2 research outputs found

    Evaluating Evidence Based Practice of Physiotherapists and the Quality of Physiotherapy Services in Selected Health Facilities of Lusaka, Zambia

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    There is an empirical argument that Physiotherapists have a moral and professional obligation to move away from assessment and treatment methods based on anecdotal testimonies or opinion and upgrade their method of practice to Evidence-Based Practice in order to remain alive in the era of scientific research. It is essential to evaluate the quality of service being delivered by referral hospitals. This study aimed to establish linkages of knowledge and awareness of evidence-based practice in selected hospitals of Lusaka and the service quality at the physiotherapy outpatient departments. This study employed a descriptive cross-sectional study. The study was based on primary data collected through a standardized SERVQUAL tool measuring the mean expectations and perception of performance for the quality of physiotherapy care. A total of 75 respondents including both physiotherapists and patients contributed to the study. Limited utilization of EBP practice was seen with only 3(5.1%) participants always and 26(4.1%) mostly reading research to guide the clinical decision. 18(31%) and 14(24.1%) respectively strongly agreed or agreed that the insufficiency of basic EBP skills was the primary barrier to the application of EBP in clinical practice. A negative mean gap score was observed across all five dimensions of the SERVQUAL tool for patients. Despite Physiotherapists in Lusaka being knowledgeable of evidence-based practice, negative gaps in quality of care being offered still persist, an indication that there is a needs to improve on patients' satisfaction with the services being provided

    Acceptability and associated factors of indoor residual spraying for malaria control by households in Luangwa district of Zambia: A multilevel analysis.

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    The global burden of malaria has increased from 227 million cases in 2019 to 247 million cases in 2020. Indoor residual spraying (IRS) remains one of the most effective control strategies for malaria. The current study sought to measure the acceptability level and associated factors of indoor residual spraying. A cross sectional study was conducted from October to November 2020 in sixteen urban and rural communities of Luangwa district using a cluster sampling method, Multilevel analysis was used to account for the hierarchical structure of the data. The acceptability level of indoor residual spraying among household heads was relatively high at 87%. Individuals who felt the timing was not appropriate were associated with decreased odds of accepting IRS (AOR = 0.55, 95% CI: 0.20-0.86). Positive attitude was associated with increased odds of accepting IRS (AOR = 29.34, 95% CI: 11.14-77.30). High acceptability level was associated with unemployment (AOR = 1.92, 95% CI: 1.07-3.44). There were no associations found between acceptability levels and community-level factors such as information, education, communication dissemination, awareness achieved through door-to-door sensitization, and public address system. Acceptability level of indoor residual spraying was relatively high among households of Luangwa District suggesting that the interventions are more acceptable which is essential in reaching malaria elimination by 2030. Finding that community factors known to influence acceptability such as information, education and communication as well as awareness were not important to influencing acceptability suggests need for reinforcing messages related to indoor residual spraying and redefining the community sensitization approaches to make indoor residual spraying more acceptable
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