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Table 3 Performance score differences between testing rounds (N = 197)

From: Improving the quality of paediatric malaria diagnosis and treatment by rural providers in Myanmar: an evaluation of a training and support intervention

Testing round

(R2–R1)

(R3–R2)

(R3–R1)

Clinical tasks

Possible score

Mean score difference (95 % CI)

p value

Mean score difference (95 % CI)

p value

Mean score difference (95 % CI)

p value

Medical history taking

5

0.56 (0.34, 0.76)

0.000

−0.16 (−0.35, 0.03)

0.091

0.39 (0.19, 0.59)

0.000

Severe signs of malaria

13

1.50 (1.06, 1.93)

0.000

−0.74 (−1.13, −0.35)

0.000

0.76 (0.36, 1.15)

0.000

Vital signs

8

0.97 (0.47, 1.48)

0.000

−0.79 (−1.18, −0.4)

0.000

0.18 (−0.29, 0.65)

0.443

Malaria drug history

5

0.07 (0.0, 0.14)

0.039

−0.07 (−0.14, 0.0)

0.039

NA

 

Using RDT

30

21.32 (19.63, 23.01)

0.000

−0.36 (−2.04, 1.33)

0.678

20.96 (19.22, 22.71)

0.000

Appropriate referral to a higher level facility

1

0.37 (0.28, 0.45)

0.000

0.06 (0.01, 0.11)

0.018

0.43 (0.35, 0.51)

0.000

Prescribing proper drugs

10

4.11 (3.46, 4.77)

0.000

−0.28 (−0.87, 0.31)

0.349

3.83 (3.18, 4.49)

0.000

Providing treatment instruction

17

6.13 (5.34, 6.92)

0.000

−0.54 (−1.31, 0.23)

0.165

5.59 (4.94, 6.23)

0.000

Providing health education

11

1.02 (0.53, 1.5)

0.000

−0.38 (−0.82, 0.07)

0.098

0.64 (0.2, 1.08)

0.005

Total scores received

100

36.05 (33.1, 38.99)

0.000

−3.26 (−5.74, −0.78)

0.010

32.79 (29.96, 35.62)

0.000