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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.