Attitude and practice of health staff in the management of simple malaria in the health district of niono in mali.
Summary The aim of this work was to assess the attitude and practice of health staff about malaria. We undertook a cross sectional survey in the district hospital, two community health centers (CSCOM), one private doctor's cabinet and one private nurse's cabinet. We observed the doctors and the nurses during the visit of 261 patients. The most frequent presumption diagnosis was simple malaria without vomiting (53%). Among presumption diagnosis the high frequency of confirmed cases was malaria with vomiting (42%). In the health center, injectable quinine was the most prescribed drug (82%), followed by chloroquine (23%). The injectable quinine was more prescribed by nurses (85%) than doctors (15%) (p=10-6). At the time of follow-up, 98% of patients was cured clinically. Even though malaria was the first reason of visit (99,2%), only one out of ten practitioners checked up temperature of patients. Treatment administered dit not follow guidelines suggested by the national program for malaria control. We thus suggested the training of health staff as well as regular supervision of health centers.
Sangho
H
H
Diakite
M
M
Diawara
A
A
Coulibaly
S
S
Doumbo
O
O
Simaga
Sy
S