All cases (received ACT) | All controls (no ACT) | Pooled data for cases and controls | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All sites combined | Public Urban | Public Rural | CHW | Private Urban | ||||||||||
n | % | n | % | n | % | n | % | n | % | n | % | n | % | |
Diagnostic method (N = 1601) | ||||||||||||||
No diagnostic method used | 5 | 0.6 | 19 | 2.3 | 24 | 1.5 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 24 | 7.1 |
Clinical signs/symptoms only | 334 | 42.4 | 449 | 55.2 | 783 | 48.9 | 69 | 16.4 | 306 | 73.0 | 142 | 33.4 | 266 | 79.2 |
Rapid diagnostic test | 299 | 38.0 | 208 | 25.6 | 507 | 31.7 | 101 | 24.0 | 112 | 26.7 | 283 | 66.6 | 11 | 3.3 |
Microscopy | 149 | 18.9 | 138 | 17.0 | 287 | 17.9 | 251 | 59.6 | 1 | 0.2 | 0 | 0.0 | 35 | 10.4 |
Temperature measured (N = 1602) | ||||||||||||||
No | 44 | 5.6 | 48 | 5.9 | 92 | 5.7 | 37 | 8.8 | 18 | 4.3 | 20 | 4.7 | 17 | 5.1 |
Yes | 744 | 94.4 | 766 | 94.1 | 1510 | 94.3 | 384 | 91.2 | 402 | 95.7 | 405 | 95.3 | 319 | 94.9 |
Diagnostic test result (N = 1602) | ||||||||||||||
Negative for malaria | 80 | 10.2 | 135 | 16.6 | 215 | 13.4 | 88 | 20.9 | 14 | 3.3 | 101 | 23.8 | 12 | 3.6 |
Positive for malaria | 365 | 46.3 | 208 | 25.6 | 573 | 35.8 | 264 | 62.7 | 99 | 23.6 | 179 | 42.1 | 31 | 9.2 |
Not tested | 333 | 42.3 | 464 | 57.0 | 797 | 49.8 | 69 | 16.4 | 303 | 72.1 | 135 | 31.8 | 290 | 86.3 |
Invalid | 8 | 1.0 | 4 | 0.5 | 12 | 0.7 | 0 | 0.0 | 3 | 0.7 | 9 | 2.1 | 0 | 0.0 |
Don’t know | 2 | 0.3 | 3 | 0.4 | 5 | 0.3 | 0 | 0.0 | 1 | 0.2 | 1 | 0.2 | 3 | 0.9 |
Health worker final diagnosis (N = 1559) | ||||||||||||||
Not malaria | 56 | 7.1 | 326 | 40.2 | 382 | 23.9 | 74 | 17.6 | 24 | 5.7 | 136 | 32.2 | 148 | 44.0 |
Malaria | 731 | 98.9 | 486 | 59.9 | 1217 | 76.1 | 347 | 82.4 | 396 | 94.3 | 286 | 67.8 | 188 | 56.0 |
Treatment provideda (N = 1602) | ||||||||||||||
ACT | 788 | 100 | 0 | 0 | 788 | 49.2 | 231 | 54.9 | 205 | 48.8 | 212 | 49.9 | 140 | 41.7 |
Non-ACT anti-malarialb | 262 | 33.3 | 472 | 58.1 | 734 | 45.8 | 184 | 43.7 | 374 | 89.0 | 111 | 26.1 | 65 | 19.4 |
ACT + non-ACT anti-malarial | 262 | 33.3 | 0 | 0 | 262 | 16.4 | 41 | 9.7 | 176 | 41.9 | 27 | 6.4 | 18 | 5.4 |
Antipyretics | 653 | 82.9 | 641 | 78.8 | 1294 | 80.8 | 322 | 76.5 | 414 | 98.6 | 387 | 91.1 | 171 | 50.9 |
Antibiotics | 499 | 63.3 | 531 | 65.3 | 1030 | 64.3 | 323 | 76.7 | 366 | 87.1 | 147 | 34.6 | 194 | 57.7 |
Other drugsc | 278 | 35.3 | 323 | 39.7 | 601 | 37.5 | 151 | 35.9 | 251 | 59.8 | 78 | 18.4 | 121 | 36.0 |
No drugs | 0 | 0 | 1 | 0.1 | 1 | 0.1 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 1 | 0.3 |
Where caregiver intends to collect drugs (N = 1593) | ||||||||||||||
The facility/CHW | 454 | 58.0 | 513 | 63.3 | 967 | 60.7 | 145 | 34.4 | 418 | 99.5 | 396 | 94.7 | 8 | 2.4 |
Another location | 253 | 32.3 | 128 | 15.8 | 381 | 23.9 | 257 | 61.0 | 1 | 0.2 | 16 | 3.8 | 107 | 32.0 |
Depends on patient preference | 68 | 8.7 | 161 | 19.9 | 229 | 14.4 | 15 | 3.6 | 0 | 0.0 | 0 | 0.0 | 214 | 64.1 |
Don’t know | 8 | 1.0 | 8 | 1.0 | 16 | 1.0 | 4 | 1.0 | 1 | 0.2 | 6 | 1.4 | 5 | 1.5 |