From: Taking stock: provider prescribing practices in the presence and absence of ACT stock
Country, year of study | Percentage of patients diagnosed with uncomplicated malaria/fever and prescribed alternative anti-malarials to ACT | |||
---|---|---|---|---|
All facilities, % (n) | Facilities with ACT stock, %(n) | No ACT stock | % differencea (95% Confidence Intervalb; p-value) | |
Kenya, 2006 [19] | AQ | AQ | AQ | AQ |
38.6% (363/940) | 36.7% (318/866) | 60.8% (45/74) | -24.1% (-36.4%, -11.8%; p < 0.001) | |
SP | SP | SP | SP | |
4.4% (41/940) | 3.2% (28/866) | 17.6% (13/74) | -14.4% (-23.8%, 4.8%; p < 0.001) | |
AQ+SP | AQ+SP | AQ+SP | AQ+SP | |
2.8% (26/940) | 3% (26/866) | 0/74 | 3% | |
Other AM c | Other AM c | Other AM c | Other AM c | |
3.3% (31/940) | 3.3% (29/866) | 2.7% (2/74) | 0.6% (0.3%, 11%; p = 1.0) | |
QN | QN | QN | QN | |
1.5% (14/940) | 1.5% (13/866) | 1.4% (1/74) | 0.1% (0.16%, 46.6%; p = 1.0) | |
Kenya, 2010 [14]e | AL+QN | AL+QN | AL+QN | AL+QN |
<5 yrs: 5.8% (55/950) ≥ 5 yrs: 2.6% (31/1175) | <5 yrs: 6% (55/913) ≥ 5 yrs: 2.8% (31/1112) | <5 yrs: 0/37 ≥ 5 yrs: 0/63 | <5 yrs: 6% ≥ 5 yrs: 2.8% | |
SP | SP | SP | SP | |
2.6% (56/2125) | 1.9% (38/2025) | 18% (18/100) | -16.1%(-24.2%, 8%; p < 0.001) | |
QN | QN | QN | QN | |
<5 yrs: 2.6% (25/950) ≥ 5 yrs: 1.4% (16/1175) | <5 yrs: 2.6% (24/913) ≥ 5 yrs: 1.3% (14/1112) | <5 yrs: 2.7% (1/37) ≥ 5 yrs: 3.2% (2/63) | <5 yrs:-0.1% (-0.1%, 41.1%; p = 1.0) ≥ 5 yrs: -1.9% (-3.6%, .09%; p = 0.2) | |
Uganda, 2007 [18] | CQ+SP | CQ+SP | CQ+SP | CQ+SP |
<5 yrs: 7.6% (35/461) ≥ 5 yrs: 18% (133/739) | < 5 yrs: 5.1% (22/428) ≥ 5 yrs: 14.8% (95/644) | < 5 yrs: 39.4% (13/33) ≥ 5 yrs: 40.0% (38/95) | < 5 yrs: -34.3% (-81.4%, -45.8%; p < 0.001) ≥ 5 yrs: -25.2% (-36.1%, -14.4%; p < 0.001) | |
CQ | CQ | CQ | CQ | |
< 5 yrs: 2.2% (10/461) ≥ 5 yrs: 3% (22/739) | < 5 yrs: 2.1% (9/428) ≥ 5 yrs: 2.5% (16/644) | < 5 yrs: 3% (1/33) ≥ 5 yrs: 6.3% (6/95) | < 5 yrs: -0.9% (-31.1%, 0.1%; p = 0.5) ≥ 5 yrs: -3.8% (-9.5%, 1.8%; p = 0.08) | |
SP | SP | SP | SP | |
< 5 yrs: 0.4% (2/461) ≥ 5 yrs: 1.0% (7/739) | < 5 yrs: 0.5% (2/428) ≥ 5 yrs: 0.9% (6/644) | < 5 yrs: 0 (0/33) ≥ 5 yrs: 1.0% (1/95) | < 5 yrs: 0.5% ≥ 5 yrs: -0.1% (0.1%, 41.1%; p = 1) | |
QN | QN | QN | QN | |
< 5 yrs: 5.9% (27/461) ≥ 5 yrs: 2.8% (21/739) | < 5 yrs: 5.1% (22/428) ≥ 5 yrs: 2.5% (16/644) | < 5 yrs: 15.2% (5/33) ≥ 5 yrs: 5.3% (5/95) | < 5 yrs: -10.1% (-24.1%, 4%; p = 0.05) ≥ 5 yrs: -2.8% (-8%, 2.5%; p = 0.2) | |
Other AM d | Other AM d | Other AM d | Other AM d | |
< 5 yrs: 3.5% (16/461) ≥ 5 yrs: 1.9% (14/739) | < 5 yrs: 3.5% (15/428) ≥ 5 yrs: 1.9% (12/644) | < 5 yrs: 3.0% (1/33) ≥ 5 yrs: 2.1% (2/95) | < 5 yrs: 0.5% (0.16%,48.9%; p = 1.0) ≥ 5 yrs: -0.2% (0.19%, 8.2%; p = 0.7) | |
Zambia, 2004 [16] | SP | SP | SP | SP |
≥ 10 kg: 67.5% (266/394) | ≥ 10 kg: 53.7% (103/192) | ≥ 10 kg: 80.7% (163/202) | ≥ 10 kg: -27% (-36.5%, -17.6%; p < 0.001) | |
QN | QN | QN | QN | |
≥ 10 kg: 4.8% (19/394) | ≥ 10 kg: 3.1% (6/192) | ≥ 10 kg: 6.4% (13/202) | ≥ 10 kg: -3.3% (-8%, 1.4%; p = 0.2) | |
Zambia, 2006 [17] | SP | SP | SP | SP |
5-9 kg: 38.8% (214/552) ≥ 10 kg: 27.6% (151/547) | 5-9 kg: 21.9% (77/351) ≥ 10 kg: 13.6% (51/374) | 5-9 kg: 68.2% (137/201) ≥ 10 kg: 57.8% (100/173) | 5-9 kg: -46.3% (-54.4%, -38.1%; p < 0.001) ≥ 10 kg: -44.2% (-52.7%, -35.6%; p < 0.001) | |
QN | QN | QN | QN | |
5-9 kg: 4.7% (26/552) ≥ 10 kg: 7.0% (38/547) | 5-9 kg: 2.3% (8/351) ≥ 10 kg: 3.7% (14/374) | 5-9 kg: 9.0% (18/201) ≥ 10 kg: 13.9% (24/173) | 5-9 kg:-6.7% (-11.3%, -2,%; p < 0.001) ≥ 10 kg:-10.2% (-16.1%, -4.2%; p < 0.001) | |
Zambia, 2006 [15]f, g | SP | SP | SP | SP |
32.8% (479/1457) | 20.4% (212/1040) | 64% (267/417) | -43.6% (-41.3%, -31.4%; p < 0.001) | |
QN | QN | QN | QN | |
3.7% (54/1457) | 3.7% (28/1040) | 6.2% (26/417) | -2.5% (-5.3%, -0.7%; p = 0.003) |