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Hormozgan University of Medical Sciences

Baseline results of the first malaria indicator survey in Iran at the health facility level

(2011) Baseline results of the first malaria indicator survey in Iran at the health facility level. Malaria Journal.

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Abstract

Background: Malaria continues to be a global public health challenge, particularly in developing countries. Delivery of prompt and effective diagnosis and treatment of malaria cases, detection of malaria epidemics within one week of onset and control them in less than a month, regular disease monitoring and operational classification of malaria are among the major responsibilities of the national malaria programme. The study was conducted to determine these indicators at the different level of primary health care facilities in malaria-affected provinces of Iran. Methods. In this survey, data was collected from 223 health facilities including health centres, malaria posts, health houses and hospitals as well as the profile of all 5, 836 recorded malaria cases in these facilities during the year preceding the survey. Descriptive statistics (i.e. frequencies, percentages) were used to summarize the results and Chi square test was used to analyse data. Results: All but one percent of uncomplicated cases took appropriate and correctly-dosed of anti-malarial drugs in accordance to the national treatment guideline. A larger proportion of patients 85.8%; 95% CI: 84.8 - 86.8 were also given complete treatment including anti-relapse course, in line with national guidelines. About one third 35.0%; 95% CI: 33.6 - 36.4 of uncomplicated malaria cases were treated more than 48 hours after first symptoms onset. Correspondingly, half of severe malaria cases took recommended anti-malarial drugs for severe or complicated disease more than 48 hours of onset of first symptoms. The latter cases had given regular anti-malarial drugs promptly. The majority of malaria epidemics 97%; 95% CI: 90.6 - 100 in study areas were detected within one week of onset, but only half of epidemics were controlled within four weeks of detection. Just half of target districts had at least one health facility/emergency site with adequate supply and equipment stocks. Nevertheless, only one-third of them 33% (95% CI: 0.00 - 67.8) had updated inventory of malaria foci on quarterly basis. Conclusion: To sum up, malaria case management still constitutes a public health problem in Iran. Additionally, data suggest scarcity in management and evaluation of malaria foci, detection and control of malaria epidemics as well as assignment of emergency sites across different regions of the country. Consequently, massive and substantial investments need to be made at the Ministry of Health to coordinate national malaria control programmes towards achieving determined goals and targets. © 2011Raiesi et al; licensee BioMed Central Ltd.

Item Type: Article
Additional Information: cited By 7
Keywords: antimalarial agent; antimalarial agent, antimalarial activity; disease severity; emergency care; epidemic; health care facility; health center; health survey; hospital equipment; human; Iran; malaria; mortality; practice guideline; recurrent disease; review; adolescent; adult; aged; article; child; female; health care policy; infant; information processing; Iran; malaria; male; middle aged; newborn; preschool child; time, Adolescent; Adult; Aged; Aged, 80 and over; Antimalarials; Child; Child, Preschool; Data Collection; Disease Outbreaks; Female; Health Facilities; Health Policy; Humans; Infant; Infant, Newborn; Iran; Malaria; Male; Middle Aged; Time Factors; Young Adult
Subjects: WA Public Health > WA 670-847 Environmental Pollution. Sanitation
Depositing User: مهندس هدی فهیم پور
URI: http://eprints.hums.ac.ir/id/eprint/5357

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