2014 ◽  
Vol 4 (6) ◽  
pp. 498-504 ◽  
Author(s):  
Pascalina Chanda-Kapata ◽  
Emmanuel Chanda ◽  
Freddie Masaninga ◽  
Annette Habluetzel ◽  
Felix Masiye ◽  
...  
Keyword(s):  
Case Management ◽  
Malaria Case ◽  
Health Facilities ◽  
Malaria Case Management ◽  
Retrospective Evaluation

scholarly journals Quality of Malaria Case Management and Reporting at Public Health Facilities in Six Health Districts in Guinea, 2018

2019 ◽  
Vol 101 (1) ◽  
pp. 148-156 ◽  
Author(s):  
Elizabeth Davlantes ◽  
Alioune Camara ◽  
Timothée Guilavogui ◽  
Aissata Fofana ◽  
Mamadou Balde ◽  
...  
Keyword(s):  
Public Health ◽  
Case Management ◽  
Malaria Case ◽  
Health Facilities ◽  
Malaria Case Management ◽  
Public Health Facilities ◽  
Health Districts

scholarly journals Quality of malaria case management at outpatient health facilities in Angola

2009 ◽  
Vol 8 (1) ◽  
Author(s):  
Alexander K Rowe ◽  
Gabriel F Ponce de León ◽  
Jules Mihigo ◽  
Ana Carolina FS Santelli ◽  
Nathan P Miller ◽  
...  
Keyword(s):  
Case Management ◽  
Malaria Case ◽  
Health Facilities ◽  
Malaria Case Management

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

Supportive supervision: An effective intervention in achieving high quality malaria case management at primary health care level in Jos, Nigeria

2013 ◽  
Vol 12 (4) ◽  
pp. 243 ◽  
Author(s):  
DanjumaAyotunde Bello ◽  
ZuwairaIbrahim Hassan ◽  
TolulopeOlumide Afolaranmi ◽  
YetundeOlubusayo Tagurum ◽  
OluwabunmiOluwayemisi Chirdan ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Case Management ◽  
Malaria Case ◽  
Effective Intervention ◽  
Supportive Supervision ◽  
Malaria Case Management ◽  
High Quality ◽  
Care Level ◽  
Primary Health

scholarly journals Adherence to Ebola-specific malaria case management guidelines at health facilities in Guinea during the West African Ebola epidemic

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Ian Hennessee ◽  
Timothée Guilavogui ◽  
Alioune Camara ◽  
Eric S. Halsey ◽  
Barbara Marston ◽  
...  
Keyword(s):  
Case Management ◽  
Malaria Case ◽  
West African ◽  
Health Facilities ◽  
Malaria Case Management ◽  
The West ◽  
Management Guidelines

scholarly journals Effectiveness of Essential Health Care Services Delivery in Nepal

1970 ◽  
Vol 6 (2) ◽  
pp. 74-83 ◽  
Author(s):  
B Devkota
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Services ◽  
Health Facility ◽  
Health Care Services ◽  
Health Facilities ◽  
Care Services ◽  
Services Delivery ◽  
Equity And Efficiency

Background: Ensuring delivery of quality health services in a sustainable and equitable manner is a challenge in Nepal. A host of factors may have impeded the access, quality and utilization of the health services particularly by the marginalized and disadvantaged sections of the population. Review essential health care services (EHCS) provided by the public health facilities, level of progress, effectiveness, sustainability, equity and efficiency, quality of care and inclusion of marginalized and disadvantaged populations in health care servicesMethods: A total of 40 VDCs from 10 districts representing five regions and three eco-zones were covered. Altogether 800 mothers with under two year children, 40 health service providers, 145 key informants and 40 exit clients were interviewed. Forty focused group discussions were also conducted. From each district, health records of one hospital, PHCC, HP, SHP and Ayurvedic health facility each were collected.Results: More than two-third (68.2%) of the mothers received antenatal checks, highest in hills (85%) followed by terai (64.5%) and mountain districts (52.8%).Tetanus vaccine coverage (80.7%) seems higher compared to Nepal Demographic Health Survey 2001 (45%). FP use rate in mountain, hill and terai are 57.6%, 54.1% and 49.7%, higher than in DoHS 2003/2004 statistics, which were 26.8%, 36.4% and 45.3% respectively. Nine out of ten patients visiting the health facilities were outpatients. The coverage of DPT 3, Polio 3, BCG and measles are 92.8%, 93.4%, 95.2% and 90.7% respectively. From the service utilization perspective, disparities in terms of gender, ecological regions, season of the year and health facility were revealed.Conclusion: Health sector services are yet to be made responsive to the ecological and district specific health problems, and be made more inclusive linking with doable safety nets.  Key words: Essential health care services; Effectiveness; Sustainability; Equity and efficiency; Quality of care and inclusion  doi: 10.3126/jnhrc.v6i2.2188Journal of Nepal Health Research Council Vol. 6 No. 2 Issue 13 Oct 2008 Page: 74-83 

scholarly journals Quality of Maternal and Newborn Health Care in Ethiopia: A Cross-Sectional Study

