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Table 4 Provider practices (mystery shopper survey) (cluster summaries from the 9 intervention and 9 control clusters)

From: The effect of an anti-malarial subsidy programme on the quality of service provision of artemisinin-based combination therapy in Kenya: a cluster-randomized, controlled trial

 

Control% (SD) n/d

Intervention% (SD) n/d

Difference in means (95%CI)

P value Unadjusted Adjusted

Percentage of outlets dispensing any anti-malarial:

    

Baseline

25.2 (8.9) (74/284)

40.7 (9.3) (88/215)

  

Follow up

20.2 (3.7) (68/336)

40.3 (6.5) (127/317)

20.1 (14.8, 25.4)

0.0001 0.02601

Tibamal trained

 

56.6 (23.0) (88/144)

  

Tibamal trained & job aid

 

70.8 (30.0) (37/58)

  

Percentage of outlets dispensing any AL:

    

Baseline

0.5 (1.6) (2/284)

0.0 (0) (0/215)

  

Follow up

1.8 (1.3) (6/336)

25.4 (6.9) (77/317)

23.6 (18.7, 28.6)

0.0001 0.00012

Tibamal trained

 

43.3 (18.9) (67/144)

  

Tibamal trained & job aid

 

62.7 (31.0) (31/58)

  

Percentage of outlets asking about at least one danger sign:

    

Baseline

26.5 (14.1) (21/284)

21.6 (12.4) (14/215)

  

Follow up

27.4 (10.7) (90/336)

33.3 (14.2) (97/317)

4.9 (−7.9, 17.7)

0.4295 0.26673

Tibamal trained

 

46.3 (25.5) (58/144)

  

Tibamal trained & job aid

 

51.3 (30.0) (28/58)

  

Percentage of outlets providing the correct dispensing advice for AL:

    

AL administration

    

Baseline

0.0 (0) (0/2)

0.0 (0) (0/0)

  

Follow up

0.0 (0) (0/6)

31.3 (16.3) (24/77)

31.3 (16.8, 45.8)

0.175

Tibamal trained

 

34.2 (18.0) (23/67)

  

Tibamal trained & job aid

 

45.2 (30.5) (12/31)

  

What to do if the child vomits after taking the medication

    

Baseline

0.0 (0) (0/2)

0.0 (0) (0/0)

  

Follow up

0.0 (0) (0/6)

2.5 (3.9) (2/77)

2.5 (−1.9, 6.8)

1.000

Tibamal trained

 

2.8 (5.7) (2/67)

  

Tibamal trained & job aid

 

4.4 (8.8) (2/31)

  

What to do if the child does not get better

    

Baseline

0.5 (1.6) (1/2)

0.0 (0) (0/0)

  

Follow up

0.0 (0) (0/6)

35.3 (13.1) (26/77)

35.3 (23.6, 47.1)

0.170

Tibamal trained

 

37.7 (12.6) (24/67)

  

Tibamal trained & job aid

 

38.9 (24.1) (14/31)

  

Food to give the child with AL

    

Baseline

0.0 (0) (0/2)

0.0 (0) (0/0)

  

Follow up

0.0 (0) (0/6)

13.7 (14.4) (9/77)

13.7 (0.8, 26.6)

1.000

Tibamal trained

 

13.3 (14.2) (8/67)

  

Tibamal trained & job aid

 

11.9 (14.8) (5/31)

  
  1. 1adjusted for outlet type and clinical training; 2adjusted for outlet type; 3adjusted for district and outlet type.
  2. n numerator, d denominator, SD standard deviation, CI confidence interval.
  3. Note: In the mystery shopper survey, a total of 499 outlets were successfully interviewed at baseline, 284 and 215 in control and intervention arms respectively, and 653 outlets at follow-up, 336 in the control and 317 in the intervention arm.