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Table 5 Provider quality of care related to diagnostic testing by survey round and outlet type

From: Fever case management at private health facilities and private pharmacies on the Kenyan coast: analysis of data from two rounds of client exit interviews and mystery client visits

Description

2014

2015

Private health facility

Reg’d pharmacy

p-value

Private health facility

Reg’d pharmacy

p-value

%

%

%

%

Proportion of visits including a test at which the provider

N = 152

N = 54

 

N = 164

N = 85

 

 Explained how the test would be conducted

25.3

33.3

0.338

14.7

20.7

0.208

 Performed the test in a separate area (away from other clients)

72.9

40.7

< 0.001

76.9

39.8

< 0.001

 Performed the test in a clean area

80.4

90.9

0.097

90.6

95.4

0.184

 Wore gloves while performing test

23.9

63.3

< 0.001

37.9

66.8

0.011

 Cleaned the mystery client’s finger with an alcohol swab

96.8

100

0.182

95.9

95.0

0.807

 Immediately disposed of the lancet in a sharps bin

76.7

75.3

0.859

78.9

81.5

0.662

 Told the client the test result

97.8

98.0

0.926

97.4

97.8

0.877

Proportion of visits including an RDT at which the provider

N = 63

N = 48

 

N = 90

N = 82

 

 Placed the blood in the correct hole in the RDTa

96.8

91.0

0.201

97.9

97.7

0.927

 Placed the buffer in the correct hole in the RDTb

96.3

93.1

0.513

100

97.7

0.154

 Waited less than 15 min before reading the result

50.4

63.9

0.217

37.3

57.8

0.031

  1. aCases that did not observe where blood was placed: in 2014, 1 at a health facility and 2 at registered pharmacies; in 2015, 2 at private health facilities and 2 at registered pharmacies
  2. bCases that did not observe where buffer was placed: in 2014, 3 at private health facilities and 3 at registered pharmacies; in 2015, 4 at private health facilities and 3 at registered pharmacies