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Preference for Artemisinin-based combination therapy among healthcare providers,Lokoja,North-Central Nigeria

Global Health Research and Policy 2019年第1期4卷 405-412页

作者： Sylvanus C.Welle Olufemi Ajumobi Magbagbeola Dairo Muhammad Balogun Peter Adewuyi Babatunde Adedokun Patrick Nguku saheed gidado IkeOluwapo Ajayi Division of Health Promotion Department of Family HealthFederal Ministry of HealthAbujaNigeria Nigeria Field Epidemiology and Laboratory Training Programme AbujaNigeria African Field Epidemiology Network Nigeria Country OfficeAbujaNigeria Department of Epidemiology and Medical Statistics University of IbadanIbadanNigeria Liberia Field Epidemiology Training Programme MonroviaLiberia

Background:In Nigeria,Artemisinin-based Combination Therapy(ACT)is the recommended first line antimalarial medicine for uncomplicated ***,health care providers still continue the use of less efficacious medicines such as Sulphadoxine-pyrimethamine and *** therefore determined preference for ACT(PFA)and factors associated with PFA among healthcare providers(HCP)in Lokoja,North-Central Nigeria as well as assessed healthcare providers’knowledge of malaria case ***:We conducted a cross-sectional study among physicians,nurses,pharmacists,community health officers(CHOs),community health extension workers(CHEWs)and,patent and proprietary medicine vendors(PPMVs).Interviewer-administered questionnaires were administered to collect data on respondents’characteristics,previously received malaria case management training and knowledge of malaria *** scores≥3 were categorised as good,maximum obtainable being ***:Of the 404 respondents,214(53.0%)were ***,219(54.2%)respondents who received malaria case management training included PPMVs:79(65.8%),CHEWs:25(64.1%),CHOs:5(55.6%),nurses:72(48.7%),physicians:35(47.3%)and pharmacists:3(23.1%).Overall,202(50.0%)providers including physicians:69(93.2%),CHO:8(88.9%),CHEWs:33(84.6%),pharmacists:8(61.5%),nurses:64(43.2%)and PPMVs:20(16.5%),had good knowledge of malaria treatment ***,preference for ACT among healthcare providers was 39.6%.Physicians:50(67.6%),pharmacists:7(59.3%)CHOs:5(55.6%),CHEWS:16(41.0%),nurses:56(37.8%)and PPMV:24(19.8%)had *** malaria case management training(adjusted odds ratio[aOR])=2.3;CI=1.4-3.7)and having good knowledge of malaria treatment(aOR=4.0;CI=2.4-6.7)were associated with ***:Overall preference for ACT use was low among health care providers in this *** for ACTs and proportion of health workers with good knowledge of malaria case management were even lower among PPMVs who had highest propo

关键词： Artemisinin-based combination therapy Preference for ACT Healthcare providers

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