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dc.contributor.authorBlanco Berrocal, Marta
dc.contributor.authorSuarez-Sanchez, Pablo 
dc.contributor.authorGarcia, Belen 
dc.contributor.authorNzang, Jesús
dc.contributor.authorNcogo, Policarpo
dc.contributor.authorRiloha, Matilde
dc.contributor.authorBerzosa, Pedro 
dc.contributor.authorBenito, Agustin 
dc.contributor.authorRomay-Barja, Maria 
dc.date.accessioned2021-01-22T08:26:35Z
dc.date.available2021-01-22T08:26:35Z
dc.date.issued2021-01-07
dc.identifier.citationMalar J . 2021 Jan 7;20(1):21es_ES
dc.identifier.urihttp://hdl.handle.net/20.500.12105/11647
dc.description.abstractIn 2018, an estimated 228 million cases of malaria occurred worldwide. Countries are far from having achieved reasonable levels of national protocol compliance among health workers. Lack of awareness of treatment protocols and treatment resistance by prescribers threatens to undermine progress when it comes to reducing the prevalence of this disease. This study sought to evaluate the degree of knowledge and practices regarding malaria diagnosis and treatment amongst prescribers working at the public health facilities of Bata, Equatorial Guinea. A cross-sectional survey was conducted in October-December 2017 amongst all public health professionals who attended patients under the age of 15 years, with suspected malaria in the Bata District of Equatorial Guinea. Practitioners were asked about their practices and knowledge of malaria and the National Malaria Treatment Guidelines. A bivariate analysis and a logistic regression model were used to determine factors associated with their knowledge. Among the 44 practitioners interviewed, 59.1% worked at a Health Centre and 40.9% at the District Hospital of Bata. Important differences in knowledge and practices between hospital and health centre workers were found. Clinical diagnosis was more frequently by practitioners at the health centres (p = 0.059), while microscopy confirmation was more frequent at regional hospital (100%). Intramuscular artemether was the anti-malarial most administrated at the health centres (50.0%), while artemether-lumefantrine was the treatment most used at the regional hospital (66.7%). Most practitioners working at public health facilities (63.6%) have a low level of knowledge regarding the National Malaria Treatment Guidelines. While knowledge regarding malaria, the National Malaria Treatment Guidelines and treatment resistances is low, it was higher amongst hospital workers than amongst practitioners at health centres. It is essential to reinforce practitioners' knowledge, treatment and diagnosis practices and use of the National Malaria Treatment Guidelines in order to improve malaria case management and disease control in the region. A specific malaria training programme ensuring ongoing updates training is necessary in order to ensure that greater experience does not entail obsolete knowledge and, consequently, inadequate diagnosis and treatment practices.es_ES
dc.description.sponsorshipThis study was funded by the by the Agencia Española de Cooperación Internacional.AECID2017/CTR/0900237 (https ://www.aecid .es/ES), the Spanish State Foundation for Health, Childcare and Social Welfare (FCESAI) and the Tropical Diseases Research Network RD16CIII/003/001RICET (https ://www.ricet .es). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.es_ES
dc.language.isoenges_ES
dc.publisherBioMed Central (BMC) es_ES
dc.type.hasVersionVoRes_ES
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectBehaviores_ES
dc.subjectMalariaes_ES
dc.subjectPractitionerses_ES
dc.subjectProtocolses_ES
dc.subjectTreatmentes_ES
dc.titleKnowledge and practices regarding malaria and the National Treatment Guidelines among public health workers in Equatorial Guinea.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.identifier.pubmedID33413402es_ES
dc.format.volume20es_ES
dc.format.number1es_ES
dc.format.page21es_ES
dc.identifier.doi10.1186/s12936-020-03528-7es_ES
dc.contributor.funderAgencia Española de Cooperación Internacional para el Desarrollo 
dc.contributor.funderFundación Estatal Española de Salud, Atención a la Infancia y Bienestar Social
dc.contributor.funderRETICS-Investigación colaborativa en Enfermedades Tropicales (RICET-ISCIII) (España) 
dc.description.peerreviewedes_ES
dc.identifier.e-issn1475-2875es_ES
dc.relation.publisherversionhttps://doi.org/10.1186/s12936-020-03528-7es_ES
dc.identifier.journalMalaria journales_ES
dc.repisalud.centroISCIII::Centro Nacional de Medicina Tropicales_ES
dc.repisalud.institucionISCIIIes_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/AECID2017/CTR/0900237es_ES
dc.relation.projectIDinfo:eu-repo/grantAgreement/ES/ RD16CIII/003/001RICETes_ES
dc.rights.accessRightsopen accesses_ES


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Atribución 4.0 Internacional
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