Organizational, Technical and Behavioral Factors Associated with Malaria Routine Data Reporting among Health Workers in Selected Health Facilities in Trans-Nzoia County, Kenya

Purpose: Malaria remains to be among the primary causes of sickness, infirmity and cases of deaths and has continued to negatively affect health and socio-economic progress in the country. Rapid reporting of malaria cases could avert prospective epidemics which would lead to a high proportion of sickness and deaths. The study, therefore, sought to assess the determinants of malaria routine data reporting among health workers in selected health facilities in Trans-Nzoia County. Methodology: A descriptive cross-sectional study was conducted to evaluate the organizational, technical, and behavioral aspects that influence the reporting of malaria routine data among health workers. The sample size was 123 health facilities that were selected randomly based on their strata. Research tools that were utilized were structured questionnaires, focused group discussion, and key informant interview guide. Chi-square (χ2) was used to test the hypothesis with a p ≤ 0.05 being considered significant. Findings: The findings on socio-demographic characteristics indicated that majority of the research participants were females 76(62.6%), had college education 85(69.1%) and 81 (65.9%) had worked in the health facility for 5 to 10 years. Most 76(61.8%) of the health facilities were Level 3 (Health Centres). There was significant relationship between level of health facility and malaria routine data reporting at (χ2 =9.999, df=3, p-value = 0.019). Other organizational factors that had significant association with malaria routine data reporting (p< 0.001) include inadequate budget, low staffing, poor ICT infrastructure and complex data management procedures. In terms of technical aspects, limited training on technologies had significant relationship with malaria routine data reporting (p< 0.001). Regarding behavioral aspects, identified factors include lack of incentives and inadequate resources. Unique contribution to theory, practice and policy: The outcomes of the study provide proof for support, tactical organization, and collaboration in the health sector in Trans-Nzoia County as well as to the other developmental agencies working in the field of malaria control. The study recommends that the county government of Trans-Nzoia should provide adequate funds and ICT infrastructure to boost malaria routine data reporting. The county department of health with support from the national government through Division of National Malaria Program (DNMP )should consistently conduct in-service training, support supervision and data quality audits.

Download Full-text

ASSOCIATION BETWEEN DURATION AS A FISHERMAN, DISTANCE OF HEALTH FACILITIES AND SMOKING WITH PTERYGIUM'S DISEASE IN FISHERMAN IN BENGKULU

Nurse and Health: Jurnal Keperawatan ◽

10.36720/nhjk.v10i1.223 ◽

2021 ◽

Vol 10 (1) ◽

pp. 65-71

Author(s):

Dwi Putri Sulistiya Ningsih ◽

Ida Rahmawati

Keyword(s):

Significant Relationship ◽

Health Workers ◽

Case Control ◽

High Risk Group ◽

Health Facilities ◽

Observational Research ◽

Validity And Reliability ◽

Chi Square ◽

Table Data ◽

Methods Analytical

Background: Fishermen are a high risk group for developing pterygium. The high frequency of exposure to UV, wind, dust and sand when working makes the prevalence of pterygium among fishermen quite high. The city of Bengkulu, which is geographically located on the west coast of Sumatra Island which is directly facing the Indonesian Ocean, makes the majority of its population work as fishermen. Objectives: This study aims to determine the relationship between duration of being a fisherman, distance to health facilities and smoking with pterygium disease in a group of fishermen in, Bengkulu. Methods: Analytical observational research with case control design. The sample of 120 fishermen consisted of 40 cases and 80 controls, because researchers used a case-control ratio of 1:2. Sampling using purposive sampling method. The dependent variable was pterygium disease. Independent variables of duration as a fisherman, distance of health facilities and smoking. The research instrument uses a structured questionnaire that has been tested for validity and reliability with Alpha Cronbach value (0.996) > r table. Data were analyzed by Chi Square. Results: Based on the research results, it was found that there was a significant relationship with duration as a fisherman (≥ 21 years) (OR = 3.980; 95%CI = 1.404-11.284; p = 0.006) with pterygium disease. There is no relationship between smoking (OR = 1.246; 95%CI = 0.559-2.778; p = 0.590) with pterygium disease. There is a significant relationship between the distance of health facilities (OR = 5.133; 95%CI = 2.249-11.715; p = 0.000) with pterygium disease. Conclusion: The length of time working as a fisherman increases the risk of developing pterygium disease as the frequency of exposure to UV, dust, wind and sand increases. It is necessary to use personal protective equipment to reduce the risk of exposure and education from health workers so that the public can take good preventive measures. Keywords: Duration as a fisherman, distance health facilities, smoking, pterygium.

