From: Public health system readiness to treat malaria in Odisha State of India
ANMs | ASHAs | |||||
---|---|---|---|---|---|---|
Total | Category-I and II | Category-III | Total | Category-I and II | Category-III | |
N = 220 | N = 173 | N = 47 | N = 235 | N = 185 | N = 50 | |
Percentage (95% CI) | Percentage (95% CI) | Percentage (95% CI) | Percentage (95% CI) | Percentage (95% CI) | Percentage (95% CI) | |
Ever attended ACT malaria case management training including RDT use | 45.4 (38.9-52.0) | 57.8 (50.3-65.0) | 31.9 (19.8-46.1) | 88.9 (84.4-92.4) | 94.5 (90.5-97.2) | 68 (54.2-79.7) |
On-the-job training related to blood collection and slide preparation for malaria diagnosis | 52.2 (45.6-58.8) | 66.4 (59.1-73.2) | 100 (93.8-100.0) | 95.7 (92.5-97.8) | 95.1 (91.2-97.6) | 98 (90.5-99.3) |
Access to malaria case management guidelines | 61.8 (52.2-68.0) | 65.8 (58.5-72.6) | 46.8 (32.9-61.0) | 71.0 (65.0-76.5) | 81.0 (74.9-86.2) | 34 (21.9-47.8) |
Knowledge about malaria diagnosis and use of RDT | ||||||
1. Know that malaria is diagnosed with either slide microscopy or RDT | 100 (98.6-100.0) | 100 (98.2-100.0) | 100 (93.8-100.0) | 100 (98.7-100.0) | 100 (98.3-100.0) | 100 (94.1-100.0) |
2. Know how to check that RDT is okay for use | 87.2 (82.3-91.2) | 98.2 (95.3-99.5) | 46.8 (32.9-61.0) | 87.2 (82.5-91.0) | 93.5 (89.2-96.4) | 64.0 (50.0-76.3) |
3. Know which side of RDT strip to dip into the buffer solution | 81.8 (76.3-86.5) | 90.7 (85.7-94.4) | 48.9 (34.9-63.0) | 79.5 (74.0-84.3) | 90.2 (85.3-93.9) | 40.0 (27.1-53.9) |
4. Able to interpret RDT result correctly | 86.8 (81.8-90.8) | 98.2 (95.3-99.5) | 44.6 (31.0-59.0) | 86.8 (82.0-90.7) | 94.0 (89.9-96.8) | 60.0 (46.0-72.8) |
Acceptable level of knowledge for diagnosing malaria using RDT | 80.0 (74.3-84.8) | 90.2 (85.0-93.9) | 42.6 (29.0-56.9) | 77.4 (71.7-82.4) | 88.1 (82.8-92.2) | 38.0 (25.4-51.9) |
Ready to diagnose fever cases using RDTs* | 45.0 (38.5-51.6) | 57.2 (49.7-64.4) | 0 | 39.5 (33.4-45.9) | 50.2 (43.0-57.4) | 0 |