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

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 sti...

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Autores principales:	Ruth N. Kigozi, JohnBaptist Bwanika, Emily Goodwin, Peter Thomas, Patrick Bukoma, Persis Nabyonga, Fred Isabirye, Paul Oboth, Carol Kyozira, Mame Niang, Kassahun Belay, Gloria Sebikaari, James K. Tibenderana, Sam Siduda Gudoi
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Malaria Malaria diagnostic practices Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216
Acceso en línea:	https://doaj.org/article/a2dc3e9ec6ee413a97245998d781b902
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spelling	oai:doaj.org-article:a2dc3e9ec6ee413a97245998d781b9022021-12-05T12:21:36ZDeterminants of malaria testing at health facilities: the case of Uganda10.1186/s12936-021-03992-91475-2875https://doaj.org/article/a2dc3e9ec6ee413a97245998d781b9022021-12-01T00:00:00Zhttps://doi.org/10.1186/s12936-021-03992-9https://doaj.org/toc/1475-2875Abstract 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.Ruth N. KigoziJohnBaptist BwanikaEmily GoodwinPeter ThomasPatrick BukomaPersis NabyongaFred IsabiryePaul ObothCarol KyoziraMame NiangKassahun BelayGloria SebikaariJames K. TibenderanaSam Siduda GudoiBMCarticleMalariaMalaria diagnostic practicesArctic medicine. Tropical medicineRC955-962Infectious and parasitic diseasesRC109-216ENMalaria Journal, Vol 20, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Malaria Malaria diagnostic practices Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216
spellingShingle	Malaria Malaria diagnostic practices Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Ruth N. Kigozi JohnBaptist Bwanika Emily Goodwin Peter Thomas Patrick Bukoma Persis Nabyonga Fred Isabirye Paul Oboth Carol Kyozira Mame Niang Kassahun Belay Gloria Sebikaari James K. Tibenderana Sam Siduda Gudoi Determinants of malaria testing at health facilities: the case of Uganda
description	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.
format	article
author	Ruth N. Kigozi JohnBaptist Bwanika Emily Goodwin Peter Thomas Patrick Bukoma Persis Nabyonga Fred Isabirye Paul Oboth Carol Kyozira Mame Niang Kassahun Belay Gloria Sebikaari James K. Tibenderana Sam Siduda Gudoi
author_facet	Ruth N. Kigozi JohnBaptist Bwanika Emily Goodwin Peter Thomas Patrick Bukoma Persis Nabyonga Fred Isabirye Paul Oboth Carol Kyozira Mame Niang Kassahun Belay Gloria Sebikaari James K. Tibenderana Sam Siduda Gudoi
author_sort	Ruth N. Kigozi
title	Determinants of malaria testing at health facilities: the case of Uganda
title_short	Determinants of malaria testing at health facilities: the case of Uganda
title_full	Determinants of malaria testing at health facilities: the case of Uganda
title_fullStr	Determinants of malaria testing at health facilities: the case of Uganda
title_full_unstemmed	Determinants of malaria testing at health facilities: the case of Uganda
title_sort	determinants of malaria testing at health facilities: the case of uganda
publisher	BMC
publishDate	2021
url	https://doaj.org/article/a2dc3e9ec6ee413a97245998d781b902
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Determinants of malaria testing at health facilities: the case of Uganda

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