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In: International journal of academic research in business and social sciences: IJ-ARBSS, Band 8, Heft 11
ISSN: 2222-6990
In: Child abuse & neglect: the international journal ; official journal of the International Society for the Prevention of Child Abuse and Neglect, Band 84, S. 170-181
ISSN: 1873-7757
In: Alcohol and alcoholism: the international journal of the Medical Council on Alcoholism (MCA) and the journal of the European Society for Biomedical Research on Alcoholism (ESBRA), Band 53, Heft 4, S. 497-498
ISSN: 1464-3502
In: Revista de administração Mackenzie: RAM, Band 18, Heft 5, S. 202-228
ISSN: 1678-6971
In: International journal of academic research in business and social sciences: IJ-ARBSS, Band 7, Heft 6
ISSN: 2222-6990
In: Reproductive sciences: RS : the official journal of the Society for Reproductive Investigation, Band 24, Heft 4, S. 595-608
ISSN: 1933-7205
In: Annals of work exposures and health: addressing the cause and control of work-related illness and injury, Band 61, Heft 3, S. 299-310
ISSN: 2398-7316
In: Materials and design, Band 105, S. 34-40
ISSN: 1873-4197
In: Marriage & family review, Band 53, Heft 6, S. 556-575
ISSN: 1540-9635
In: Ecotoxicology and environmental safety: EES ; official journal of the International Society of Ecotoxicology and Environmental safety, Band 132, S. 429-434
ISSN: 1090-2414
In: Environmental science and pollution research: ESPR, Band 24, Heft 33, S. 25682-25692
ISSN: 1614-7499
In: The annals of occupational hygiene: an international journal published for the British Occupational Hygiene Society, Band 60, Heft 5, S. 567-580
ISSN: 1475-3162
SSRN
Working paper
SSRN
Working paper
Background: Zambia was the first African country to change national antimalarial treatment policy to artemisinin-based combination therapy – artemether-lumefantrine. An evaluation during the early implementation phase revealed low readiness of health facilities and health workers to deliver artemether-lumefantrine, and worryingly suboptimal treatment practices. Improvements in the case-management of uncomplicated malaria two years after the initial evaluation and three years after the change of policy in Zambia are reported. Methods: Data collected during the health facility surveys undertaken in 2004 and 2006 at all outpatient departments of government and mission facilities in four Zambian districts were analysed. The surveys were cross-sectional, using a range of quality of care assessment methods. The main outcome measures were changes in health facility and health worker readiness to deliver artemether-lumefantrine, and changes in case-management practices for children below five years of age presenting with uncomplicated malaria as defined by national guidelines. Results: In 2004, 94 health facilities, 103 health workers and 944 consultations for children with uncomplicated malaria were evaluated. In 2006, 104 facilities, 135 health workers and 1125 consultations were evaluated using the same criteria of selection. Health facility and health worker readiness improved from 2004 to 2006: availability of artemetherlumefantrine from 51% (48/94) to 60% (62/104), presence of artemether-lumefantrine dosage wall charts from 20% (19/94) to 75% (78/104), possession of guidelines from 58% (60/103) to 92% (124/135), and provision of in-service training from 25% (26/103) to 41% (55/135). The proportions of children with uncomplicated malaria treated with artemetherlumefantrine also increased from 2004 to 2006: from 1% (6/527) to 27% (149/552) in children weighing 5 to 9 kg, and from 11% (42/394) to 42% (231/547) in children weighing 10 kg or more. In both weight groups and both years, 22% (441/2020) of children with ...
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