@article{fdi:010072725,
  title = {{P}rimary healthcare providers' practices related to non-malarial acute febrile illness in {B}urkina {F}aso},
  author = {{B}ottger, {C}. and {B}ernard, {L}. and {B}riand, {V}al{\'e}rie and {B}ougouma, {C}. and {T}riendebeogo, {J}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}n {A}frica, fever is the main reason for consultation, with malaria playing a prominent role. {S}tudies have reported that the widespread use of rapid diagnostic tests for malaria, implemented since 2010, has revealed an increasing proportion of non-malaria acute febrile illnesses ({NMAFI}). {I}t is an important public health issue because evidence shows that mortality is higher among patients presenting with non-malarial fever than among those with malaria. {M}ethods: {T}his cross-sectional study assessed the professional practices of healthcare providers in the management of {NMAFI} in urban and rural sites in {B}urkina {F}aso. {D}ata was collected from 286 healthcare providers through a questionnaire based on the clinical situation in 2014. {F}actors have been associated using a hierarchical linear mixed model with random intercepts to model dependence of outcomes for healthcare providers working on the same site. {R}esults: {S}urvey results showed limited knowledge about management of {NMAFI}, global survey score on {G}eneral {P}ractice {I}ndicator being 60% (36.02/60.00). {T}his gap was more evident at the admission and diagnosis level. {T}he study's population from rural areas had better survey score than that of urban areas concerning the respect of adequacy diagnosis, treatment and use of antibiotics in {NMAFI}, 15.71 vs 13.93 mean score (p=0.01) (75 vs 66% on a 0 to 100% scale, with 100% being the best). {O}verall, more educated participants performed relatively better. {A} total of 46% (134/286) of participants felt that they needed training in at least one of the fever-related issues. {C}onclusions: {I}ncreased awareness and knowledge of management for {NMAFI} are urgently required in {B}urkina {F}aso. {T}his must be done through regular supervision and training courses targeted specifically at primary healthcare providers.},
  keywords = {{B}urkina {F}aso ; {C}ross-sectional study ; {H}ealthcare providers ; {N}on-malaria ; acute febrile illness ({NMAFI}) ; {P}rofessional practice ; {BURKINA} {FASO}},
  booktitle = {},
  journal = {{T}ransactions of the {R}oyal {S}ociety of {T}ropical {M}edicine and {H}ygiene},
  volume = {111},
  numero = {12},
  pages = {555--563},
  ISSN = {0035-9203},
  year = {2017},
  DOI = {10.1093/trstmh/try009},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072725},
}