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Table 7 Use of AL: frequency of prescription, and appropriateness of dosing and counseling (whether or not AL was indicated, according to guidelines) in outpatient health facilities, Huambo Province, Angola

From: Quality of malaria case management at outpatient health facilities in Angola

Characteristic and patient sub-group No. and weighted percentage of patients
  n % (95% CI)
AL prescribed (whether or not indicated, according to guidelines) among all 177 patients 62a 35.5 (24.9-46.2)
Quality of dosing for the 62 patients who received AL    
   Correctly dosed 59 95.1 (89.2-100)
   Underdosed 2 3.9 (51.4-88.4)
   Overdosed 0 0 (NC)
   AL not recommended (weight < 5 kg) 1 1.0 (0-3.1)
First AL dose given during consultation (for the 62 patients who received AL) 9 10.7 (1.2-20.3)
Quality of counseling for the 62 patients who received AL    
HW gave complete dosing instructions (definition of a dose, no. of doses/day, and treatment duration)b 55 88.2 (78.3-98.2)
HW advised to take the medicine with food 17 31.3 (12.3-50.2)
Patient could repeat all dosing instructions given by the HW (even if HW's dosage was incorrect)c 43 60.9 (44.2-77.6)
HW advised to take the medicine with milk or fat-containing food 4 4.9 (0-10.8)
HW advised to return for a follow-up visit 8 14.4 (0.4-28.3)
HW advised to sleep under a bed net to prevent malaria 0 0 (NC)
HW advised to return to the health facility if the patient becomes seriously ill 5 5.8 (0-11.8)
HW advised to complete all the treatment (take all medicines) 41 69.9 (51.4-88.4)
  1. AL = artemether-lumefantrine; CI = confidence interval; HW = health worker; NC = not calculated.
  2. a Of these 62 patients, 59 actually had AL in hand; for the other 3 patients, AL had been prescribed but the medicines were not given.
  3. b Dosing instructions were considered complete even if the dosage was incorrect, although in nearly all cases (53 of the 55 patients) the dosage was correct.
  4. c Patient had to correctly repeat the definition of a dose, the number of doses per day, and the treatment duration. The response "ate que termine" (until all the medicines are done) was considered a correct response for treatment duration. The denominator of this statistic was 60 (2 missing values).