Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria
Abstract Background In Nigeria, Artemisinin-based Combination Therapy (ACT) is the recommended first line antimalarial medicine for uncomplicated malaria. However, health care providers still continue the use of less efficacious medicines such as Sulphadoxine-pyrimethamine and chloroquine. We theref...
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| Format: | Article |
| Language: | English |
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BMC
2019-01-01
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| Series: | Global Health Research and Policy |
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| Online Access: | http://link.springer.com/article/10.1186/s41256-018-0092-9 |
| _version_ | 1828807762170085376 |
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| author | Sylvanus C. Welle Olufemi Ajumobi Magbagbeola Dairo Muhammad Balogun Peter Adewuyi Babatunde Adedokun Patrick Nguku Saheed Gidado IkeOluwapo Ajayi |
| author_facet | Sylvanus C. Welle Olufemi Ajumobi Magbagbeola Dairo Muhammad Balogun Peter Adewuyi Babatunde Adedokun Patrick Nguku Saheed Gidado IkeOluwapo Ajayi |
| author_sort | Sylvanus C. Welle |
| collection | DOAJ |
| description | Abstract Background In Nigeria, Artemisinin-based Combination Therapy (ACT) is the recommended first line antimalarial medicine for uncomplicated malaria. However, health care providers still continue the use of less efficacious medicines such as Sulphadoxine-pyrimethamine and chloroquine. We 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 management. Methods 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 treatment. Knowledge scores ≥3 were categorised as good, maximum obtainable being 5. Results Of the 404 respondents, 214 (53.0%) were males. Overall, 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 guidelines. Overall, 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 PFA. Receiving 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 PFA. Conclusions Overall preference for ACT use was low among health care providers in this study. Preference for ACTs and proportion of health workers with good knowledge of malaria case management were even lower among PPMVs who had highest proportion of those who received malaria case management training. We recommend evaluation of current training quality, enhanced targeted training, follow-up supportive supervision of PPMVs and behavior change communication on ACT use. |
| first_indexed | 2024-12-12T08:30:31Z |
| format | Article |
| id | doaj.art-8670e675ce8141419ab4a48c2e6e21a3 |
| institution | Directory Open Access Journal |
| issn | 2397-0642 |
| language | English |
| last_indexed | 2024-12-12T08:30:31Z |
| publishDate | 2019-01-01 |
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| series | Global Health Research and Policy |
| spelling | doaj.art-8670e675ce8141419ab4a48c2e6e21a32022-12-22T00:31:07ZengBMCGlobal Health Research and Policy2397-06422019-01-01411810.1186/s41256-018-0092-9Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central NigeriaSylvanus C. Welle0Olufemi Ajumobi1Magbagbeola Dairo2Muhammad Balogun3Peter Adewuyi4Babatunde Adedokun5Patrick Nguku6Saheed Gidado7IkeOluwapo Ajayi8Division of Health Promotion, Department of Family Health, Federal Ministry of HealthNigeria Field Epidemiology and Laboratory Training ProgrammeDepartment of Epidemiology and Medical Statistics, University of IbadanNigeria Field Epidemiology and Laboratory Training ProgrammeLiberia Field Epidemiology Training ProgrammeDepartment of Epidemiology and Medical Statistics, University of IbadanNigeria Field Epidemiology and Laboratory Training ProgrammeNigeria Field Epidemiology and Laboratory Training ProgrammeNigeria Field Epidemiology and Laboratory Training ProgrammeAbstract Background In Nigeria, Artemisinin-based Combination Therapy (ACT) is the recommended first line antimalarial medicine for uncomplicated malaria. However, health care providers still continue the use of less efficacious medicines such as Sulphadoxine-pyrimethamine and chloroquine. We 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 management. Methods 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 treatment. Knowledge scores ≥3 were categorised as good, maximum obtainable being 5. Results Of the 404 respondents, 214 (53.0%) were males. Overall, 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 guidelines. Overall, 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 PFA. Receiving 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 PFA. Conclusions Overall preference for ACT use was low among health care providers in this study. Preference for ACTs and proportion of health workers with good knowledge of malaria case management were even lower among PPMVs who had highest proportion of those who received malaria case management training. We recommend evaluation of current training quality, enhanced targeted training, follow-up supportive supervision of PPMVs and behavior change communication on ACT use.http://link.springer.com/article/10.1186/s41256-018-0092-9Artemisinin-based combination therapyPreference for ACTHealthcare providers |
| spellingShingle | Sylvanus C. Welle Olufemi Ajumobi Magbagbeola Dairo Muhammad Balogun Peter Adewuyi Babatunde Adedokun Patrick Nguku Saheed Gidado IkeOluwapo Ajayi Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria Global Health Research and Policy Artemisinin-based combination therapy Preference for ACT Healthcare providers |
| title | Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria |
| title_full | Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria |
| title_fullStr | Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria |
| title_full_unstemmed | Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria |
| title_short | Preference for Artemisinin–based combination therapy among healthcare providers, Lokoja, North-Central Nigeria |
| title_sort | preference for artemisinin based combination therapy among healthcare providers lokoja north central nigeria |
| topic | Artemisinin-based combination therapy Preference for ACT Healthcare providers |
| url | http://link.springer.com/article/10.1186/s41256-018-0092-9 |
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