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Table 3 Patient consultation

From: Treatment of uncomplicated malaria at public health facilities and medicine retailers in south-eastern Nigeria

 

Public

Medicine retailer

Total

 

N = 466

N = 1176

N = 1642

 

% (95% CI)

% (95% CI)

% (95% CI)

P value

Patient reported consultation

Told HW about patient symptoms

94.9 (94.4-95.4)

44.3 (36.9-52.0)

48.3 (41.3-55.4)

<0.001

Told HW that had a fever

89.8 (87.2-91.9)

40.3 (33.0-48.2)

44.3 (37.1-51.4)

<0.001

HW asked follow up questions about patient's symptoms

79.9 (76.3-83.0)

32.0 (25.0-39.9)

35.7 (29.1-43.1)

<0.001

Patient was physically examined

65.1 (48.8-78.5)

6.2 (3.5-10.5)

10.8 (7.8-14.5)

<0.001

Patient had temperature taken

49.7 (38.6-60.9)

1.7 (0.6-4.9)

5.5 (3.9-7.8)

<0.001

Patient tested for malaria at this facility

5.8 (3.6-9.3)

0.2 (0.0-1.4)

0.7 (0.3-1.3)

<0.001

Patient requests for medicine

% of patients that asked for:

    

   any type of medicine

2.8 (1.9-4.2)

65.4 (57.9-72.3)

60.5 (53.7-66.9)

<0.001

   an anti-malarial

1.2 (0.7-2.1)

58.3 (51.1-65.2)

53.8 (47.3-60.2)

<0.001

   any ACT

0.9 (0.4-1.9)

16.0 (11.1-22.5)

14.8 (10.3-20.9)

<0.001

   Artemisinin monotherapy

0

11.5 (8.6-15.3)

10.6 (8.0-14.1)

0.162

   Amodiaquine

0

1.6 (0.8-3.4)

1.5 (0.7-3.2)

0.402

   Chloroquine

0.1 (0.0-0.4)

1.3 (0.6-2.7)

1.2 (0.6-2.5)

<0.001

   Quinine

0

0.7 (0.2-2.6)

0.7 (0.2-2.4)

0.631

   SP

0.1 (0.1-0.1)

26.2 (21.5-31.5)

24.1 (19.8-29.1)

<0.001

Anti-malarial prescriptions

% patients prescription (from any facility)

94.2 (92.4-95.6)

15.4 (10.7-21.5)

21.6 (17.1-26.9)

<0.001

% patients that received prescription from this facility

94.2 (92.4-95.6)

1.8 (0.7-4.0)

8.8 (7.3-11.0)

<0.001

% patients that were prescribed*:

 

-

-

-

   an anti-malarial†

78.4 (72.6-83.3)

-

-

-

   any ACT‡

34.0 (21.9-48.7)

-

-

-

   Artemisinin monotherapy

4.7 (3.1-7.1)

-

-

-

   Amodiaquine

1.1 (0.9-1.5)

-

-

-

   Chloroquine

3.3 (0.8-11.6)

-

-

-

   Quinine

0.2 (0.0-3.1)

-

-

-

   SP

34.7 (21.7-50.6)

-

-

-

  1. * Reported only for public health facilities
  2. † At public facilities 73.4% of children under five years were prescribed an antimalarial.
  3. ‡ At public facilities 51.5% of children under five years were prescribed an ACT. At public health facilities with ACTs in stock 43.8% of patients (all ages) and 57.9% of children under five years were prescribed an ACT.
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Malaria Journal

ISSN: 1475-2875

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