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Table 1 Training and knowledge of health workers in diagnosing fever cases

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
  1. * A combination of acceptable knowledge and availability of RDT or microscopy.