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Table 5 Practices, experiences and perceptions of the healthcare workers (n=152)

From: Patients’ adherence to artemisinin-based combination therapy and healthcare workers’ perception and practice in Savannakhet province, Lao PDR

 

n (%)

Contents of medication instructions

 Number of doses per day

130 (85.5)

 Number of days of the regimen

113 (74.3)

 Side effects of the medicine

113 (74.3)

 Importance of continuing to take medicines

110 (72.4)

 Effect of medicine

64 (42.1)

 Number of tablets per dose

60 (39.5)

Frequency of confirming whether the patient understood how to take the medicines

 Never

8 (5.3)

 Occasionally

41 (27.0)

 Often

51 (33.6)

 Always

51 (33.6)

 Missing

1 (0.7)

Frequency of seeing malaria outpatients with poor adherence to medication instructions

 Never

26 (17.1)

 Occasionally

113 (74.3)

 Often

9 (5.9)

 Always

3 (2.0)

 Missing

1 (0.7)

Having heard of patients who did not correctly complete the 3-day regimen of AL

64 (42.1)

Perceived reasons that patients did not complete the regimen (multiple answers allowed) n=64

 Illiterate

27 (42.2)

 Long distance between patient’s home and healthcare facility

24 (37.5)

 Poor understanding of instructions

20 (31.3)

 Low income

12 (18.8)

 Mild symptoms

3 (4.7)

 Not having health insurance

3 (4.7)

 Fear of side effects

3 (4.7)

 Others

7 (10.9)

Perceived effect of poor AL adherence on the emergence of drug-resistant malaria

 Poor adherence can cause drug-resistant malaria

135 (88.8)

 Poor adherence cannot cause drug-resistant malaria

16 (10.5)

 Missing

1 (0.7)

Perceived responsible person to manage medication adherence (multiple answers allowed)

 Healthcare workers who prescribed medicine

106 (69.7)

 Healthcare workers who hand over medicines to patients

95 (62.5)

 Caregivers

69 (45.4)

 Patients

29 (19.1)

 Others

6 (3.9)