Quality Malaria Case Management In Under- Fives In Primary Health Care (Phc) Institutions In Bagamoyo And Kibaha Districts Of Coastal Tanzania:a Multicomponent Controlled Intervention Study
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 3,131
- 试验地点
- 1
- 主要终点
- the proportion of study children receiving prescriptions of antimalarial drugs in the respective arms
研究概览
简要总结
General objective: To improve the quality of fever case management in children in government health facilities in Tanzania Hypothesis:The training of health workers, as well as provision, training and use of microscopes for malaria diagnosis will improve the treatment of clinical episodes of fever in children while reducing the amount and costs of drugs
详细描述
PHC facilities were eligible for the study if they were rural government owned; accessible by road during rainy season; and within 3 hours by car from Muhimbili University College of Health Sciences (MUCHS), Dar es Salaam
All children attending the 16 PHC facilities under the study during daytime were enrolled if they fulfilled the following criteria:
- below five years of age
- fever (temperature≥37.5◦C) and/or reported history of fever in last 2 days
- able to return to the facility on day 7 after treatment or any other day if symptoms were to worsen or recur
- the mother/guardian or caretaker consented to participate.
Patients with severe disease and/or general danger signs requiring inpatient care according to the IMCI guidelines were admitted or referred to the health centers or the district hospitals
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 6 Months 至 59 Months（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •below five years of age
- •fever (temperature≥37.5◦C) and/or reported history of fever in last 2 days
- •able to return to the facility on day 7 after treatment or any other day if symptoms were to worsen or recur
- •the mother/guardian or caretaker consented to participate
排除标准
- 未提供
结局指标
主要结局
the proportion of study children receiving prescriptions of antimalarial drugs in the respective arms
时间窗: Day 0
次要结局
- prescriptions of antibiotics, cost of drugs(Day 0)
- health outcome of the patients(Day 1-6, day 7)