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Table 4 Measures of CMD performance in delivering ACTs in 4 sites (source: CMD registers + household survey)

From: Feasibility and acceptability of artemisinin-based combination therapy for the home management of malaria in four African sites

 

Ejisu – Juaben District, Ghana

Ho District, Ghana

Badeku and Ojoku/Ajia Districts, Nigeria

Bugiri and Iganga Districts, Uganda

Totals

Correctness of prescription (from CMD register)

   Number (%) of all children correctly dosed

4473 (99%)

3900 (98%)

1019 (98%)

10,671 (97%)

20063 (98%)

   Number (%) of young children receiving an over dose

30 (0.7%)

15 (3.2%)

11 (2%)

27 (0.4%)

83 (0.7%)

   Number (%) of older children receiving an under dose

8 (0.2%)

43 (1.2%)

12 (3%)

54 (1.5%)

117 (1%)

Number (%) of occasions on which CMD explained (from survey):

   Treatment schedule

281 (97%)

93 (100%)

264 (92%)

569 (92%)

1207 (94%)

   Danger signs

53 (18%)

83 (89%)

240 (83%)

462 (75%)

838 (65%)

   Possible adverse events

44 (15%)

86 (93%)

241 (84%)

N/A

371 (55%)

Availability of CMDs (from survey)

   Number (%) of mothers who did not find the CMD at the first attempt

36 (12%)

5 (5%)

36 (12.5%)

86 (14%)

163 (12.5%)

Storage of ACTs (from supervision records)

   Number (%) of supervisory visits at which drugs were stored appropriately

523 (99%)

720 (100%)

960 (100%)

420 (100%)

2623 (99.8%)

Attrition of CMDs

   Number (%) of CMDs withdrawing from role

0 (0%)

3 (4%)

6 (10%)

0 (0%)

9 (3%)