Table 1 Mean number of tasks correctly performed during initial OTSS observations, assessment 1 vs. assessment 4
|  | Total tasks | Mean tasks correctly performed at assessment 1 | Mean tasks correctly performed at assessment 4 | Percent of facilities demonstrating improvement (%) |
|---|---|---|---|---|
Preparation of blood films (n = 38 HFs) | ||||
 Patient/slide preparation | 6 | 3.8 | 4.5 | 44.7 |
 Specimen collection (finger prick) | 5 | 4.1 | 4.0 | 23.7 |
 Spreading thick films | 5 | 3.1 | 4.0 | 42.1 |
 Labelling | 1 | 0.8 | 0.9 | 18.4 |
 Disposal of infectious materials | 2 | 1.9 | 2.0 | 10.5 |
 Slide storage | 1 | 0.6 | 0.9 | 34.2 |
Overall performance | 20 | 14.3 | 16.3 | 55.3 |
Staining and reading blood films (n = 43 HFs) | ||||
 Preparation of Giemsa solution | 3 | 2.3 | 2.7 | 30.2 |
 Staining (Giemsa) | 4 | 3.2 | 3.7 | 34.9 |
 Slide drying | 1 | 0.8 | 1.0 | 18.6 |
 Slide examination | 4 | 3.0 | 3.1 | 32.6 |
 Slide reading | 4 | 2.1 | 3.0 | 48.8 |
 Result reporting | 4 | 2.2 | 2.9 | 58.1 |
 Result delivery | 2 | 1.0 | 1.0 | 4.7 |
Overall performance | 22 | 14.6 | 17.3 | 69.8 |
RDT procedures (n = 41 HFs) | ||||
 RDT preparation | 6 | 4.1 | 5.2 | 51.2 |
 Patient preparation | 5 | 2.9 | 4.0 | 63.4 |
 Blood collection and dispensing | 5 | 4.1 | 4.4 | 41.5 |
 RDT procedure and reading results | 5 | 3.7 | 4.5 | 51.2 |
 Recording results | 2 | 1.6 | 1.8 | 31.7 |
 Disposal of infectious material | 2 | 1.8 | 2.0 | 17.1 |
 Result delivery | 2 | 0.9 | 1.0 | 9.8 |
Overall performance | 27 | 19.1 | 22.9 | 75.6 |
Fever case management procedures (n = 58 HFs) | ||||
 Initial patient consultation (intake procedures) | 4 | 3.2 | 3.3 | 31.0 |
 Recording patient information and requesting tests | 5 | 3.7 | 4.1 | 46.6 |
 Interpretation of lab tests and prescribing medication | 4 | 3.2 | 3.6 | 44.8 |
 Provision of information to patient | 4 | 2.8 | 3.2 | 44.8 |
Overall performance | 17 | 13.0 | 14.2 | 62.1 |