High adherence to malaria treatment: promising results of an adherence study in South Kivu, Democratic Republic of the Congo

Table 3 Reasons for incomplete, incorrect or correct FDC ASAQ intake

	n = 149	%
Reasons given for incomplete intake (n = 25)
Sickness after FDC ASAQ intake	7	28.0
No food/sugar available in the household for FDC ASAQ intake	5	20.0
Forgot to give/take FDC ASAQ	3	12.0
Reported that instructions at OPD were not understood	3	12.0
Patient felt better, no reason to continue with FDC ASAQ intake	3	12.0
Reported vomiting after FDC ASAQ intake	3	12.0
Could not find blister to finalize the FDC ASAQ intake	1	4.0
Reasons given for incorrect intake (n = 12)
Reported vomiting after FDC ASAQ intake	8	66.7
Sickness after FDC ASAQ intake	2	16.7
Thought patient would get better faster	1	8.3
Reported that instructions at OPD were not understood	1	8.3
Reasons given for correct intake—first dose given at OPD (n = 74)
Reported that correct intake instructions were given at OPD	65	87.8
Knew how to take/give FDC ASAQ from previous treatment	6	8.1
Other reasons^a	2	2.7
No reasons given	1	1.4
Reasons given for correct intake—first dose taken at home (n = 37)
Patient had not eaten prior to OPD visit	18	48.6
OPD told patient/caretaker to take/give first dose at home	7	18.9
No reasons given	9	24.4
Other reasons^b	3	8.1

FDC ASAQ fixed-dose combination artesunate–amodiaquine, OPD outpatient department
^aOther reasons were: (i) caretaker did everything to ensure that the child gets better; and (ii) the MSF health educator told patient the correct intake of the treatment
^bOther reasons were: (i) health staff at OPD were very busy; (ii) the teacher and not a caretaker brought the child to the OPD; and (iii) caretaker reported that health staff did not want to give first dose at the OPD, as the patient’s sister was known to have reacted previously adversely

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