Adherence, Awareness, Access, and Use of Standard Diagnosis and Treatment Guideline for Malaria Case Management among Healthcare Workers in Meatu, Tanzania

摘要

Background. Effective case management is a vital component of malaria control and elimination strategies. However, the level of adherence to the malaria diagnostic test and treatment guideline is not known, particularly at Meatu district. Therefore, this study aimed at determining the adherence, awareness, access, and use of standard diagnosis and treatment guidelines among healthcare workers in Meatu district. Method. This was a descriptive cross-sectional study, which enrolled a total of 196 healthcare workers in Meatu district. Healthcare workers were sampled purposively to reach the required sample size. A structured questionnaire was used for data collection. Results. Generally, 189 (96.4%) were aware of malaria treatment guidelines, while 148 (75.5%) had access and 98 (50.0%) used malaria treatment guidelines. One hundred and seven (54.6%) of all the healthcare workers adhered strictly to the diagnosis and national treatment guidelines. Ten (5.1%) partially adhered to the guideline when choosing antimalarials without confirmed malaria cases. Nonadherence to the prescription of recommended antimalarial drugs and laboratory confirmation was 79 (40.3%). Conclusion. Half of healthcare worker’s adhere to malaria diagnostic test and treatment guidelines. Most the healthcare workers are aware of the malaria diagnostic test and treatment guidelines. Continued education and assessment of the personal attitudes towards malaria diagnostic test and treatment guidelines are recommended.