在九个州实施 SMC 期间,社区药品经销商和护理人员对转诊建议的遵守情况及其相关因素。

IF 2.4 3区 医学 Q3 INFECTIOUS DISEASES
Taiwo Ibinaiye, Ayodeji Balogun, Emmanuel Salifu, Benjamin Amao, Emmanuel Musa, Daniel Emeto, Samuel Ayoola, Usman Hussaini, Chibuzo Oguoma, Abdullahi Abdulrazak, Zechariah Maleeks, Olabisi Ogunmola, Olusola Oresanya, Kunle Rotimi
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引用次数: 0

摘要

背景:疟疾是一个全球性的公共卫生问题,对资源贫乏国家的五岁以下儿童的影响尤为严重。尼日利亚是西非疟疾负担最重的国家。因此,建议实施季节性疟疾化学预防(SMC)计划,该计划已在尼日利亚的 9 个州(包奇、博尔诺、联邦首都区、凯比、科吉、纳萨拉瓦、高原、奥约和索科托)实施。本研究旨在衡量九个州实施 SMC 期间社区药品分发员(CD)和护理人员遵守转诊协议的情况及其相关因素:方法:从研究州实施第一周期 SMC 后进行的周期结束(EoC)调查中提取在第一周期 SMC 实施期间发现发烧的护理人员与儿童的数据。调查在第一周期 SMC 结束后两周内完成。我们建立了混合效应多变量逻辑回归模型,以探讨与照顾者-儿童配对是否坚持转介相关的因素:模型中考虑的照顾者的社会人口学特征与发烧患儿入院治疗无明显关联,但与未转诊的照顾者相比,由儿童疾病防治中心转诊的照顾者的患儿就医几率明显更高(OR:1.892,95% CI 1.081-3.310,p = 0.025)。由儿童发展中心转介的儿童寻求治疗的几率更高:研究结果揭示了在实施校管会期间对转诊建议的遵守情况以及影响照顾者行为的因素。在 SMC 运动期间转诊患病儿童似乎能确保目标社区的护理人员与儿童同伴寻求疟疾病例管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adherence to referral advice and its associated factors among community drug distributors and caregiver during SMC implementation in nine states.

Background: Malaria is a global public health problem that disproportionately affects under-five children in poor resource countries. Nigeria accounted for the highest burden of malaria in Western Africa. Thus, seasonal malaria chemoprevention (SMC) programmes have been recommended and have been implemented across 9 states (Bauchi, Borno, FCT, Kebbi, Kogi, Nasarawa, Plateau, Oyo and Sokoto) in Nigeria. The study aims to measure the adherence to referral protocol and its associated factors among community drug distributors (CDs) and caregivers during SMC implementation in nine states.

Methods: The data of caregiver-child pairs that were identified with fever during the cycle one SMC implementation was extracted from the End-of-cycle (EoC) surveys carried out following cycles one SMC implementation in the study states. The surveys were completed within two weeks of the completion of SMC cycle one. Mixed-effects multivariable logistic regression models were fitted to explore the factors associated with adherence to referrals among caregivers-child pairs.

Results: The socio-demographic characteristics of caregiver considered in the model were not found to be significantly associated with children down with fever taking to hospital for treatment, however the caregiver whose child was referred by CDs had significantly higher odds of seeking healthcare compared to those that were not referred (OR: 1.892, 95% CI 1.081-3.310, p = 0.025). There are higher odds of children seeking treatment among those that were referred by CDs.

Conclusion: The study's findings shed light on the adherence to referral advice and the factors influencing caregiver behaviour during SMC implementation. Referral of sick child during SMC campaign appears to ensure health-seeking for malaria case management among caregivers-child peer in target communities.

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来源期刊
Malaria Journal
Malaria Journal 医学-寄生虫学
CiteScore
5.10
自引率
23.30%
发文量
334
审稿时长
2-4 weeks
期刊介绍: Malaria Journal is aimed at the scientific community interested in malaria in its broadest sense. It is the only journal that publishes exclusively articles on malaria and, as such, it aims to bring together knowledge from the different specialities involved in this very broad discipline, from the bench to the bedside and to the field.
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