The impact of using malaria rapid diagnostic test at clinical point of care on improving prescriber's adherence to test results in health facilities of Urambo and Nzega Districts, Western Tanzania (Record no. 18323)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03751nam a22002177a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MPH/6000108/T/15 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MPH/6000108/T/15 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240416103702.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210820b |||||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Kheri, Mwijage. Kagya |
| Dates associated with a name | CUHAS/MPH/6000108/T/15 |
| 9 (RLIN) | 22601 |
| 245 ## - TITLE STATEMENT | |
| Title | The impact of using malaria rapid diagnostic test at clinical point of care on improving prescriber's adherence to test results in health facilities of Urambo and Nzega Districts, Western Tanzania |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences CUHAS - Bugando : |
| Date of publication, distribution, etc. | ©2016 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xiv; 55 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Available evidence indicates poor adherence to malaria rapid diagnostic tests results among health workers with patients having negative results being prescribed with antimalarial. The present study aimed at assessing the impact of introducing malaria rapid diagnostic tests at clinical point of care if it will improve adherence to test results and reduce over prescription of antimalarial.<br/><br/>Method: This was a non-randomized intervention trial conducted in two (2) district hospitals of Urambo and Nzega, Tabora region from July to September 2016. Clinicians from Urambo district hospital (Intervention arm) were trained on how to diagnose malaria suspect patients attending at the hospital. Clinician at Nzega district hospital (control arm) continued with routine ordering for malaria testing using malaria rapid diagnostic tests from medical laboratory.<br/><br/>Results: A total of 593 malaria suspected patients were recruited into study (330 in the intervention arm and 263 in the control arm), of these, 49.4% (n=293) and 50.6% (n=300) were females and males respectively. The median age of study participants was 19 [IQR: 4-32] years with majority of study participants aged 1-10 years (38.3%). For the intervention arm (Urambo district hospital), 17.9% (n=59) of study participants had positive test and 20.2% (n=53) in the control arm (Nzega district hospital) had positive results who received antimalarial. The proportional of malaria rapid diagnostic test negative results who received antimalarial in the intervention arm was 4.8% (n=13) and in the control arm was 20.4% (n=43). Introduction of malaria rapid diagnostic test at clinical point of care reduced the odd of receiving antimalarial among malaria suspect patients who tested negative for the disease by 15.6% (X2 =28.2749, P<0.0001). At Bivariable and multivariable analysis in intervention arm having history of fever (OR=5.26, 95%CI: 1.84-15.02, P<0.002), presumptive diagnosis of anaemia (pallor) (OR=12.85, 95%CI: 4.96-33.32, P<0.01), history of vomiting (OR=2.70, 95%CI: 1.52-4.81, P<0.001) presumptive diagnosis of severe malaria (OR=38.96, 95%CI: 16.3-93.01, P<0.001) and in control arm; age group between 1-10 years (OR=4.69, 95%CI: 1.36-16.15, P<0.01), history of vomiting (OR=4.64, 95%CI: 2.31 – 9.34, P<0.001) presumptive diagnosis of severe malaria (OR=3.74, 95%CI: 1.96 – 7.14, P<0.001) were independently associated with prescription of antimalarial to patients with malaria rapid diagnostic test negative results. Factors which appeared to be significantly associated with over prescription in both arms history of vomiting and presumptive diagnosis of severe malaria.<br/><br/>Conclusion: In this intervention trial, provision of malaria rapid diagnostic test at clinical point of care significantly contributed to reduction in prescription of antimalarial to patients with negative results.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Public Health |
| 9 (RLIN) | 30696 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 30367 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 08/20/2021 | PD0175 | 08/20/2021 | 08/20/2021 | POSTGRADUATE DISSERTATIONS |