Infectious Diseases

Adherence with Evidence-Based TB Standards and Guidelines in Selected Health Facilities in Kenya

This study was undertaken to determine providers’ and patients’ adherence to national tuberculosis (TB) treatment guidelines. The key findings are expected to provide information regarding factors influencing provider adherence to guidelines, such as providers’ TB-related knowledge and attitudes, environmental factors and resources necessary to adhere to TB diagnosis and treatment standards. [adapted from author]

TB Tracer Teams in South Africa: Knowledge, Practices and Challenges of Tracing TB Patients to Improve Adherence

This study describes the knowledge, attitudes, and practices of tuberculosis (TB) program personnel involved with tracing activities as part of a national pilot project in South Africa, the TB Tracer Project, which aims to decrease default rates and improve patient outcomes. [adapted from abstract]

Integrating Child Health Services into Malaria Control Services of Village Malaria Workers in Remote Cambodia: Service Utilization and Knowledge of Malaria Management of Caregivers

This study aimed to identify determinants of caregivers’ use of village malaria workers services for childhood illness and caregivers’ knowledge of malaria management. [adapted from abstract]

Malaria Diagnosis and Treatment Practices Following Introduction of Rapid Diagnostic Tests in Kibaha District, Coast Region, Tanzania

The aim of this study was to assess health workers’ perceptions, practices use of malaria diagnostics, prescription behavior and factors affecting adherence to test results at primary health care facilities in Kibaha District, Coast Region, Tanzania. [adapted from abstract]

Improving Community Health Workers' Knowledge and Behavior about Proper Content in Malaria Education

This article reports on an intervention to enhance the knowledge and behavior of community health workers on providing adequate
education to patients on malaria. [adapted from author]

Mobiles for Malaria

This article shares various experiences in using mobile phones for malaria programs from news reports and research studies and how the mobile phone is becoming a valuable tool in fighting malaria from improving management of the information flow between health managers, health workers and patients to assisting health workers in parasite diagnosis. [adapted from author]

Knowledge and Practices of Intermittent Preventive Treatment of Malaria in Pregnancy among Health Workers in a Southwest Local Government Area of Nigeria

This cross-sectional study was therefore designed to assess the level of knowledge and practice of intermittent preventive treatment of malaria in pregnancy among health workers. [adapted from abstract]

Home- or Community-Based Programmes for Treating Malaria: Review

This review evaluated the effects of a home- or community-based program for treating malaria in a malaria endemic setting through interventions involving training community health workers or mothers. [adapted from author]

Human Resource Development and Capacity-Building During China's Rapid Scale-Up of Methadone Maintenance Treatment Services

The purpose of this article is to review human resource development and capacity-building efforts within China’s National Methadone Maintenance Treatment Programme, illustrate changes in program performance metrics over time, and convey lessons that will provide guidance to other developing countries attempting to implement similar programs. [from author]

Assessment of Provider Adherence to TB Evidence-Based Standards and Guidelines in Zambia

This study was undertaken to determine providers’ adherence with evidence based TB standards and guidelines in Zambia at national, provincial/district and facility-based levels. [adapted from summary]

Human Resources for Health: Practice and Policy Implications for Emergency Response Arising from the Cholera Outbreak in Papua New Guinea

This document describes some of the challenges to cholera preparedness and response in a human resource limited setting, the strategies used to ensure effective cholera management, some lessons learned as well as issues for public health policy and practice. [from summary]

Innovative Pay-for -Performance (P4P) Strategy for Improving Malaria Management in Rural Kenya: Protocol for a Cluster Randomized Controlled Trial

The authors describe the design of a cluster-randomized controlled study to investigate the role of sustainable institutional incentives to improve management of malaria in peripheral health facilities. This study will demonstrate whether facility-based rather than individual incentives are compelling enough to change provider behavior and whether these incentives lead to cost savings as a result of targeted drug consumption. [from author]

Costs and Cost-Effectiveness of a Mobile Phone Text-Message Reminder Programmes to Improve Health Workers' Adherence to Malaria Guidelines in Kenya

A recent trial in Kenya showed that text-message reminders on adherence to malaria case-management sent to health workers’ mobile phones improved management of pediatric outpatients by 25 percentage points. This paper examines costs and cost-effectiveness of this intervention. [from abstract]

Successful Polio Eradication in Uttar Pradesh, India: The Pivotal Contribution of the Social Mobilization Network, an NGO/UNICEF Collaboration

This article reports on a successful partnership to improve access and reduce family and community resistance to polio vaccination in India. The partners trained thousands of mobilizers from high-risk communities to visit households, promote government-run child immunization services, track children’s immunization history and encourage vaccination of children missing scheduled vaccinations, and mobilize local opinion leaders. [adapted from author]

Screening for Latent Tuberculosis in Norwegian Health Care Workers: High Frequency of Discordant Tuberculin Skin Test Positive and Interferon-Gamma Release Assay Negative Results

This study examined the role of blood based interferon-gamma release assays versus the tuberculin skin test for health workers exposed to tuberculosis. [adapted from abstract]

Health Workers' Performance in the Implementation of Patient Centred Tuberculosis Treatment (PCT) Strategy Under Programmatic Conditions in Tanzania: A Cross Sectional Study

PCT aims to improve adherence to tuberculosis treatment by giving patients the choice of having drug intake supervised at the health facility by a medical professional or at home by a supporter of their choice. This study assessed whether key elements of the PCT approach were being implemented, evaluated supporters’ knowledge, captured opinions on factors contributing to treatment completion, and assessed how treatment completion was measured. [from abstract]

Tuberculosis in Medical Doctors: A Study of Personal Experiences and Attitudes

The concurrent tuberculosis (TB) and HIV epidemics in sub-Saharan Africa place all healthcare workers at increased risk of exposure to TB. This study explores personal experiences, attitudes and perceptions of medical doctors following treatment for TB within the healthcare system. [from abstract]

How Do Health Workers Perceive and Practice Monitoring and Evaluation of Malaria Control Interventions in South-East Nigeria?

