Designing and implementing interventions to change clinicians’ practice in the management of uncomplicated malaria: lessons from Cameroon

Achonduh, Olivia A; Mbacham, Wilfred F; Mangham-Jefferies, Lindsay; Cundill, Bonnie; Chandler, Clare; Pamen-Ngako, Joelle; Lele, Albertine K; Ndong, Ignatius C; Ndive, Sarah N; Ambebila, Joel N; Orang-Ojong, Barnabas B; Metoh, Theresia N; Akindeh-Nji, Mbuh; Wiseman, Virginia

doi:10.1186/1475-2875-13-204

Table 2 Intervention techniques

From: Designing and implementing interventions to change clinicians’ practice in the management of uncomplicated malaria: lessons from Cameroon

Intervention arms
Basic training		Enhanced training
Associated modules and sessions	Activities	Associated modules and sessions	Activities
Module 1. Malaria diagnosis		Module 1. Malaria diagnosis
• Symptomatic diagnosis	✓Pre- and post-quiz on diagnosis and treatment	• Symptomatic diagnosis	✓Pre- and post-quiz on diagnosis and treatment
• Parasitological diagnosis	✓Case studies on diagnosis and treatment	• Parasitological diagnosis	✓Case studies on diagnosis and treatment
Module 2. Rapid diagnostic testing		Module 2. Rapid diagnostic testing	✓Practical exercise on the use of RDTs
• What is an RDT?	✓Practical exercise on the use of RDTs	• What is an RDT?	✓Case studies on diagnosis and treatment
• Advantages and disadvantages of RDTs compared to microscopy		• Advantages and disadvantages of RDTs compared to microscopy
• How to use an RDT		• How to use an RDT	✓Case studies on why test for malaria
Module 3. Malaria Treatment		Module 3. Malaria Treatment	✓Worksheets on RDTs vs microscopy
• Treatment algorithm		• Treatment algorithm	✓Testimonial on use of RDTs and discussion
• Treatment when test is negative		• Treatment when test is negative	✓Drama 1- RDT testing before treatment
• Treatment in special cases		• Treatment in special cases	✓Card game - Appropriate Treatment
		Module 4. Adapting to Change
		• Feel comfortable about change in malaria guidelines	✓Drama 2 - Consequences of not prescribing the recommended treatment for uncomplicated malaria
		• Encourage use of diagnostic testing using RDTs	✓Picture scenario/card game- Clinician’s behaviour
		• Encourage the use of ACT for treating uncomplicated malaria	✓Reflecting on quotes- patient perception of malaria and discussion
		• Encourage appropriate treatment based on test results	✓
		Module 5: Professionalism
		• Why is a clinician’s behaviour important?
		• Encourage clinicians to work effectively with colleagues
		• Encourage clinicians to provide quality care to patients
		Module 6: Communicating effectively
		• Understand patients’ perceptions of malaria and treatment in order to communicate more effectively with patients
		• Develop and improve skills on how to communicate with patients

Legend: Techniques used to address issues identified during formative research in intervention to improve clinicians’ practice in the management of uncomplicated malaria. ACT = artemisinin-based combination therapy; RDT = rapid diagnostic test.

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ISSN: 1475-2875

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