Clinical audit of malaria diagnosis in urban primary curative care clinics, Zimbabwe.
Cent Afr J Med
; 41(12): 385-91, 1995 Dec.
Article
em En
| MEDLINE
| ID: mdl-8907603
ABSTRACT
PIP: Malaria remains a serious public health problem in many areas of Zimbabwe, especially during the wet season from February to May. Findings are reported from a clinical audit conducted between July 1989 and January 1990 on the accuracy of malaria diagnosis by nursing staff in the Harare City Health Department using diagnosis by six clinic doctors as the reference standard. The study was scheduled for the dry season to minimize the number of malaria cases presenting, with questionnaires completed on 92 subjects from 11 clinics. The investigation found approximately 10% of the diagnoses to be based upon symptoms, the criteria for diagnosing malaria as outlined in Zimbabwe Essential Drugs Action Program manuals and in-house training were not being followed, pyrexia was not present in 40% of patients, serious illnesses were occasionally dismissed as malaria and not treated appropriately or reviewed, and the most common misdiagnosis was of acute respiratory tract infections which also have clear guidelines for diagnosis. Better training methods need to be developed to improve the diagnostic capacity of nursing staff, the frontline providers of primary health care.
Palavras-chave
Africa; Africa South Of The Sahara; Delivery Of Health Care; Demographic Factors; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Examinations And Diagnoses; Health; Health Facilities; Health Personnel; Health Services; Malaria; Nurses; Outpatient Clinic; Parasitic Diseases; Population; Population Characteristics; Primary Health Care; Research Report; Urban Population; Zimbabwe
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Serviços Urbanos de Saúde
/
Malária
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Qualitative_research
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Revista:
Cent Afr J Med
Ano de publicação:
1995
Tipo de documento:
Article
País de publicação:
Zimbábue