The study was carried out to determine the knowledge, perception, and practice of malaria monitoring and evaluation among selected health staff, and to identify related socio-demographic factors, including cadre of staff. [from abstract]

Mobile Phones Improve Case Detection and Management of Malaria in Rural Bangladesh

This article reports on a successful project using mobile phone technology for rapidly detecting and treating patients with malaria in a remote area of Bangladesh. [adapted from abstract]

Febrile Illness Management in Children Under Five Years of Age: A Qualitative Pilot Study on Primary Health Care Workers' Practices in Zanzibar

The aim of this qualitative pilot study was to investigate primary health workers’ practices which lead to diagnostic and treatment decisions for febrile children under five years of age in Zanzibar rural health facilities and identify primary influences shaping clinical practice, including past training among health workers, types of diagnostic tools used, and educational factors. [from author]

HIV and TB in Practice for Nurses: TB Infection Control

This issue covers why TB infection control is an important issue for nurses; how TB is spread; creating an enabling environment for TB infection control; and administrative, environmental and personal controls. [adapted from author]

Systematic Review of Strategies to Increase Demand, Uptake and Quality of Community-Based Diagnosis and Case Management of Malaria

This review assessed evidence on community-based diagnosis and care of malaria including investigation of interventions to improve the quality of services provided by community health workers (CHWs); strengthen referrals by CHWs to facility-based providers; build the capacity of health systems to support community case management; and integrate malaria diagnosis and case management with other health services at the community level. [adapted from summary]

Scaling-Up Malaria Treatment: A Review of the Performance of Different Providers

This review looked for evidence for the most effective approach to deliver malaria treatment in developing countries, by public sector, formal and informal private sector, and community health workers. The authors analysed 31 studies to assess providers based on six criteria: knowledge and practice of provider, diagnosis, referral practices, price of medicine, availability of ACT, and treatment coverage and impact on morbidity and mortality. [from abstract]

Do Health Workers' Preferences Influence Their Practices? Assessment of Providers' Attitude and Personal Use of New Treatment Recommendations for Management of Uncomplicated Malaria, Tanzania

This study provided an opportunity to assess the influence of health workers’ attitude to the usage of new malaria treatment recommendations. Overall, results showed variations in health workers attitudes and practices regarding new treatment recommendations in terms of type of health facility, ownership and type of health worker at six months post changes and two years later. [from author]

Why Are Tuberculosis Patients Not Treated Earlier? A Study of Informal Health Practitioners in Bangladesh

The objective of this article was to study the role of informal health practitioners in delays in initiating tuberculosis (TB) treatment in new smear-positive TB patients. [from author]

Nigeria TB Supportive Supervision Pilot Evaluation

This document is an evaluation of the implementation of a tool to assist in supervision, assessment and creation of action plans for quality improvement in facilities where TB is diagnosed and treated. [adapated from introduction]

Scale-Up of Home-Based Management of Malaria Based on Rapid Diagnostic Tests and Artemisinin-Based Combination Therapy in a Resource-Poor Country: Results in Senegal

In Senegal, an pilot study demonstrated the feasibility of a malaria treatment program in remote villages by volunteer home care providers. This paper reports the results of the scale-up in the targeted communities and the impact of the strategy on malaria in the formal health sector. [adapted from abstract]

Engagement of Non-Government Organizations and Community Care Workers in Collaborative TB/HIV Activities Including Prevention of Mother to Child Transmission in South Africa: Opportunities and Challenges

Using South Africa as a case study, this article reports on the engagement of non-governmental organizations and community care workers in the implementation of collaborative tuberculosis/HIV activities in rural South Africa, including extent of participation and constraints and opportunities to enhance effective participation. [adapted from abstract]

Engaging the Private Sector to Increase Tuberculosis Case Detection: An Impact Evaluation Study

In many countries with a high burden of tuberculosis, most patients receive treatment in the private sector. This study evaluates a multifaceted case-detection strategy in Karachi, Pakistan, targeting the private sector. [from abstract]

Even if You Know Everything You Can Forget: Health Worker Perceptions of Mobile Phone Text-Messaging to Improve Malaria Case Management in Kenya

This paper presents the results of a qualitative study to investigate the perceptions and experiences of health workers involved in a a cluster-randomized controlled trial of a novel intervention to improve health worker malaria case management in 107 government health facilities in Kenya. The intervention involved sending text-messages about paediatric outpatient malaria case-management accompanied by motivating quotes to health workers’ mobile phones. [from abstract]