BACKGROUND The Guidelines for Diagnosis and Treatment of Malaria are meant to guide medical practitioners to enhance optimal management of patients suspected of having malaria which is vital to malarial control and elimination. Medical doctors have the main responsibility for treating patients with malaria so there was need to evaluate the extent to which the medical doctors in Ebonyi state, Nigeria, knew, viewed, and practiced the 2015 National Guidelines for Diagnosis and Treatment of Malaria. METHODS A cross-sectional survey was carried out in May, 2019 among medical doctors who were involved in the management of malaria patients and selected via convenience sampling. Data was collected using a structured self-administered questionnaire. Each respondent was categorized as having poor, fair, or good knowledge, attitude, and practice respectively based on knowledge, attitude, and practice scores of <50%, 50-75%, and >75%. Associated factors were evaluated through bivariate and multivariate binomial logistic regressions at 5% probability of type one error and the overall test for the effect of each independent factor on practice level was done using the "postestimation test" command in Stata. RESULTS A total of 156 medical doctors were surveyed. Most, 138 (88.5%) were aware there was a national guideline for diagnosis and treatment of malaria. Among the medical doctors, 19 (12.2%) had good knowledge, 110 (70.5%) had fair knowledge, and 27 (17.3%) had poor knowledge; 38 (24.4%) had good attitude, 74 (47.4%) had fair attitude, and 44 (28.2%) had poor attitude; and 59 (37.8%) had good practice, 90 (57.7%) had fair practice, and 7 (4.5%) had poor practice. The attitude level of the medical doctors toward the 2015 National Guidelines for Diagnosis and Treatment of Malaria was a predictor of good practice (adjusted p-value of overall effect = 0.0003). CONCLUSIONS Although most of the medical doctors in Ebonyi state, Nigeria, were aware of the existence of a national guideline, only just over a third of them had good practice of the 2015 National Guidelines for Diagnosis and Treatment of Malaria. Policy interventions should focus on improving the attitude of the medical doctors toward the National Guidelines through training and re-training.

中文翻译：

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尼日利亚埃博尼州医生对国家疟疾诊断和治疗指南的知识、态度和实践：横断面调查。

背景 疟疾诊断和治疗指南旨在指导医生加强对疑似患有疟疾的患者的最佳管理，这对于控制和消除疟疾至关重要。医生对治疗疟疾患者负有主要责任，因此需要评估尼日利亚埃博尼州的医生对 2015 年国家疟疾诊断和治疗指南的了解、查看和实践程度。方法 2019年5月，对参与疟疾患者管理的医生进行横断面调查，采用方便抽样的方法抽取。使用结构化的自我管理问卷收集数据。每个受访者被归类为具有较差、一般或良好的知识、态度、和实践分别基于 <50%、50-75% 和 >75% 的知识、态度和实践分数。通过双变量和多变量二项式逻辑回归以 5% 的第一类错误概率评估相关因素，并使用 Stata 中的“后估计测试”命令对每个独立因素对实践水平的影响进行整体测试。结果共调查了156名医生。大多数人（88.5%）知道有一个国家疟疾诊断和治疗指南。医生中，19人（12.2%）知识好，110人（70.5%）知识一般，27人（17.3%）知识差；38人（24.4%）态度良好，74人（47.4%）态度一般，44人（28.2%）态度差；59 (37.8%) 有良好实践，90 (57.7%) 有公平实践，7 (4. 5%) 实践不佳。医生对 2015 年国家疟疾诊断和治疗指南的态度水平是良好实践的预测指标（调整后的总体效果 p 值 = 0.0003）。结论 尽管尼日利亚 Ebonyi 州的大多数医生都知道国家指南的存在，但只有超过三分之一的医生对 2015 年国家疟疾诊断和治疗指南有良好的实践。政策干预应侧重于通过培训和再培训提高医生对国家指南的态度。结论 尽管尼日利亚 Ebonyi 州的大多数医生都知道国家指南的存在，但只有超过三分之一的医生对 2015 年国家疟疾诊断和治疗指南有良好的实践。政策干预应侧重于通过培训和再培训提高医生对国家指南的态度。结论 尽管尼日利亚 Ebonyi 州的大多数医生都知道国家指南的存在，但只有超过三分之一的医生对 2015 年国家疟疾诊断和治疗指南有良好的实践。政策干预应侧重于通过培训和再培训提高医生对国家指南的态度。