Adherence of healthcare providers to diagnosis and treatment guidelines at Mbulu District Council, Manyara, Tanzania
Gidamebatbat, Selina. Y CUHAS/BP/3000382/T/16
Adherence of healthcare providers to diagnosis and treatment guidelines at Mbulu District Council, Manyara, Tanzania - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] ©2020 - xii; 42 Includes Refferences and Appendices
Abstract:
Background: Malaria remain a potential life threatening disease in Tanzania and globally. Effective medical intervention is needed in management of the malaria cases by all health care providers through adherence to the national treatment guideline. This study aimed to determine the magnitude and factors influencing adherence of health care providers on malaria diagnosis and treatment guidelines at Mbulu district council, Manyara.
Methods: A cross sectional study to conduct the study which involved 370 health care providers whereby 95 from dispensary, 46 health center and 229 from hospital. Random sampling techniques was used to obtained 17 dispensaries facilities but hospital and health centre were decided to be visited since in the district there was only one hospital and health centre. Data was collected through open ended questionnaire and analyzed by SPSS version 20. Association between adherence, social demographic features, awareness and accessibility, usage of treatment guideline and facilities status was tested by Chi-square at 5% level of significance.
Result: Magnitude of adherence to malaria treatment guideline was 75.7% strictly adhered, 6.5% partially adhered and 17.8% non-adhered. Health care providers from dispensary (85.3%) were adhered significantly more highly when compared to health centre (82.3%) and hospital (70.0%) p=0.012. Malaria diagnostic method used was mostly MRDT (78.4%) and microscopy (11.9%) in which MRDT was more highly used in the centre (93.5%), dispensary (87.4% and hospital (71.6%) p=0.000. Unavailability of MRDT and antimalarial drugs, patient perception on diagnostic method and patient demand of antimalarial influence the adherence to treatment guideline p=0.037.
Conclusion: This study indicated significance difference in adherence to malaria diagnosis and treatment guideline among the health care providers in dispensary, health centre and hospital although training and awareness were not significantly difference. Maintaining supply of diagnostic test and antimalarial drugs may improve adherence to treatment guideline.
--Pharmacy --Parasitology
Adherence of healthcare providers to diagnosis and treatment guidelines at Mbulu District Council, Manyara, Tanzania - Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS - Bugando] ©2020 - xii; 42 Includes Refferences and Appendices
Abstract:
Background: Malaria remain a potential life threatening disease in Tanzania and globally. Effective medical intervention is needed in management of the malaria cases by all health care providers through adherence to the national treatment guideline. This study aimed to determine the magnitude and factors influencing adherence of health care providers on malaria diagnosis and treatment guidelines at Mbulu district council, Manyara.
Methods: A cross sectional study to conduct the study which involved 370 health care providers whereby 95 from dispensary, 46 health center and 229 from hospital. Random sampling techniques was used to obtained 17 dispensaries facilities but hospital and health centre were decided to be visited since in the district there was only one hospital and health centre. Data was collected through open ended questionnaire and analyzed by SPSS version 20. Association between adherence, social demographic features, awareness and accessibility, usage of treatment guideline and facilities status was tested by Chi-square at 5% level of significance.
Result: Magnitude of adherence to malaria treatment guideline was 75.7% strictly adhered, 6.5% partially adhered and 17.8% non-adhered. Health care providers from dispensary (85.3%) were adhered significantly more highly when compared to health centre (82.3%) and hospital (70.0%) p=0.012. Malaria diagnostic method used was mostly MRDT (78.4%) and microscopy (11.9%) in which MRDT was more highly used in the centre (93.5%), dispensary (87.4% and hospital (71.6%) p=0.000. Unavailability of MRDT and antimalarial drugs, patient perception on diagnostic method and patient demand of antimalarial influence the adherence to treatment guideline p=0.037.
Conclusion: This study indicated significance difference in adherence to malaria diagnosis and treatment guideline among the health care providers in dispensary, health centre and hospital although training and awareness were not significantly difference. Maintaining supply of diagnostic test and antimalarial drugs may improve adherence to treatment guideline.
--Pharmacy --Parasitology