Are antimalarial activities performed properly by frontline health workers? A cross-sectional study in Bankura
Journal Title: National Journal of Research in Community Medicine - Year 2018, Vol 7, Issue 3
Abstract
Background: Under NVBDCP, health workers at subcentre level are primarily responsible for diagnosis of malaria through blood smear or RDT and managing accordingly. Objective: To assess the knowledge regarding diagnosis, treatment and control of malaria as per national programme and the skill on diagnosis and management of malaria in addition to logistic support and performance on diagnosis, management & reporting of malaria in last 12 months. Materials and Methods: A descriptive cross-sectional study was conducted in Bankura district of West Bengal. Two blocks were selected through stratified random sampling based on Annual Parasite Incidence (API). In each block, 3 Gram Panchayats (GP) were selected through stratified random sampling based on distance from Block Headquarters. All Health workers working at all sub-centres within selected GPs were included in the study. Mean score of knowledge and skill was computed. Data were analysed using SPSS version 22.0. Results: 68.7% of them were untrained in Malaria in Gangajalghati block. More than 70% of health workers knew the correct interpretation of Rapid diagnostic test in both blocks. Correct knowledge on complete treatment of P. vivax was better than of P. falciparum in all groups of health workers. Knowledge on contraindication of antimalarial drugs was not good among them. Skill on preparing blood smear, performing RDK and case management was average with wide variation among several types of health workers. Conclusion: Knowledge on malaria diagnosis and control among health workers were average while on treatment was less than average with wide variations among several types of health workers. Higher educational qualification, lesser service experience and training in malaria revealed better knowledge among health workers.
Authors and Affiliations
Indu Padmey, Arindam De, Dipto Kanti, Aditya Prasad Sarkar, Asit Baran Saren, Gautam Narayan Sarkar
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