| dc.contributor |
MSF Holland-Belgium, Phnom Penh, Cambodia. |
|
| dc.creator |
Kimerling, M |
|
| dc.creator |
Houth, H |
|
| dc.creator |
Hilderbrand, K |
|
| dc.creator |
Goubert, L |
|
| dc.date |
1995-12 |
|
| dc.date.accessioned |
2017-01-31T07:10:46Z |
|
| dc.date.available |
2017-01-31T07:10:46Z |
|
| dc.identifier |
Identifying malaria control issues: a district hospital-based evaluation. 1995, 26 (4):611-9 Southeast Asian J. Trop. Med. Public Health |
|
| dc.identifier |
0125-1562 |
|
| dc.identifier |
9139362 |
|
| dc.identifier |
http://hdl.handle.net/10144/23760 |
|
| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/23760 |
|
| dc.identifier |
The Southeast Asian Journal of Tropical Medicine and Public Health |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/23760 |
|
| dc.description |
Chuk district hospital is centrally located in a rural malarious region in southern Cambodia. It was the site of a hospital-based evaluation (KAP assessment and in vivo i.v. quinine/oral tetracycline drug study) done to identify relevant issues for establishing a rational malaria control strategy. The KAP assessment identified the young, male forest worker as the highest risk group. Of 112 study patients, 73% were male and 82% reported various forest activities. The primary reason found for patient delay (8.9 days) in seeking hospital care was self-treatment at home (N = 102, 91%) with drugs purchased through private sellers (104/105). Using the 7-day WHO field test methodology, resistance rates were calculated (N = 22); S1/R1, 73%; R1, 9%; R2, 0%; R3, 18%. A modified version of the 7-day test was used to calculate its utility in this particular rural setting. It showed a negative predictive value of 93% and a positive predictive value of 71%. The case fatality rate for the study period was 2.7%. Information from this study, which correlates a confirmed malaria diagnosis with prior patient behavior and response to anti-malarial therapy, is intended for realizing the goals set forth by the national malaria control program. |
|
| dc.language |
en |
|
| dc.rights |
Archived with thanks to The Southeast Asian Journal of Tropical Medicine and Public Health |
|
| dc.title |
Identifying malaria control issues: a district hospital-based evaluation. |
|