2021 ◽  
Author(s):  
Abera Biadgo ◽  
Aynalem Legesse ◽  
Abiy Seifu ◽  
Kavita Singh ◽  
Zewdie Mulissa ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Newborn Health ◽  
Health Facilities ◽  
Maternal And Newborn Health ◽  
Neonatal Health ◽  
Input Process ◽  
Maternal And Neonatal Health ◽  
Maternal And Newborn

Abstract Background: Despite reports of universal access to and modest utilization of maternal and newborn health services in Ethiopia, mothers and newborns continue to die from preventable causes. Studies indicate this could be due to poor quality of care provided in health systems. Evidences show that high quality health care prevents more than half of all maternal deaths. In Ethiopia, there is limited knowledge surrounding the status of the quality of maternal and newborn health care in health facilities. This study aims to assess the quality of maternal and neonatal health care provision at the health facility level in four regions in Ethiopia.Methodology: This study employed a facility-based cross-sectional study design. It included 32 health facilities which were part of the facilities for prototyping maternal and neonatal health quality improvement interventions. Data was collected using a structured questionnaire, key informant interviews and record reviews. Data was entered in Microsoft Excel and exported to STATA for analysis. Descriptive analysis results are presented in texts, tables and graphs. Quality of maternal and neonatal health care was measured by input, process and outputs components. The components were developed by computing scores using standards used to measure the three components of the quality of maternal and neonatal health care.Result: The study was done in a total of 32 health facilities: 5 hospitals and 27 health centers in four regions. The study revealed that the average value of the quality of the maternal and neonatal health care input component among health facilities was 62%, while the quality of the process component was 43%. The quality of the maternal and neonatal health output component was 48%. According to the standard cut-off point for MNH quality of care, only 5 (15.6%), 3 (9.3%) and 3 (10.7%) of health facilities met the expected input, process and output maternal and neonatal health care quality standards, respectively.Conclusion: This study revealed that the majority of health facilities did not meet the national MNH quality of care standards. Focus should be directed towards improving the input, process and output standards of the maternal and neonatal health care quality, with the strongest focus on process improvement.

scholarly journals Predictors of presumptive treatment of uncomplicated malaria among children in private retail outlets in Kenya: mixed effects logistic regression modelling

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 1059
Author(s):  
Diana Omache ◽  
Nelson Owuor ◽  
Beatrice Machini
Keyword(s):  
Health Care ◽  
Case Management ◽  
Health Care Providers ◽  
Malaria Case ◽  
Uncomplicated Malaria ◽  
Management Training ◽  
Mixed Effects ◽  
Malaria Case Management ◽  
Care Providers ◽  
Presumptive Treatment

Background: The health seeking behavior in Kenya raises concerns in malaria case management at the private sector. Adherence to the national guidelines for the diagnosis, treatment and prevention of malaria is key in management of the disease. Presumptive treatment remains a major challenge in Kenya, especially in the private sector, with major gaps in literature identified on predictors of this treatment. Mixed-effects regression modelling considers county clustering, is more accurate in prediction and is more efficient and flexible. Methods: The study design was a cross-sectional, nationally representative, retail outlet survey secondary data analysis. The study populations included the health care providers in the retail outlets sampled randomly in both the rural and urban settings in Kenya. The primary outcome of interest was the proportion of health care providers who treated patients presumptively. Multivariable analysis was conducted for the significant variables, adjusting for clustering at the county level to determine the predictors of presumptive treatment. The best fitting model was examined using the Akaike Information Criterion (AIC). Results: Out of the 333 health care providers who treated patients, 190 (57%) treated patients presumptively. From the mixed effects logistic regression model, the predictors of presumptive treatment of uncomplicated malaria were case management training (AOR = 0.44; 95% CI = (0.18 – 1.09)), asked signs or symptoms (AOR = 0.19; 95% CI = (0.10 - 0.37)) and results presented (AOR = 0.08 95% CI = (0.03 - 0.19)). Conclusions: Presumptive treatment of uncomplicated malaria remains a challenge in the private retail sector. Malaria case management training and health care providers asking of signs and symptoms and results presented predicts presumptive treatment. To address the issue of presumptive treatment of Malaria, strengthening of malaria case management training is key for health care providers in the private sector.

Sign in / Sign up

Export Citation Format

Share Document