Download Full-text

Evaluation of Infection, Prevention and Control Program in Goromonzi District, Zimbabwe, 2018: A process outcome evaluation

10.21203/rs.2.18251/v1 ◽

2019 ◽

Author(s):

Govha Emmanuel ◽

Zizhou Simukai Tirivanhu ◽

Shambira Gerald ◽

Gombe Tafara Notion ◽

Tsitsi Juru ◽

...

Keyword(s):

Health Facility ◽

Prevention And Control ◽

Infection Prevention ◽

Health Workers ◽

Outcome Evaluation ◽

Hazard Identification ◽

Health Facilities ◽

Infection Prevention And Control ◽

Hiv Test ◽

And Control

Abstract Background A healthcare-associated infection (HAI) is defined as an infection originating in the environment of a health facility that was not present or incubating at the time of patient admission. HAIs can be prevented through infection, prevention and control (IPC) measures. No hazard identification and risk assessment IPC rounds and monthly meetings were conducted in Goromonzi district since 1st of January to 30th of June 2018. No trainings nor orientation for the new employees was conducted. We therefore evaluated Goromonzi District IPC program. Methods A process-outcome evaluation using the logic model was conducted in Goromonzi district’s 15 health facilities. Checklists, interviewer administered questionnaires and key informant guides were used to collect data on availability of inputs, knowledge of health workers, processes performed, outputs and outcomes achieved. Data were entered into Epi Info 7TM, which was used to generate frequencies and proportions. Qualitative data from checklists and key informants interviews was sorted manually into themes and analysed. Results All 15 health facilities had adequate stocks of HIV test kits and PEP kits. Adequate bins and detergents were found in only 3/15 (20%) of health facilities. All facilities failed to hold a single IPC meeting and none had specific budget for IPC in 2018. No IPC mentorship activities were carried out in the district. Only 7/13 (54%) health workers who had needle pricks received PEP with 2/7 (29%) of them finishing the course. No health facility had a functional HAI surveillance system. The overall knowledge rating was fair. Conclusion The IPC program inputs in Goromonzi district were inadequate hence its failure to achieve the intended outputs and outcomes. Inadequate knowledge, unavailability of health worker training plans, specific budgets and absence of IPC committees reflected non prioritisation of the program.

Download Full-text

ANALYSIS OF THE INFLUENCE OF LOCATION, PROMOTION AND HEALTH OFFICERS IN INFLUENCING DECISION ON SELECTION OF FIRST LEVEL HEALTH FACILITIES (FKTP) PARTICIPANTS OF BPJS HEALTH IN ADVANCED MEDICAL CENTER

Dinasti International Journal of Digital Business Management ◽

10.31933/dijdbm.v2i2.774 ◽

2021 ◽

Vol 2 (2) ◽

pp. 314-323

Author(s):

Ekawati Ekawati ◽

Alugoro Mulyowahyudi

Keyword(s):

Health Facility ◽

Health Care Workers ◽

Health Workers ◽

Medical Center ◽

Sampling Technique ◽

Research Data ◽

Health Facilities ◽

Selection Decisions ◽

Care Workers ◽

Selection Of

This study aims to analyze the influence of location, promotion and health workers in influencing the decision to choose a First Level health facility (FKTP) for BPJS Kesehatan participants at the Advanced Medical Center. This research is quantitative. The population in the study were BPJS patients who were registered at the Advanced Medical Center. The sampling technique used accidental sampling with a sample size of 100 people. The research data were analyzed using multiple linear regression. The results of the t-test for the variables of location, promotion and health care workers were significant for the decision on choosing health facilities at the Advanced Medical Center. Suggestions for further research are to include other factors that have a strong influence on health facility selection decisions.

Download Full-text

Factors Influencing Choice of Delivery Place among Mothers in Rukungiri and Kanungu Districts, South Western Uganda: A Cross Sectional Study

10.21203/rs.3.rs-128061/v1 ◽

2020 ◽

Author(s):

Richard Mugambe ◽

Habib Yakubu ◽

Solomon Wafula ◽

Tonny Ssekamatte ◽

Simon Kasasa ◽

...

