Assessment of knowledge on use of Artemether Lumefantrine in management of uncomplicated malaria among outpatients at KIU-TH
Loading...
Date
2018-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kampala International University, School of Health Sciences- Western Campus
Abstract
This study sought to assess the !mow! edge on the use of Artemether/ therapy in the management
of uncomplicated malaria among out patients treated at KIU-TI-L
A cross sectional study design was employed in this study. Data was collected from August to
October 2018 using a questionnaire by simple Random sampling and was entered and analyzed
using Microsoft Excel spread sheet and Statistical Package of Social Sciences (SPSS) version 20
respectively. The results were presented in form of tables, charts, graphs and Pearson Chi Square
test were generated. The minimum and maximum age of the respondents was 0.5 and 55
respectively given that Skewness was greater than I. (1.043).
The findings of the study have demonstrated that the patients' knowledge on use of ArtemetherLumefantrine
for management of uncomplicated malaria is inadequate following key parameters
of dosing time, duration of treatment, dietary recommendations and response to side effects.
Ce1tain aspects which could affect proper use of the drug like knowledge on the possible side
effects and what to do when they experience them, the AL dietary requirements and why they
should not stop taking their drug even when they feel better before the treatment is over, what to
do if they vomited any dose were not clearly understood by the patients.
It was found out that patients' level of Education had no significant effect on their knowledge on
use of AL. Other patient factors like Marital status, Patient occupation and the frequency of
obtaining AL as OTC were not significantly associated with the knowledge expressed by the
patients on AL.
The major challenges to poor use in this setting were related to difficulties in following expected
dosing schedule and most especially the time for the second close, time for completion of the
dose, dietary recommendations and what is done when the drug is vomited which could be sorted
out through improved counseling and patient Education on taking the medication by the
dispenser or pharmacist.
CONCLUSION: Patients did not have adequate knowledge on the dispensed drug and
particularly on the dosing schedule and dietary recommendations associated with the use of AL.
The patients' level of Education did not have a significant effect on the knowledge on use of AL
expressed by the patients. This could imply that the quality of patient- service provider
interaction and particularly counseling and emphasis on all issues pertaining the use of the
dispensed drugs is weak.
RECOMMENDATIONS: Re-train health workers particularly dispensers/pharmacists on the
purpose of effective counseling on disease and treatment issues of the patients. Ensure that all
first doses of AL be administered before the patient leaves the health facility. Set a follow up
strategy of the patient to assess response to therapy at least after two days and solve any
problems that may have resulted from treatment.
Description
A research report submitted to the school of pharmacy in partial fulfillment for the requirement of the a ward of a Bachelor degree in pharmacy of Kampala International University
Keywords
Artemether Lumefantrine, Uncomplicated malaria, Outpatients