Effect of Supportive Supervision on Competency of Febrile Clinical Case Management in Sub-Saharan Africa

The American Journal of Tropical Medicine and Hygiene
Troy MartinPaul Hamilton

Abstract

Since 2010, the WHO has recommended that clinical decision-making for malaria case management be performed based on the results of a parasitological test result. Between 2015 and 2017, the U.S. President's Malaria Initiative-funded MalariaCare project supported the implementation of this practice in eight sub-Saharan African countries through 5,382 outreach training and supportive supervision visits to 3,563 health facilities. During these visits, trained government supervisors used a 25-point checklist to observe clinicians' performance in outpatient departments, and then provided structured mentoring and action planning. At baseline, more than 90% of facilities demonstrated a good understanding of WHO recommendations-when tests should be ordered, using test results to develop an accurate final diagnosis, severity assessment, and providing the correct prescription. However, significant deficits were found in history taking, conducting a physical examination, and communicating with patients and their caregivers. After three visits, worker performance demonstrated steady improvement-in particular, with checking for factors associated with increased morbidity and mortality: one sign of severe malaria (72.9-85.5%), pregnancy (81.1...Continue Reading

References

Nov 1, 1993·Transactions of the Royal Society of Tropical Medicine and Hygiene·T J O'DempseyB M Greenwood
Jun 10, 2006·Annals of Tropical Medicine and Parasitology·D Zurovac, A K Rowe
Oct 10, 2013·Tropical Medicine & International Health : TM & IH·Julian T HertzJohn A Crump
Feb 28, 2014·The New England Journal of Medicine·Valérie D'AcremontBlaise Genton
Mar 9, 2018·Health Services Research·Margaret E KrukHannah H Leslie
Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·M James EliadesPaul Hamilton
Feb 23, 2019·The American Journal of Tropical Medicine and Hygiene·Sarah M BurnettPaul Hamilton

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antimalarial Agents (ASM)

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.

Antimalarial Agents

Antimalarial agents, also known as antimalarials, are designed to prevent or cure malaria. Discover the latest research on antimalarial agents here.

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.