Keyword(s):

Health Facility ◽

Rural Areas ◽

Health Workers ◽

Public Health Facility ◽

Facility Delivery ◽

Health Facilities ◽

Public Facility ◽

Cross Sectional ◽

Western Uganda ◽

Delivery Place

Abstract Background: Child birth in health facilities is generally associated with lower risk of maternal and neonatal mortality. However, in Uganda, little is known about factors that influence use of health facilities for delivery especially in rural areas. In this study, we examined the determinants of mothers’ decision of the choice of child delivery place in Western Uganda.Methods: Cross-sectional data was collected from 894 randomly-sampled mothers within the catchment of two private hospitals in Rukungiri and Kanungu districts. Data was collected on the place of delivery for the most recent child, mothers’ sociodemographic characteristics, health facility water, sanitation and hygiene (WASH) status. Modified Poisson regression was used to estimate prevalence ratios (PRs) for the determinants of mothers’ choice of delivery place as well as determinants for the choice of private versus public facility for delivery at 95% confidence intervals. Results: Majority of mothers (90.2%) delivered in health facilities. Non-facility deliveries were attributed to fast progression of labour (77.3%), lack of transport (31.8%) and high cost of hospital delivery (12.5%). Being engaged in business as an occupation [APR = 1.06, 95% CI (1.01 – 1.11)] and belonging to the highest wealth quintile [APR = 1.09, 95% CI (1.02 – 1.17)] favoured facility delivery while higher parity of 3 – 4 [APR = 0.93, 95% CI (0.88 – 0.99)] was inversely associated with facility delivery as compared to parity of 1-2. Choice of private facility over public facility was influenced by how mothers valued factors such as high skilled health workers [APR = 1.15, 95% CI (1.05 – 1.26)], higher quality of WASH services [APR = 1.11, 95% CI (1.04 – 1.17)], cost of the delivery [APR = 0.85, 95% CI (0.78 – 0.92)] and availability of caesarean services [APR = 1.13, 95% CI (1.08 – 1.19)].Conclusion: Utilization of health facility child delivery services was high. Health facility delivery service utilization was influenced by engaging in business, belonging to wealthiest quintile and being multiparous. Choice of private versus public health facility for child delivery was influenced by health facility WASH status, cost of services, and availability of skilled workforce and caesarean services.

Download Full-text

Geographic location of health facility and immunization program performance in Hoima district, western Uganda: a health facility level assessment

BMC Public Health ◽

10.1186/s12889-020-09859-z ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Nicholas Kwikiriza Magambo ◽

Francis Bajunirwe ◽

Fred Bagenda

Keyword(s):

Health Facility ◽

Urban Areas ◽

Health Workers ◽

Geographic Location ◽

Health Facilities ◽

Urban Setting ◽

World Health ◽

Program Performance ◽

Immunization Program ◽

Western Uganda

Abstract Background Globally, immunization coverage for childhood vaccines is below the immunization target of achieving at least 90% coverage with the pentavalent vaccine. In Uganda, a recent survey shows 80% of districts had poor immunization program performance. However, there is significant variation in performance within and between districts. We hypothesized that geographic location of a health facility may influence performance of its immunization programs. Therefore, the purpose of this study was to examine whether geographical location of a health facility within a district is associated with performance of the immunization program in Hoima district, western Uganda. Methods We conducted a cross sectional study using a mixed methods approach. The main study unit was a health center and we also interviewed health workers in-charge of the facilities and reviewed their health facility records. We reviewed the Uganda Health Management Information System (HMIS) 105 reports of six months to obtain data on immunization program performance. Performance was categorized using World Health Organization’s Reach Every District (RED) criteria and classified as poor if a facility fell in category 3 or 4 and good if 1 or 2. We also conducted key informant interviews with immunization focal persons in the district. We examined the association between dependent and independent variables using Fisher’s exact test. Results We collected data at 49 health facilities. Most of these facilities (55.1%) had poor immunization program performance. Proximal location to the central district headquarters was significantly associated with poor immunization program performance (p < 0.05). Attitudes of health workers in the more urban areas, differences in strategies for outreach site selection and community mobilization in the rural and urban areas were suggested as possible explanations. Conclusions Proximal location to the urban setting near district headquarters was strongly associated with poor immunization program performance. To be able to reach larger numbers of children for vaccination, interventions to improve performance should target health facilities in urban settings.

