Translation of artemether–lumefantrine treatment policy into paediatric clinical practice: an early experience from Kenya
2008

Quality of Malaria Treatment in Kenyan Children

Sample size: 1533 publication Evidence: moderate

Author Information

Author(s): Zurovac D, Njogu J, Akhwale W, Hamer D H, Snow R W

Primary Institution: KEMRI/Wellcome Trust Research Programme

Hypothesis

How effectively is artemether-lumefantrine being implemented in pediatric malaria treatment in Kenya?

Conclusion

The implementation of artemether-lumefantrine for treating malaria in children is inconsistent, with many children not receiving the recommended treatment.

Supporting Evidence

  • 89% of facilities stocked artemether-lumefantrine.
  • Only 26% of children needing treatment received artemether-lumefantrine.
  • Health workers with in-service training were more likely to prescribe the correct treatment.

Takeaway

This study looked at how well doctors in Kenya are giving the right medicine to kids with malaria. Many kids didn't get the medicine they needed.

Methodology

Cross-sectional survey at all government facilities in four Kenyan districts.

Potential Biases

Potential bias due to self-reported data from health workers and caretakers.

Limitations

The study only evaluated practices 4-6 months after the new treatment policy was implemented, which may not reflect long-term adherence.

Participant Demographics

Children under 5 years of age presenting with fever or history of fever.

Digital Object Identifier (DOI)

10.1111/j.1365-3156.2007.01980.x

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication