AID  Vol.12 No.2 , June 2022
Provider Adherence to Malaria Test, Treat and Track Policy in the Binduri District of the Upper East Region of Ghana
Abstract: Background: Malaria is a disease of public health concern, which causes significant mortality and morbidity in the tropics, particularly in Africa. Ghana as a country has been implementing a combination of preventive and curative interventions as outlined in the Strategic Plan for Malaria Control in Ghana, 2014-2020. Additionally, Ghana subscribes to sub-regional and global initiatives such as the test, treat and track (T3) initiative which seeks to ensure that every suspected malaria case is tested, every case tested positive is treated with the recommended quality-assured antimalarial medicine, and every case treated with antimalarial is followed up to ensure complete parasite clearance. However, the implementation of this policy is a challenge, hence the need to study provider adherence to the testing, treating, and tracking. Materials and method: The study is cross-sectional in nature and data for this research was collected from consulting room registers, patients’ folders, the District Health Information Management System and a structured questionnaire designed to interview healthcare providers. The data was exported into Stata for cleaning and analysis. The results of the study were presented in the form of statistical charts and tables. Results: The study revealed that generally, provider adherence to the T3 policy was encouraging in the Binduri district, and a high level of testing (100%) of suspected malaria cases eliminated the practice of presumptive treatment. However, tracking of patients (68.2%) was not as high as testing and treatment which was revealed by the number asked to return for a review during the folder review. Conclusion: Significant progress in clinicians’ adherence to policy on malaria case management (T3) in the Binduri District. Continued training and facilitative supervision are essential to sustain gains and close existing gaps in clinicians’ adherence to malaria case management policy.
Keywords: Test, Treat, Track, Malaria
Cite this paper: Tamponab, J. , Amenu, J. , Amaglo, E. , Yaotsey, G. , Takramah, W. , Dotse, P. and Asem, L. (2022) Provider Adherence to Malaria Test, Treat and Track Policy in the Binduri District of the Upper East Region of Ghana. Advances in Infectious Diseases, 12, 347-361. doi: 10.4236/aid.2022.122028.

[1]   World Health Organization (2020) World Malaria Report 2020: 20 Years of Global Progress and Challenges. WHO, Geneva.

[2]   World Health Organization (2021) World Malaria Report 2021. WHO, Geneva.

[3]   Yeung, S. (2018) Malaria—Update on Antimalarial Resistance and Treatment Approaches. The Pediatric Infectious Disease Journal, 37, 367-369.

[4]   Afaya, A., Salia, S.M., Adatara, P., Afaya, R.A., Suglo, S. and Japiong, M. (2018) Patients’ Knowledge of Artemisinin-Based Combination Therapy Treatment and Its Impact on Patient Adherence. Journal of Tropical Medicine, 2018, Article ID: 7465254.

[5]   Nonvignon, J., Aryeetey, G.C., Malm, K.L., Agyemang, S.A., Aubyn, V.N.A., Peprah, N.Y., et al. (2016) Economic Burden of Malaria on Businesses in Ghana: A Case for Private Sector Investment in Malaria Control. Malaria Journal, 15, 1-10.

[6]   Sakeah, E., Bawah, A.A., Asuming, P., Debpuur, C., Welaga, P., Awine, T., et al. (2021) Impact of Community Health Interventions on Maternal and Child Health Indicators in the Upper East Region of Ghana.

[7]   Zurovac, D., Githinji, S., Memusi, D., Kigen, S., Machini, B., Muturi, A., et al. (2014) Major Improvements in the Quality of Malaria Case-Management under the “Test and Treat” Policy in Kenya. PLOS ONE, 9, e92782.

[8]   Global Malaria Programme: WHO Global (2019) World Malaria Report 2019. WHO Regional Office for Africa.

[9]   Yeung, S. (2018) Malaria-Update on Antimalarial Resistance and Treatment Approaches. The Pediatric Infectious Disease Journal, 37, 367-369.

[10]   Ahmed, R. (2018) Assessing the Implementation of the Test, Treat and Track Strategy for Malaria Diagnosis and Management in the Atebubu-Amantin District. Doctoral Dissertation, University of Ghana.

[11]   Solbakken, M.J. (2019) Malaria in Myanmar-Causes, Treatment, Prevention and Prognosis of Malaria, and the Occurrence in the Endemic Myanmar and Non-Endemic Norway.

[12]   Kassebaum, N.J., Barber, R.M., Bhutta, Z.A., Dandona, L., Gething, P.W., Hay, S.I., et al. (2016) Global, Regional, and National Levels of Maternal Mortality, 1990-2015: A Systematic Analysis for the Global Burden of Disease Study 2015. Lancet, 388, 1775-1812.

[13]   Dhmt, G. (2019) Binduri District Annual Health Report. Binduri.

[14]   National Malaria Control Programme (2017) National Malaria Control Programme (NMCP) Report 2018. Malaria Journal, 18, 1-2.

[15]   Wagenaar, B.H., Hirschhorn, L.R., Henley, C., Gremu, A., Sindano, N., Chilengi, R., et al. (2017) Data-Driven Quality Improvement in Low- and Middle-Income Country Health Systems: Lessons from Seven Years of Implementation Experience across Mozambique, Rwanda, and Zambia. BMC Health Services Research, 17, 17.

[16]   Kweku, M., Agboli, E., Takramah, W.K., Agandaa, S.A., Takase, M., Tarkang, E., et al. (2016) Implementation and Challenges of Test, Treat and Track (T3) Strategy for Malaria Case Management in Children under Five Years in the Bongo District, Ghana. Clinical Research and Trials, 2, 235-241.

[17]   Prah, J.K., Yeboah-Sarpong, A., Pinkrah, R. and Ewudzi-Acquah, E. (2019) Assessment of the Knowledge, Attitude and Practices of Prescribers Regarding Malaria Diagnosis: A Cross Sectional Study among Ghanaian Prescribers. The Pan African Medical Journal, 34, 1-10.