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Table 2 Patient demographics, clinical characteristics and clinician assessment and treatment, percentage

From: Patient-, health worker-, and health facility-level determinants of correct malaria case management at publicly funded health facilities in Malawi: results from a nationally representative health facility survey

  Patient age  
  <5 years % 5+ years % p-value Total %
  n=806 n=1209   n=2019
Demographics     
  Age in years, Mean (range) 1.9 (0.0, 5.0) 28.5 (5.0, 86.4) 18.4 (0.0, 86.4)
  Male 51.4 37.8 <0.0001 42.9
Clinical presentation     
  High temperature (≥37.5°C) during exit interview 38.7 21.2 <0.0001 27.8
  Presented with an illness involving a fever* 94.1 81.8 <0.0001 86.5
  Positive exit interview blood smear (BS) 45.8 28.7 0.001 35.2
  Uncomplicated malaria prevalence (fever and positive BS) 45.5 27.0 0.001 34.0
Spontaneously complained to health worker about:     
  Fever 79.7 40.1 <0.0001 55.1
  Cough 56.2 30.0 <0.0001 40.0
  Vomiting 20.8 8.3 <0.0001 13.1
  Chills 5.6 13.9 <0.0001 10.7
  Fatigue 5.7 1.0 <0.0001 3.7
Health worker assessment of fever     
  Asked patient about fever 46.9 31.6 0.028 34.2
  Took temperature 19.5 7.0 0.001 9.1
  Did not ask about fever or take temperature (and fever not reported by patient) 9.2 39.0 <0.0001 27.7
Correct diagnosis and treatment of patients with confirmed malaria (according to exit interview BS) n=269 n=358   n=629
  Health worker diagnosis of malaria 79.8 66.6 0.031 73.2
  Correct treatment¥ 72.7 61.5 0.066 67.1
Overtreatment of patients without confirmed malaria n=537 n=851   n=1,390
  Health worker diagnosis of malaria 44.0 31.5 0.069 35.3
  ACT prescription¥ 43.8 24.9 0.001 30.9
  1. Note: data are weighted except for age ranges (unweighted).
  2. *Includes positive responses for: 1) patient says illness involved a fever; 2) patient spontaneously mentioned fever complaint to health worker; 3) patient reported a symptom of fever to surveyor when probed, or temperature on re-examination was >=37.5°C.
  3. If patient does not spontaneously report to health worker.
  4. If patient does not spontaneously report fever and health worker does not ask about fever.
  5. ¥ACT for most patients, or oral quinine for pregnant women in their first trimester or patients weighing less than 5 kg.