Private Sector Malaria Case Management in Cambodia: ACTwatch Findings … · Private Sector Malaria...
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Private Sector Malaria Case Management in Cambodia: ACTwatch Findings 2015 2002: Private sector social marketing of ACT & mRDT 2009: MoH bans artemisinin monotherapies 2000: ASMQ is first-line treatment 2010: DHA PPQ is first-line treatment 2011: Increased private sector regulation through public private partnership program (PPM) 2011-2012: PPM pilot expansion with CNM & URC 2015: ASMQ is first-line treatment in areas with treatment failure 2014: 2,010 licensed private providers are enrolled in PPM Outlets with a completed patient observation & interview: 18% of patients present at the outlet were tested for malaria Most outlets were in the regulated private sector (private for-profit health centers & pharmacies), but nearly a quarter of outlets were in the unregulated private sector (drug stores & itinerant drug vendors). The majority of outlets were in Tier 1 provinces. N = 220 Pharmacy Drug Store Itinerant Drug Vendor Private for-Profit Health Facility Tier 1 Tier 2 Outlet Type Outlet Location 0 10 20 30 40 50 60 70 80 90 100 Itinerant Drug Vendor* Private for- Profit Facility Drug Store Pharmacy 15-24 years* 25-34 years* 35-49 years 50+ years Male* Female Forest Worker* Other Occupation Outlet Type Patient Age Patient Sex Patient Occupation PERCENT OF PATIENTS Proportion of patients who received a malaria blood test: Malaria blood testing was highest among male patients, patients aged 15-34, patients seeking care with itinerant drug vendors, & patients who reported forest work as their occupation. Patient Age Patient Sex Patients with a completed observation & interview: 25-34 years 35-49 years 50+ years 15-24 years Unknown Female Male Distribution of patient age & sex did not differ significantly across outlet type, but a higher proportion of patients seeking care at itinerant drug vendors reported forest work (20%) compared to other outlet types. Malaria test results & treatments dispensed: of patients were present at the outlet at the time of consultation. The other 20% were not present, with care being sought by a caregiver on the patient’s behalf. 80 % 7 tested (+) for malaria 5 received DHA PPQ 1 received prescription for chloroquine 1 received referral to public sector 23 tested (-) for malaria 23 did not receive an antimalarial 189 not tested for malaria 1 received DHA PPQ
Transcript of Private Sector Malaria Case Management in Cambodia: ACTwatch Findings … · Private Sector Malaria...
Private Sector Malaria Case Management in Cambodia: ACTwatch Findings 2015
2002: Private sector
social marketing of
ACT & mRDT
2009: MoH bans
artemisinin
monotherapies
2000: ASMQ is
first-line treatment
2010: DHA PPQ is
first-line treatment
2011: Increased private sector
regulation through public private
partnership program (PPM)
2011-2012: PPM
pilot expansion with
CNM & URC
2015: ASMQ is first-line
treatment in areas with
treatment failure
2014: 2,010 licensed
private providers are
enrolled in PPM
Outlets with a completed patient observation & interview:
18% of
patients
present at
the outlet
were tested
for malaria
Most outlets were in the regulated private sector (private for-profit health centers &
pharmacies), but nearly a quarter of outlets were in the unregulated private sector (drug
stores & itinerant drug vendors). The majority of outlets were in Tier 1 provinces.
N = 220Pharmacy
Drug Store
Itinerant Drug Vendor
Private for-Profit
Health Facility
Tier 1
Tier 2
Outlet
Type
Outlet
Location
0
10
20
30
40
50
60
70
80
90
100
Itinerant
Drug Vendor*
Private for-
Profit Facility
Drug Store Pharmacy 15-24
years*
25-34
years*
35-49
years
50+ years Male* Female Forest
Worker*
Other
Occupation
Outlet Type Patient Age Patient Sex Patient Occupation
PE
RC
EN
T O
F P
AT
IEN
TS
Proportion of patients who received a malaria blood test:
Malaria blood testing was highest among male
patients, patients aged 15-34, patients seeking
care with itinerant drug vendors, & patients who
reported forest work as their occupation.
Patient
Age
Patient
Sex
Patients with a completed observation & interview:
25-34 years
35-49 years
50+ years
15-24 years
Unknown
Female
Male
Distribution of patient age & sex did not differ significantly across
outlet type, but a higher proportion of patients seeking care at
itinerant drug vendors reported forest work (20%) compared to other
outlet types.
Malaria test results & treatments dispensed:
of patients were present at the outlet at the time of consultation. The other 20% were not present, with care being sought by a caregiver on the patient’s behalf.80%
7 tested (+)
for malaria
5 received DHA PPQ
1 received prescription for chloroquine
1 received referral to public sector
23 tested (-)
for malaria23 did not receive an antimalarial
189 not tested
for malaria1 received DHA PPQ