Download Full-text

A Qualitative Study of the Development and Utilization of Health Facility-based Immunization Microplans in Uganda.

10.21203/rs.3.rs-326895/v1 ◽

2021 ◽

Author(s):

David Kaawa-Mafigiri ◽

Constance Iradukunda ◽

Catherine Atumanya ◽

Michael Odie ◽

Arielle Mancuso ◽

...

Keyword(s):

Qualitative Study ◽

Health Facility ◽

Planning Process ◽

Health Workers ◽

Immunization Coverage ◽

Health Facilities ◽

Optimal Development ◽

Limited Knowledge ◽

Catchment Areas ◽

Development And Utilization

Abstract Background: In 2006, Uganda adopted the Reaching Every District strategy with the goal of attaining at least 80% coverage for routine immunizations in every district. The development and utilization of health facility/district immunization microplans is the key to the strategy. A number of reports have shown sub-optimal development and use of microplans in Uganda. This study explores factors associated with sub-optimal development and use of microplans in two districts in Uganda to pinpoint challenges encountered during the microplanning process.Methods: A qualitative study was conducted comparing two districts, Kapchorwa with low immunization coverage and Luwero with high immunization coverage. Data were collected through multilevel observation of health facilities, planning sessions and planning meetings; records review of microplans, micromaps, and meeting minutes; 57 interviews with health workers at the Ministry level and lower cadre health facility workers. Data were analyzed using NVivo 8 qualitative text analysis software. Transcripts were coded, memos and display matrices were developed to examine the process of developing and utilization of microplans, including experiences of health workers (implementers). Results: Three key findings emerged from this study. First, there are significant knowledge gaps about the microplanning process among health workers at all levels (community and district health facility and nationally). Limited knowledge about communities and program catchment areas greatly hinders the planning process by limiting the ability to identify hard-to-reach areas as well as prioritize areas according to need. Secondly, the microplanning tool is bulky and complex. Finally, microplanning is being implemented in the context of already over-tasked health personnel who have to conduct several other activities as part of their daily routines.Conclusions: In order to achieve quality improvement of the Reaching Every District campaign, the microplanning process should be revised. Health workers’ misunderstanding and limited knowledge about the microplanning process, especially at peripheral health facilities, coupled with the complex, bulky nature of the microplanning tool reduces the effectiveness of microplanning in improving routine immunization in Uganda. The study reveals the need to reduce the complexity of the tool and identify ways to train and support workers in the use of the revised tool, including support in incorporating the microplanning process into their busy schedules.

Download Full-text

Geographic location of health facility and immunization program performance in Hoima district, western Uganda: A health facility level assessment

10.21203/rs.3.rs-25102/v2 ◽

2020 ◽

Author(s):

Nicholas Magambo Kwikiriza ◽

Francis Bajunirwe ◽

Fred Bagenda

Keyword(s):

Health Facility ◽

Urban Areas ◽

Health Workers ◽

Geographic Location ◽

Health Facilities ◽

Urban Setting ◽

World Health ◽

Program Performance ◽

Immunization Program ◽

Western Uganda

Abstract Background: Globally immunization coverage for childhood vaccines is below the immunization target of achieving at least 90% coverage with the pentavalent vaccine. In Uganda, a recent survey shows 80% of districts had poor immunization program performance. However, there is significant variation in performance within and between districts. We hypothesized that geographic location of health facility may influence performance of their immunization programs. Therefore, the purpose of this study was to examine whether geographical location of health facility within a district is associated with performance of the immunization program in Hoima district, western Uganda.Methods: We conducted a cross sectional study using a mixed methods approach. The study unit was a health center and we interviewed health workers in-charge of the facilities and reviewed their health facility records. We reviewed the Uganda Health Management Information System (HMIS) 105 reports of six months to obtain data on immunization program performance. Performance was categorized using World Health Organization’s Reach Every District (RED) criteria and classified as poor if a facility fell in category 3 or 4 and good if 1 or 2. We also conducted key informant interviews with immunization focal persons in the district. We examined the association between dependent and independent variables using Fisher’s exact test. Results: We collected data at 49 health facilities. Most of the health units (55.1%) had poor immunization program performance. Proximal location to the central district headquarters was significantly associated with poor immunization program performance (p<0.05). Attitudes of health workers in the more urban areas, differences in strategies for outreach site selection and community mobilization in the rural and urban areas were suggested as possible explanations.Conclusions: Proximal location to the urban setting near district headquarters was strongly associated with poor immunization program performance. To be able to reach larger numbers of children for vaccination, interventions to improve performance should target health facilities in urban settings.

