Malaria Case-Management under New Policy in Kenya
Author Information
Author(s): Nyandigisi Andrew, Memusi Dorothy, Mbithi Agneta, Ang'wa Newton, Shieshia Mildred, Muturi Alex, Sudoi Raymond, Githinji Sophie, Juma Elizabeth, Zurovac Dejan
Primary Institution: Division of Malaria Control, Ministry of Public Health & Sanitation, Nairobi, Kenya
Hypothesis
The study evaluates the impact of a new malaria case-management policy in Kenya on health systems and case-management indicators.
Conclusion
The study found some improvements in case-management indicators, but the changes were smaller than expected and rarely statistically significant.
Supporting Evidence
- Training on the new policy increased from 0% to 22%.
- Testing rates for malaria increased from 24% to 31%.
- Treatment adherence for test positive patients improved from 83% to 90%.
Takeaway
The study looked at how well health workers in Kenya are following new rules for treating malaria, and while there were some improvements, many people still aren't getting the right care.
Methodology
The study used national, cross-sectional surveys to assess health facilities and health worker practices before and after the implementation of the new policy.
Potential Biases
Potential biases may arise from the self-reported data from health workers and patients.
Limitations
The study's findings may not be generalizable due to the specific context of the health facilities surveyed.
Participant Demographics
The majority of patients were 5 years and older, with a similar gender distribution across surveys.
Statistical Information
P-Value
p=0.048
Confidence Interval
95% CI
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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