Skip to main content

Table 5 Treatment practices of UMPs particularly for malaria

From: Unlicensed medical practitioners in tribal dominated rural areas of central India: bottleneck in malaria elimination

Variables

N = 140

n (%)

Total length (mean ± SD) of medical practice (year)

8.3 ± 3.1

Attended any training programme

125 (89.3)

Training provided by govt. agency

40 (28.6)

Training period (months) (mean ± SD)

7.3 ± 3.5

Training on malaria diagnosis and treatment

6 (4.3)

Major common diseases in area

 Malaria

136 (97.1)

 Diarrhoea

57 (40.7)

 Skin disease

11 (7.9)

 Cough cold

35 (25.0)

 Typhoid

6 (4.3)

 Tuberculosis

8 (5.7)

 Viral Fever

9 (6.4)

 Jaundice

2 (1.4)

Providing services on following health issues

 Maternal health care

72 (51.4)

 Child health care

106 (75.7)

 Family planning

124 (88.6)

 Vaccination

111 (79.3)

 Common diseases (diarrhoea, skin diseases, typhoid, piles, asthma)

140 (100.0)

 Malaria

138 (98.6)

 Tuberculosis

5 (3.6)

 No. of patients treated in last week (mean ± SD)

47.3 ± 34.9

 No. of fever cases treated in last week (mean ± SD)

27.4 ± 24.7

 No. of malaria patient treated in last week (mean ± SD)

17.6 ± 5.8

 Usually treat suspected malaria cases based on clinical symptoms

53 (37.9)

 Treat suspected malaria cases only after blood test using RDTs

87 (62.1)

 Having malaria RDT in stock (physically verified)

127 (90.7)

Source of RDT procured

 Market

137 (97.9)

 Government Hospital/ASHAs

2 (1.4)

Source of antimalarial procured

 Market

138 (98.6)

 Government hospital/ASHAs

2 (1.4)

Mode of treatment preferred

 Injectable

94 (67.1)

 Oral (tablets/syrup)

15 (10.7)

 Both

31 (22.1)

Cause of preference of injectable

 Patient psychology (client’s preference)

103 (73.6)

 Fast recovery (provider’s preference)

37 (26.4)

 Treated complicated/serious malaria patient

6 (4.3)

 Heard about national diagnosis and treatment guidelines of malaria

12 (8.6)

Treatment practices of malaria patients

 E-Mal (artesunate injection)

  P. falciparum

95 (67.9)

  P. vivax

17 (12.1)

 Quinine tablets

  P. falciparum

2 (1.4)

  P. vivax

3 (2.1)

 Quinine injection

  P. falciparum

2 (1.4)

  P. vivax

2 (1.4)

 Chloroquine tablets

  P. falciparum

18 (12.9)

  P. vivax

31 (22.1)

 Chloroquine injection

  P. falciparum

11 (7.9)

  P. vivax

33 (23.6)

 Primaquine tablets

  P. falciparum

25 (17.9)

  P. vivax

7 (5.0)