Improving access to early treatment of malaria: a trial with primary school teachers as care providers

Afenyadu, G. Y., Agyepong, I. A., Barnish, Guy and Adjei, S. (2005) 'Improving access to early treatment of malaria: a trial with primary school teachers as care providers'. Tropical Medicine & International Health, Vol 10, Issue 10, pp. 1065-1072.

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Abstract

The feasibility of improving access to early case detection and prompt and adequate management of acute episodes of malaria using school teachers was explored through an intervention trial in Ghana. Of all the 'fevers' diagnosed as presumptive malaria by the trained teachers, 93% met the case definition. However, a lower proportion (75%) of such correctly diagnosed cases were subsequently treated according to the treatment protocol provided. In a scaled up study, pre-packaging of the antimalarial drug improved the rate of adequate treatment to 97% of cases correctly diagnosed as presumptive malaria. Pre-packaging of chloroquine ensured a high level of user compliance (96.6%), even in the face of diminished supervision of the teachers. It is feasible for the health and education sectors to work in partnership to improve access to early case detection and adequate management of acute episodes of malaria.

Item Type:	Article
Additional Information:	Freely available online via link shown
Uncontrolled Keywords:	antimalarials/administration drug packaging patience adherence primary schools case management ghana management children impact ghana
Subjects:	W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 85 Patients. Attitude and compliance WB Practice of Medicine > Therapeutics > WB 305 Instructions or non-drug prescriptions for devices or therapy (General) WB Practice of Medicine > Therapeutics > WB 340 Drug Administration WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
Faculty: Department:	Groups (2002 - 2012) > Disease Control Strategy Group
Digital Object Identifer (DOI):	https://doi.org/10.1111/j.1365-3156.2005.01484.x
Depositing User:	Sarah Lewis-Newton
Date Deposited:	12 Sep 2011 15:18
Last Modified:	06 Feb 2018 13:03
URI:	https://archive.lstmed.ac.uk/id/eprint/1980

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