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Evaluating malaria case management at public health facilities in two provinces in Angola

Overview of attention for article published in Malaria Journal, May 2017
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  • Good Attention Score compared to outputs of the same age (66th percentile)
  • Above-average Attention Score compared to outputs of the same age and source (61st percentile)

Mentioned by

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1 policy source
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3 X users

Citations

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34 Dimensions

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109 Mendeley
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Title
Evaluating malaria case management at public health facilities in two provinces in Angola
Published in
Malaria Journal, May 2017
DOI 10.1186/s12936-017-1843-7
Pubmed ID
Authors

Mateusz M. Plucinski, Manzambi Ferreira, Carolina Miguel Ferreira, Jordan Burns, Patrick Gaparayi, Lubaki João, Olinda da Costa, Parambir Gill, Claudete Samutondo, Joltim Quivinja, Eliane Mbounga, Gabriel Ponce de León, Eric S. Halsey, Pedro Rafael Dimbu, Filomeno Fortes

Abstract

Malaria accounts for the largest portion of healthcare demand in Angola. A pillar of malaria control in Angola is the appropriate management of malaria illness, including testing of suspect cases with rapid diagnostic tests (RDTs) and treatment of confirmed cases with artemisinin-based combination therapy (ACT). Periodic systematic evaluations of malaria case management are recommended to measure health facility readiness and adherence to national case management guidelines. Cross-sectional health facility surveys were performed in low-transmission Huambo and high-transmission Uíge Provinces in early 2016. In each province, 45 health facilities were randomly selected from among all public health facilities stratified by level of care. Survey teams performed inventories of malaria commodities and conducted exit interviews and re-examinations, including RDT testing, of a random selection of all patients completing outpatient consultations. Key health facility readiness and case management indicators were calculated adjusting for the cluster sampling design and utilization. Availability of RDTs or microscopy on the day of the survey was 71% (54-83) in Huambo and 85% (67-94) in Uíge. At least one unit dose pack of one formulation of an ACT (usually artemether-lumefantrine) was available in 83% (66-92) of health facilities in Huambo and 79% (61-90) of health facilities in Uíge. Testing rates of suspect malaria cases in Huambo were 30% (23-38) versus 69% (53-81) in Uíge. Overall, 28% (13-49) of patients with uncomplicated malaria, as determined during the re-examination, were appropriately treated with an ACT with the correct dose in Huambo, compared to 60% (42-75) in Uíge. Incorrect case management of suspect malaria cases was associated with lack of healthcare worker training in Huambo and ACT stock-outs in Uíge. The results reveal important differences between provinces. Despite similar availability of testing and ACT, testing and treatment rates were lower in Huambo compared to Uíge. A majority of true malaria cases seeking care in health facilities in Huambo were not appropriately treated with anti-malarials, highlighting the importance of continued training and supervision of healthcare workers in malaria case management, particularly in areas with decreased malaria transmission.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 109 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 109 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 34 31%
Student > Bachelor 11 10%
Researcher 10 9%
Student > Ph. D. Student 5 5%
Student > Doctoral Student 4 4%
Other 14 13%
Unknown 31 28%
Readers by discipline Count As %
Medicine and Dentistry 30 28%
Nursing and Health Professions 18 17%
Pharmacology, Toxicology and Pharmaceutical Science 7 6%
Engineering 5 5%
Social Sciences 4 4%
Other 16 15%
Unknown 29 27%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 December 2022.
All research outputs
#6,863,058
of 24,400,706 outputs
Outputs from Malaria Journal
#1,901
of 5,827 outputs
Outputs of similar age
#102,831
of 314,909 outputs
Outputs of similar age from Malaria Journal
#54
of 136 outputs
Altmetric has tracked 24,400,706 research outputs across all sources so far. This one has received more attention than most of these and is in the 71st percentile.
So far Altmetric has tracked 5,827 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.0. This one has gotten more attention than average, scoring higher than 66% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 314,909 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 66% of its contemporaries.
We're also able to compare this research output to 136 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 61% of its contemporaries.