Outreach training and supportive supervision for malaria case management in Zambia: the effects of focused capacity building on indicators of diagnostic and clinical performance

Table 2 Performance trends in malaria diagnostic and clinical case management processes, assessment 1 vs. assessment 4

	OTSS assessment 1 vs. assessment 2			OTSS assessment 2 vs. assessment 3			OTSS assessment 3 vs. assessment 4			OTSS assessment 1 vs. assessment 4
	HF No.	Ref (%)	Mean Diff	HF No.	Ref (%)	Mean Diff	HF No.	Ref (%)	Mean Diff	HF No.	Ref (%)	Mean diff
Malaria diagnostics
RDT use	28	74.0	9.6**	36	80.8	0.5	52	80.5	7.2**	43	74.1	14.3***
Blood slide preparation	45	68.4	9.1**	44	76.4	0.3	51	76.0	4.0	51	65.2	14.7***
Blood slide staining/reading	50	69.0	0.7	46	69.0	2.3	50	74.1	4.3	51	66.3	14.0***
Clinical case management
Fever case management	51	77.5	− 7.0**	50	69.6	*6.9	57	76.0	7.6**	57	76.2	7.3**
Prescriber adherence^a	18	68.3	11.6	19	80.9	− 3.8	60	70.6	14.0**	61	77.2	7.2*

HF health facility, No number, Ref reference (beginning score for each t test scenario), Mean Diff mean differences from paired t-tests were calculated to characterize performance gains in mean scores from one assessment to the next and from OTSS assessment 1 to assessment 4
*** p < 0.001; ** p < 0.01; * p < 0.05
^aDue to logistical issues during the 2nd OTSS assessment, prescriber adherence was minimally evaluated by clinical supervisors

ISSN: 1475-2875