Table 2 Frequency of diagnostic questions and procedures leading to anti-malarial prescription by survey year
Questions asked and procedures performed | 2011 (N = 506) | 2012 (N = 165) | 2016 (N = 244) | p | Rank order | ||
|---|---|---|---|---|---|---|---|
% (95% CI) | % (95% CI) | % (95% CI) | 2011 | 2012 | 2016 | ||
Questions | |||||||
Current use of any medication | 26.1 (17.9, 36.4) | 27.9 (19.4, 38.3) | 24.2 (16.4, 34.2) | 0.698 | 10 | 11 | 12 |
Concurrent illness/existing condition | 48.6 (38.8, 58.5) | 44.9 (35.7, 54.3) | 34.0 (25.1, 44.2) | < 0.005 | 9 | 10 | 10 |
Experience of fever | 96.1 (92.8, 97.9) | 89.7 (74.3, 96.3) | 97.5 (94.4, 99.0) | < 0.005 | 1 | 1 | 1 |
Experience of cough | 86.8 (82.7, 90.0) | 80.0 (69.3, 87.7) | 76.6 (64.3, 85.7) | < 0.005 | 2 | 3 | 4 |
Experience of head/body ache/pain | 58.5 (51.7, 65.0) | 56.4 (41.0, 70.6) | 64.3 (53.3, 74.1) | 0.197 | 8 | 9 | 5 |
Experience of nausea/vomiting | 65.6 (59.5, 71.3) | 63.0 (51.5, 73.2) | 61.5 (51.3, 70.8) | 0.519 | 6 | 6 | 6 |
Experience of diarrhoea | 65.4 (57.9, 72.3) | 58.8 (46.7, 69.9) | 57.8 (46.1, 68.7) | 0.080 | 7 | 8 | 9 |
Experience of chills | 20.0 (13.9, 27.8) | 27.3 (19.4, 36.9) | 32.8 (22.9, 33.9) | < 0.005 | 11 | 12 | 11 |
Duration of current symptoms | 84.8 (79.8, 88.7) | 77.0 (61.6, 87.5) | 85.7 (76.2, 91.8) | 0.038 | 3 | 4 | 2 |
Procedure | |||||||
Body temperature measured | 84.4 (75.9, 90.3) | 81.8 (63.3, 92.2) | 58.2 (40.1, 74.3) | < 0.005 | 4 | 2 | 8 |
Body weight measured | 77.7 (69.2, 84.3) | 73.9 (58.1, 85.3) | 60.3 (45.7, 73.2) | < 0.005 | 5 | 5 | 7 |
Blood pressure measured | 0.6 (0.2, 1.8) | 6.1 (2.6, 13.3) | 0.8 (0.2, 3.4) | < 0.005 | 16 | 15 | 15 |
Abdomen palpated | 14.0 (10.1, 19.1) | 12.1 (7.0, 20.1) | 6.6 (2.5, 15.9) | 0.011 | 13 | 13 | 13 |
Eyes examined | 15.2 (10.4, 21.7) | 7.9 (4.2, 14.2) | 3.7 (1.1, 12.1) | < 0.005 | 12 | 14 | 14 |
Palms examined | 1.6 (0.5, 4.5) | 3.6 (1.4, 9.3) | 0 (–) | 0.013 | 15 | 16 | 16 |
Malaria RDT/blood slide completed | 5.3 (3.0, 9.4) | 60.6 (34.4, 81.9) | 77.9 (58.0, 90.0) | < 0.005 | 14 | 7 | 3 |