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Clinical Outreach Training and Supportive Supervision Quality-of-Care Analysis: Impact of Readiness Factors on Health Worker Competencies in Malaria Case Management in Cameroon, Mali, and Niger.
Bernard, Yves-Marie; Ahmed, Jehan; Mostel, Jadmin; Ba, Thierno; Ciceron, Annie Coriolan; Busiga, Moses; Koné, Aissata; Kamaté, Beh; Sidibé, Fatoumata; Diallo, Chebou; Makayi, Alzouma; Koko, Daniel Christian; Djibrilla, Arouna; Ateba, Joël; Tchinda Meli, Eric; Tchadjeu, Christophe; Griffith, Kevin; Burns, Jordan; Barat, Lawrence M.
Afiliación
  • Bernard YM; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
  • Ahmed J; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
  • Mostel J; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
  • Ba T; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
  • Ciceron AC; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
  • Busiga M; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
  • Koné A; Programme National de Lutte contre le Paludisme du Mali, Bamako, Mali.
  • Kamaté B; PMI Impact Malaria, Population Services International, Bamako, Mali.
  • Sidibé F; PMI Impact Malaria, Population Services International, Bamako, Mali.
  • Diallo C; PMI Impact Malaria, Population Services International, Bamako, Mali.
  • Makayi A; Programme National de Lutte contre le Paludisme du Niger, Niamey, Niger.
  • Koko DC; PMI Impact Malaria, Population Services International, Niamey, Niger.
  • Djibrilla A; PMI Impact Malaria, Population Services International, Niamey, Niger.
  • Ateba J; Programme National de Lutte contre le Paludisme du Cameroun, Yaoundé, Cameroon.
  • Tchinda Meli E; PMI Impact Malaria, Jhpiego, Yaoundé, Cameroon.
  • Tchadjeu C; PMI Impact Malaria, Association Camerounaise pour le Marketing Social, Yaoundé, Cameroon.
  • Griffith K; U.S. President's Malaria Initiative, United States Agency for International Development, Washington, District of Columbia.
  • Burns J; U.S. President's Malaria Initiative, United States Agency for International Development, Washington, District of Columbia.
  • Barat LM; PMI Impact Malaria, Population Services International, Washington, District of Columbia.
Am J Trop Med Hyg ; 110(3_Suppl): 35-41, 2024 03 05.
Article en En | MEDLINE | ID: mdl-38150737
ABSTRACT
Improving the quality of malaria clinical case management in health facilities is key to improving health outcomes in patients. The U.S. President's Malaria Initiative Impact Malaria Project has supported implementation of the Outreach Training and Supportive Supervision (OTSS) approach in 11 African countries to improve the quality of malaria care in health facilities through the collection and analysis of observation-based data on health facility readiness and health provider competency in malaria case management. We conducted a secondary analysis of longitudinal data collected during routine supervision in Cameroon (April 2021-March 2022), Mali (October 2020-December 2021), and Niger (November 2020-September 2021) using digitized checklists to assess how service readiness affects health worker competencies in managing patients with fever correctly and providing those with confirmed uncomplicated malaria cases with appropriate treatment and referral. Linear or logistic regression analyses were conducted to assess the effect of facility readiness and its components on observed health worker competencies. All countries demonstrated significant associations between health facility readiness and malaria case management competencies. Data from three rounds of OTSS visits in Cameroon, Mali, and Niger showed a statistically significant positive association between greater facility readiness scores (including the availability of commodities, materials, and trained staff) and health worker competency in case management. These findings provide evidence that health worker performance is likely affected by the tools and training available to them. These results reinforce the need for necessary tools and properly trained staff if high-quality malaria case management services are to be delivered at health facilities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Manejo de Caso / Malaria Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Am J Trop Med Hyg Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Manejo de Caso / Malaria Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Am J Trop Med Hyg Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos