Conhecimentos, práticas e percepções de profissionais de saúde sobre o tratamento de malária não complicada em municípios de alto risco da Amazônia Legal

Osório-de-Castro, Claudia Garcia Serpa; Miranda, Elaine Silva; Esher, Ângela; Campos, Mônica Rodrigues; Brasil, Juliana de Castro; Ferreira, Ana Cristina; Emmerick, Isabel Cristina Martins

doi:10.1590/s1413-81232011000700080

Cited by 7 publications

(10 citation statements)

References 22 publications

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“…This study is part of the Mafalda Project (Model of Assessment for Pharmaceutical Care to Focal Endemics in the Amazon Region, Brazil: prescription, administration and adherence to the treatment of uncomplicated malaria caused by P. vivax and P. falciparum in high-risk cities), whose main objective was to investigate the utilization of antimalarials in the treatment of uncomplicated malaria caused by P. vivax or P. falciparum in adults and pregnant women 11,12 .…”

Section: Area and Data Sourcementioning

confidence: 99%

Prescrições para tratamento de malária não complicada em gestantes na Amazônia Legal: evidências do Projeto Mafalda*

Luz

Miranda

Freitas

et al. 2013

Rev. bras. epidemiol.

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Section: Area and Data Sourcementioning

confidence: 99%

Prescrições para tratamento de malária não complicada em gestantes na Amazônia Legal: evidências do Projeto Mafalda*

Luz

Miranda

Freitas

et al. 2013

Rev. bras. epidemiol.

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“…All professionals and workers presented some level of training for malaria care, but the level of knowledge and quality of practice varied, reflecting upon their perceptions as to diagnosis, treatment regimens, interaction with patients, and responsibilities [18]. …”

Section: Resultsmentioning

confidence: 99%

“…However this information had not been disseminated to all the health workers in the area [18]. An especially critical issue in rational medicines use is availability of information, for users and for health professionals alike.…”

Section: Discussionmentioning

confidence: 99%

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Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities

Suárez-Mútis

Souza

Freitas

et al. 2011

Malar J

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BackgroundIn spite of the fact that pharmaceutical services are an essential component of all malaria programmes, quality of these services has been little explored in the literature. This study presents the first results of the application of an evaluation model of pharmaceutical services in high-risk municipalities of the Amazon region, focusing on indicators regarding organization of services and prescribing according to national guidelines.MethodsA theoretical framework of pharmaceutical services for non-complicated malaria was built based on the Rapid Evaluation Method (WHO). The framework included organization of services and prescribing, among other activities. The study was carried out in 15 primary health facilities in six high-risk municipalities of the Brazilian Amazon. Malaria individuals ≥ 15 years old were approached and data was collected using specific instruments. Data was checked by independent reviewers and fed to a data bank through double-entry. Descriptive variables were analyzed.ResultsA copy of the official treatment guideline was found in 80% of the facilities; 67% presented an environment for receiving and prescribing patients. Re-supply of stocks followed a different timeline; no facilities adhered to forecasting methods for stock management. No shortages or expired anti-malarials were observed, but overstock was a common finding. On 86.7% of facilities, the average of good storage practices was 48%. Time between diagnosis and treatment was zero days. Of 601 patients interviewed, 453 were diagnosed for Plasmodium vivax; of these, 99.3% received indications for the first-line scheme. Different therapeutic schemes were given to Plasmodium falciparum patients. Twenty-eight (4.6%) out of 601 were prescribed regimens not listed in the national guideline. Only 5.7% individuals received a prescription or a written instruction of any kind.ConclusionsThe results show that while diagnostic procedure is well established and functioning in the Brazilian malaria programme, prescribing is still an activity that is actually not performed. The absence of physicians and poor integration between malaria services and primary health services make for the lack of a prescription or written instruction for malaria patients throughout the Brazilian Amazon. This fact may lead to a great number of problems in rational use and in adherence to medication.

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“…In 2008, 31.5% of patients who underwent the control exam within 30 and 60 days after diagnosis presented with relapse/recrudescence of the disease. In 2012, this number dropped to 20.1%, a decrease of 36.2% that can be explained by improvements in the care provided to these patients and decreased nonadherence to treatment due to the use of primaquine for 7 rather than 14 days [43].…”

Section: Discussionmentioning

confidence: 99%

Reduction of incidence and relapse or recrudescence cases of malaria in the western region of the Brazilian Amazon

Vieira

Gim

Zaqueo

et al. 2014

J Infect Dev Ctries

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Introduction: Malaria is one of the major parasitic diseases in the State of Rondônia, located in the western Brazilian Amazon. The basic treatment scheme for this disease is chloroquine and primaquine. This study evaluated the epidemiological profile of malaria in Rondônia between 2008 and 2012. Methodology: The epidemiological data were provided by the Health Surveillance Agency from the State of Rondônia, and socioeconomic indicators were obtained from the Brazilian Institute of Geography and Statistics, Department of Informatics of the Unified Health System, and from the National Institute for Space Research. The analyzed variables included year of diagnosis, gender, age group, main activity performed in the 15 days previous to the diagnosis, parasite species, level of parasitemia, number of relapse/recrudescence cases, and socioeconomic and environmental data for Rondônia. Results: A total of 238,626 cases of malaria were recorded in Rondônia during the study period. Of this total, 65.6% were men and the most prevalent age group was 20-39 years. Plasmodium vivax was the most common parasite (89.8%), followed by Plasmodium falciparum (9.4%). An average of 30.9% of the individuals who were tested presented with relapse/recrudescence malaria. The API value was highest in 2008 and lowest in 2012, corresponding to 42.3 cases and 19.2 cases per 1,000 inhabitants, respectively. Conclusions: A 58% reduction in the number of malaria cases and a 36.2% reduction in the number of relapse/recrudescence malaria cases were observed, due to increases in the economy, improvements in the health system, and reduction of deforestation in this region.

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Conhecimentos, práticas e percepções de profissionais de saúde sobre o tratamento de malária não complicada em municípios de alto risco da Amazônia Legal

Cited by 7 publications

References 22 publications

Prescrições para tratamento de malária não complicada em gestantes na Amazônia Legal: evidências do Projeto Mafalda*

Prescrições para tratamento de malária não complicada em gestantes na Amazônia Legal: evidências do Projeto Mafalda*

Pharmaceutical services for endemic situations in the Brazilian Amazon: organization of services and prescribing practices for Plasmodium vivax and Plasmodium falciparum non-complicated malaria in high-risk municipalities

Reduction of incidence and relapse or recrudescence cases of malaria in the western region of the Brazilian Amazon

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