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Table 1 Characteristics of health facilities and health workers during 2004 and 2006 surveys in Zambia

From: Paediatric malaria case-management with artemether-lumefantrine in Zambia: a repeat cross-sectional study

 

2004

2006

Health facility characteristics

N = 94

N = 104

 

No (%)

No (%)

Type of facility

  

   Hospital-affiliated health center

7 (7.4)

6 (5.8)

   Urban health center

7 (7.4)

8 (7.7)

   Rural health center

78 (83.0)

87 (83.7)

   Health post

2 (2.1)

3 (2.9)

Equipment available at facility

  

   Weighing scale

92 (97.9)

99 (97.1)*

   Thermometer

91 (97.8)

90 (88.2)*

   Working microscope

16 (17.0)

18 (17.3)

   Malaria rapid diagnostic test

0

65 (62.5)

   Any test (malaria rapid diagnostic test or microscopy)

16 (17.0)

76 (73.1)

Wall charts

  

   Artemether-lumefantrine dosage chart

19 (20.2)

78 (75.0)

   Sulphadoxine-pyrimethamine dosage chart

48 (51.1)

39 (37.5)

   Quinine dosage chart

4 (4.3)

4 (3.9)

Available drugs on the survey day

  

   Artemether-lumefantrine (any non-expired tablets)

48 (51.1)

62 (59.6)

   Sulphadoxine-pyrimethamine (any formulation)

94 (100)

96 (92.3)

   Quinine (injection)

68 (72.3)

78 (75.0)

   Quinine (tablets)

74 (78.7)

90 (86.5)

   Chloroquine (any formulation)

71 (75.5)

0

Health worker characteristics

N = 103

N = 135

 

No (%)

No (%)

Pre-service training

  

   Clinical officer

30 (29.1)

38 (28.2)§

   Enrolled Nurse

49 (47.6)

52 (38.5)

   Registered nurse

4 (3.9)

10 (7.4)

   Other

20 (19.4)

35 (25.9)

In-service training including recommendations on the use of artemether-lumefantrine

26 (25.2)

55 (40.7)

Possession of guidelines that included artemether-lumefantrine recommendations

60 (58.3)

124 (91.9)

Frequency of supervision (past 6 months)

  

   0 visit

14 (13.6)

16 (11.9)

   1 visit

22 (21.4)

56 (41.5)

   2 visits

42 (40.8)

52 (38.5)

   3 or more visits

25 (24.3)

11 (8.1)

  1. * Denominator does not include two observations with missing value
  2. P-value < 0.05 using chi-square test of significance
  3. Denominator does not include one observation with missing value
  4. § The clinical officer category includes one physician