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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).