Download Full-text

Implementation of Tuberculosis Infection Control Practices in Tuberculosis Diagnostic and Treatment Health Facilities in Kampala District, Uganda, August 2015

10.1101/2020.07.14.20119214 ◽

2020 ◽

Author(s):

Didas Tugumisirize ◽

Stavia Turyahabwe ◽

Lilian Bulage ◽

Stella Zawedde Muyanja ◽

Robert Kaos Majwala ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Infection Control ◽

Health Facility ◽

Health Workers ◽

Health Care Facilities ◽

Health Facilities ◽

Tuberculosis Infection ◽

Care Services ◽

Tuberculosis Infection Control

AbstractBackgroundEffective implementation of Tuberculosis infection control (TB IC) measures in health facilities delivering TB care services is very critical in controlling nosocomial transmission of TB infections among health workers, patients and their attendants. The aim of the study was to assess and document the implementation of TB IC practices in TB diagnostic and treatment health facilities in Kampala District, which accounts for 15-20% of the total TB burden in Uganda.MethodsIn August 2015, we conducted a cross-sectional study in 25 health facilities including 07 Public and 18 Private healthcare facilities in Kampala. We used a modified checklist adopted from the national manual for implementing TB control measures in health care facilities. We reviewed health facility records and where necessary observed TB IC practices to triangulate our findings. We conducted univariate analysis and generated proportions in order to describe the extent of implementation of TB IC measures.ResultsOn average, 73% of both administrative and managerial, 65% environmental, and 56% personal protective TB IC measures were complied with at the health facilities visited. Private health facilities implemented 71% of both administrative and managerial TBIC measures compared to public health facilities (31%). Thirty Six percent of health facilities reported that they were regularly screening health care workers for TB. By Observation, 28% had TB IC guideline, 36% had TB IC plan, 12% had a designated area for sputum collection, 56% were regularly opening windows, 40% had fans installed in the waiting areas and/or consultation rooms and 24% had bio-safety cabinets fitted with UV light. In addition, 60% had N95 respirators but only 32% of the facilities reported that their health workers routinely wore them.ConclusionImplementation of WHO recommended TB IC measures in health facilities delivering TB care services in Kampala was sub optimal. Routine involvement of health facility management as well as increasing human resources for health is critical in implementing easy to do TBIC measures like triaging, patients’ educating on coughing etiquette and respiratory hygiene and daily window opening particularly in public health care settings where implementation of administrative TB IC measures is wanting

Download Full-text

PENGEMBANGAN MEDIA INFORMASI UNTUK PELAYANAN PENDAFTARAN PASIEN DI BPM RIKA HARDI, S.ST

LOGISTA - Jurnal Ilmiah Pengabdian kepada Masyarakat ◽

10.25077/logista.4.1.123-128.2020 ◽

2020 ◽

Vol 4 (1) ◽

pp. 123

Author(s):

Rahmi Septia Sari

Keyword(s):

