کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
10169926 | 1223350 | 2010 | 7 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Access to a blood test and antimalarials after introducing rapid diagnostic tests in rural Myanmar: initial experience in a malaria endemic area
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماری های عفونی
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![عکس صفحه اول مقاله: Access to a blood test and antimalarials after introducing rapid diagnostic tests in rural Myanmar: initial experience in a malaria endemic area Access to a blood test and antimalarials after introducing rapid diagnostic tests in rural Myanmar: initial experience in a malaria endemic area](/preview/png/10169926.png)
چکیده انگلیسی
This study describes the use of a blood test, antimalarials and their determinants among 446 subjects with febrile illness in remote villages of Bago Division, Myanmar in 2006 after five months initialization of a rapid diagnostic test (RDT) and artemisinin-based combination therapy (ACT) programme. A structured questionnaire was used in a cross-sectional survey. Knowledge on malaria was asked of 357 key household respondents. The proportions of use of traditional medicine, modern medicine and both among febrile subjects were 31 (7.0%), 247 (55.4%) and 168 (37.7%), respectively. A blood test was taken by 41.0% of respondents and, of these, 81.4% were reported positive. Among 166 artesunate users, 45.8% reported positive test results and 18.1% were self-medicated. Only 37 (10.4%) key household respondents did not have misconceptions on malaria transmission. Predictors for having a blood test were being male (odds ratio [OR]Â =Â 1.96; 95% CI 1.20-3.22), having a higher knowledge on malaria (ORÂ =Â 1.77; 95% CI 1.03-3.06) and aged 50 years or above (ORÂ =Â 0.32; 95% CI 0.13-0.78). Predictors for having both a blood test and using artesunate were being male (ORÂ =Â 2.71; 95% CI 1.31-5.59) and having a higher knowledge on malaria (ORÂ =Â 2.49; 95% CI 1.27-4.92). The low coverage of proper clinical services and high prevalence of ineffective drug use confirmed the need for further strengthening of the programme.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Health - Volume 2, Issue 4, December 2010, Pages 275-281
Journal: International Health - Volume 2, Issue 4, December 2010, Pages 275-281
نویسندگان
Ohnmar Ohnmar, Tun-Min Tun-Min, May-Aye-Than May-Aye-Than, San-Shwe San-Shwe, Wai-Wai-Myint Wai-Wai-Myint, V. Chongsuvivatwong,