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Table 3 Sensitivity, specificity and accuracy of caregivers’ recall of diagnosis procedures at facilities and treatment received during consultation, summarized for all facility types

From: Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years

  Sensitivitya Specificityb Accuracyc
N % 95% CI N % 95% CI N % 95% CI
Recall of fever in past 2 weeks 1602 99.7 99.4, 100.0 0 – – 1602 99.7 99.4, 100.0
Recall of finger/heel stick 792 91.5 89.6, 93.5 796 85.7 83.2, 88.1 1588 88.6 87.0, 90.2
Recall of positive malaria test resultd 421 96.2 94.4, 98.0 154 59.7 51.9, 67.6 575 86.4 83.6, 89.2
Recall that malaria diagnosis was made 1213 74.3 71.8, 76.7 372 74.9 70.5, 79.3 1588 74.4 72.3, 76.6
Recall of any anti-malarial givene 1235 59.0 56.3, 61.8 336 82.7 78.7, 86.8 1571 64.1 61.7, 66.5
Recall of ACT givene 755 43.2 39.6, 46.7 794 90.2 88.1, 92.3 1549 67.3 64.9, 69.6
Corrected recall of ACT givenf 787 91.5 89.5, 93.4 807 71.7 68.6, 74.9 1594 81.5 79.6, 83.4
  1. ACT Artemisinin-based combination therapy
  2. aSensitivity calculated as total true positives (not shown) divided by the number of true positives and false negatives (N)
  3. bSpecificity calculated as the total true negatives (not shown) divided by the number of true negatives and false positives (N)
  4. cAccuracy calculated as the sum of true positives and true negatives (not shown) divided by sum of true positives, true negatives, false positives and true negatives (N)
  5. dAmong those children tested
  6. eExcludes treatment that caregiver reported receiving from a different facility or healthcare provider
  7. fRecall of ACT from interview corrected to include instances where caregiver identified ACT from the visual aid, or had retained a prescription including ACT or ACT packaging from the child’s consultation
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