Lack of patient risk counselling and a broader provider training affect malaria control in remote Somalia Kenya border
Qualitative assessment
Bibliographic Data
| ID | 15541191 |
|---|---|
| Authors | Ramin Asgary (0000-0001-7646-0976, Icahn School of Medicine at Mount Sinai, corresponding author), Zoya Grigoryan (0000-0003-2726-5247, Icahn School of Medicine at Mount Sinai), Ramesh Naderi (Icahn School of Medicine at Mount Sinai), Richard Allan (0000-0003-3205-3572) |
| Year | 2011 |
| Volume | 7 |
| Issue | 3 |
| Pages | 240-252 |
| Publication date | 2011-12-16 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2011.643412 |
| PMID | 22175693 |
| OpenAlex | W1994689968 |
| Language | EN |
| Citations received | 2 |
| References cited | 15 |
Effectiveness of providing health education solely via mass media and the providers' targeted training in malaria control needs further exploration. During pre-epidemic season, we conducted a qualitative study of 40 providers and community leaders using focus groups, comprehensive semi-structured interviews and consultation observations. Interviews were transcribed, coded and analysed for major themes. Community leaders believe that they can acquire malaria from contaminated water, animal products, air or garbage. Consequently, they under-utilise bed nets and other protective measures due to perceived continued exposure to other potential malaria sources. Practitioners do not provide individualised health counselling and risk assessment to patients during sick visits, leading to a range of misconceptions about malaria based on limited knowledge from rumours and mass media, and a strong belief in the curative power of traditional medicine. Providers overdiagnose malaria clinically and underutilise available tests due to time constraints, and the lack of training and resources to correctly diagnose other illnesses. Subsequently, misdiagnoses lead them to question the efficacy of recommended treatments. Promoting counselling during clinical encounters to address patient misconception and change risky behaviour is warranted. Wider-ranging ongoing training could enable providers to properly diagnose and manage differential diagnoses to manage malaria better
Affect (linguistics · Business · Environmental health · Family medicine · Focus group · Malaria · Mass media · Pathology · Qualitative research · Sociology · Global Maternal and Child Health · Malaria Research and Control · Medicine · Mosquito-borne diseases and control · Nursing · Psychology
| Citations per year | 0.29 |
|---|---|
| Citation span | 2019 - 2023 (5) |
| Highly cited | No |