Health Facility ◽

Information Needs ◽

Health Workers ◽

Health Management ◽

Community Health Services ◽

Health Care Facilities ◽

Health Facilities ◽

Media Planning ◽

Information Media ◽

The Government

Fasilitas kesehatan merupakan pelayanan yang sangat penting bagi masyarakat. Pelayanan kesehatan adalah tulang punggung fasilitas kesehatan di Indonesia. Fasilitas kesehatan bisa dimiliki oleh Pemerintah, Pemerintah Daerah atau swasta. Tenaga kesehatan terdiri dari beragam profesi seperti tenaga dokter, bidan, perawat, apoteker, ahli gizi, tenaga perekam medis, tenaga manajemen kesehatan maupun tenaga non kesehatan. Pasien yang datang ke fasilitas kesehatan pun memiliki beragam jenis penyakit mulai dari penyakit menular sampai penyakit degeneratif. Oleh karena itu, dalam hal ini dilakukan penyusun alur dan prosedur pendaftaran pasien sehingga pelayanan berlangsung baik. Salah satu kriteria penilaian akreditasi pada suatu fasilitas kesehatan adalah tersedianya informasi tentang alur prosedur pendaftaran pelayanan saat pasien mendaftar di loket pendaftaran. Kejelasan informasi yang diterima pasien akan memberikan rasa puas terhadap pasien. Kesan pertama di loket pendaftaran akan membentuk persepsi pasien terhadap keseluruhan pelayanan di fasilitas kesehatan. Tujuan kegiatan ini menyediakan media informasi untuk edukasi pasien saat mendaftar tentang alur dan prosedur pelayanan di loket pendaftaran. Metode yang lakukan adalah observasi ke fasilitas pelayanan kesehatan, identifikasi dan analisis kebutuhan media informasi, perencangan media informasi, ujicoba media, sosialisasi, dan evaluasi. Hasil yang diperoleh tersedianya media informasi dalam bentuk banner tentang alur prosedur pelayanan di fasilitas kesehatan. Kata Kunci: Media, Alur prosedur pendaftaran, Bidan praktek mandiri ABTRACT Health facilities are very important services for the community. Health services are the backbone of health facilities in Indonesia. Health facilities can be owned by the Government, Local Government or private. Health workers consist of various professions such as doctors, midwives, nurses, pharmacists, nutritionists, medical record workers, health management personnel and non-health workers. Patients who come to health facilities also have a variety of diseases ranging from infectious diseases to degenerative diseases. Therefore, here I am trying to develop a flow and procedure for patient registration. One of the criteria for evaluating accreditation at a health facility is the availability of information about the flow of the procedure for registering services when patients register at the registration counter. Clarity of information received by the patient will give satisfaction to the patient. First impressions at the registration window will shape the patient's perception of the overall service in the health facility. The purpose of this activity is to provide information media for patient education when registering the flow and procedure of service at the registration counter. The method used is observation to health care facilities, identification and analysis of media information needs, information media planning, media testing, outreach, and evaluation. The results obtained are the availability of information media in the form of banners about the flow of service procedures in health facilities. Keywords: Media, Registration procedure flow, Midwife independent practice

Download Full-text

Determinants of malaria testing at health facilities: the case of Uganda

Malaria Journal ◽

10.1186/s12936-021-03992-9 ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Ruth N. Kigozi ◽

JohnBaptist Bwanika ◽

Emily Goodwin ◽

Peter Thomas ◽

Patrick Bukoma ◽

...

Keyword(s):

Health Facility ◽

Health Workers ◽

Clinical Symptoms ◽

Malaria Diagnosis ◽

Health Facilities ◽

Sub Saharan Africa ◽

World Health ◽

Supportive Supervision ◽

Care Providers ◽

Cross Sectional Survey

Abstract Background The World Health Organization (WHO) recommends prompt malaria diagnosis with either microscopy or malaria rapid diagnostic tests (RDTs) and treatment with an effective anti-malarial, as key interventions to control malaria. However, in sub-Saharan Africa, malaria diagnosis is still often influenced by clinical symptoms, with patients and care providers often interpreting all fevers as malaria. The Ministry of Health in Uganda defines suspected malaria cases as those with a fever. A target of conducting testing for at least 75% of those suspected to have malaria was established by the National Malaria Reduction Strategic Plan 2014–2020. Methods This study investigated factors that affect malaria testing at health facilities in Uganda using data collected in March/April 2017 in a cross-sectional survey of health facilities from the 52 districts that are supported by the US President’s Malaria Initiative (PMI). The study assessed health facility capacity to provide quality malaria care and treatment. Data were collected from all 1085 public and private health facilities in the 52 districts. Factors assessed included supportive supervision, availability of malaria management guidelines, laboratory infrastructure, and training health workers in the use of malaria rapid diagnostic test (RDT). Survey data were matched with routinely collected health facility malaria data obtained from the district health information system Version-2 (DHIS2). Associations between testing at least 75% of suspect malaria cases with several factors were examined using multivariate logistic regression. Results Key malaria commodities were widely available; 92% and 85% of the health facilities reported availability of RDTs and artemether–lumefantrine, respectively. Overall, 933 (86%) of the facilities tested over 75% of patients suspected to have malaria. Predictors of meeting the testing target were: supervision in the last 6 months (OR: 1.72, 95% CI 1.04–2.85) and a health facility having at least one health worker trained in the use of RDTs (OR: 1.62, 95% CI 1.04–2.55). Conclusion The study findings underscore the need for malaria control programmes to provide regular supportive supervision to health facilities and train health workers in the use of RDTs.

Download Full-text