Knowledge and Adherence to the National Guidelines for Malaria Case Management in Pregnancy among Healthcare Providers and Drug Outlet Dispensers in Rural, Western Kenya

PloS One
Christina RileyJulie Gutman

Abstract

Although prompt, effective treatment is a cornerstone of malaria control, information on provider adherence to malaria in pregnancy (MIP) treatment guidelines is limited. Incorrect or sub-optimal treatment can adversely affect the mother and fetus. This study assessed provider knowledge of and adherence to national case management guidelines for uncomplicated MIP. We conducted a cross-sectional study from September to November 2013, in 51 health facilities (HF) and a randomly-selected sample of 39 drug outlets (DO) in the KEMRI/CDC Health and Demographic Surveillance System area in western Kenya. Provider knowledge of national treatment guidelines was assessed with standardized questionnaires. Correct practice required adequate diagnosis, pregnancy assessment, and treatment with correct drug and dosage. In HF, we conducted exit interviews in all women of childbearing age assessed for fever. In DO, simulated clients posing as first trimester pregnant women or as relatives of third trimester pregnant women collected standardized information. Correct MIP case management knowledge and practice were observed in 45% and 31% of HF and 0% and 3% of DO encounters, respectively. The correct drug and dosage for pregnancy trimester was pre...Continue Reading

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Citations

Apr 12, 2017·Birth Defects Research·Lisa M Noguchi, Richard H Beigi
May 11, 2019·The American Journal of Tropical Medicine and Hygiene·Elizabeth DavlantesMateusz M Plucinski
Aug 10, 2019·The International Journal of Pharmacy Practice·Ingunn BjörnsdottirPauline Norris
Feb 6, 2018·The Lancet Infectious Diseases·Umberto D'AlessandroEsperanca Sevene
Apr 11, 2021·Malaria Journal·Ronald KigubaSheila M Bird

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Methods Mentioned

BETA
pregnancy test
pregnancy tests

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