Patient-, health worker-, and health facility-level determinants of correct malaria case management at publicly funded health facilities in Malawi: results from a nationally representative health facility survey.

ABSTRACT:

Background

Prompt and effective case management is needed to reduce malaria morbidity and mortality. However, malaria diagnosis and treatment is a multistep process that remains problematic in many settings, resulting in missed opportunities for effective treatment as well as overtreatment of patients without malaria.

Methods

Prior to the widespread roll-out of malaria rapid diagnostic tests (RDTs) in late 2011, a national, cross-sectional, complex-sample, health facility survey was conducted in Malawi to assess patient-, health worker-, and health facility-level factors associated with malaria case management quality using multivariate Poisson regression models.

Results

Among the 2,019 patients surveyed, 34% had confirmed malaria defined as presence of fever and para

SUBMITTER: Steinhardt LC 

PROVIDER: S-EPMC3938135 | biostudies-literature | 2014 Feb

REPOSITORIES: biostudies-literature