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Major Improvements in the Quality of Malaria Case-Management under the “Test and Treat” Policy in Kenya

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Listed:
  • Dejan Zurovac
  • Sophie Githinji
  • Dorothy Memusi
  • Samuel Kigen
  • Beatrice Machini
  • Alex Muturi
  • Gabriel Otieno
  • Robert W Snow
  • Andrew Nyandigisi

Abstract

Background: Monitoring implementation of the “test and treat” case-management policy for malaria is an important component of all malaria control programmes in Africa. Unfortunately, routine information systems are commonly deficient to provide necessary information. Using health facility surveys we monitored health systems readiness and malaria case-management practices prior to and following implementation of the 2010 “test and treat” policy in Kenya. Methods/Findings: Between 2010 and 2013 six national, cross-sectional, health facility surveys were undertaken. The number of facilities assessed ranged between 172 and 176, health workers interviewed between 216 and 237 and outpatient consultations for febrile patients evaluated between 1,208 and 2,408 across six surveys. Comparing baseline and the last survey results, all readiness indicators showed significant (p

Suggested Citation

  • Dejan Zurovac & Sophie Githinji & Dorothy Memusi & Samuel Kigen & Beatrice Machini & Alex Muturi & Gabriel Otieno & Robert W Snow & Andrew Nyandigisi, 2014. "Major Improvements in the Quality of Malaria Case-Management under the “Test and Treat” Policy in Kenya," PLOS ONE, Public Library of Science, vol. 9(3), pages 1-11, March.
    • Handle: RePEc:plo:pone00:0092782
    DOI: 10.1371/journal.pone.0092782
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    References listed on IDEAS

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    1. Richard E Cibulskis & Maru Aregawi & Ryan Williams & Mac Otten & Christopher Dye, 2012. "Worldwide Incidence of Malaria in 2009: Estimates, Time Trends, and a Critique of Methods," Working Papers id:4736, eSocialSciences.
    2. Rowe, A.K. & Onikpo, F. & Lama, M. & Cokou, F. & Deming, M.S., 2001. "Management of childhood illness at health facilities in Benin: Problems and their causes," American Journal of Public Health, American Public Health Association, vol. 91(10), pages 1625-1635.
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