Table 1 Quality of malaria diagnosis by age and region, evaluated by a retrospective review of health facility registers from 1 May to 31 July, 2016, Guinea (N = 11,786)
Boké | Kindia | Faranah | Labé | Nzérékoré | Mamou | Conakry | Kankan | Total | |
|---|---|---|---|---|---|---|---|---|---|
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
< 5 years | n = 314 | n = 737 | n = 924 | n = 312 | n = 612 | n = 938 | n = 290 | n = 464 | n = 4591 |
RDT | 170 (54.1) | 349 (47.4) | 560 (60.6) | 280 (89.7) | 273 (44.6) | 529 (56.4) | 189 (65.2) | 16 (3.4) | 2366 (51.5) |
Microscopy | 121 (38.5) | 241 (32.7) | 213 (23.1) | 8 (2.6) | 318 (52.0) | 31 (3.3) | 81 (27.9) | 45 (9.7) | 1058 (23.0) |
No laboratory confirmation | 23 (7.3) | 147 (19.9) | 151 (16.3) | 24 (7.7) | 21 (3.4) | 378 (40.3) | 20 (6.9) | 403 (86.9) | 1167 (25.4) |
Diagnosis of uncomplicated malaria | 245 (78.0) | 623 (84.5) | 397 (43.0) | 153 (49.0) | 350 (57.2) | 623 (66.4) | 271 (93.4) | 282 (60.8) | 2944 (64.1) |
Diagnosis of severe malaria | 69 (22.0) | 114 (15.5) | 527 (57.0) | 159 (51.0) | 262 (42.8) | 315 (33.6) | 19 (6.6) | 182 (39.2) | 1647 (35.9) |
≥ 5 years | n = 561 | n = 706 | n = 858 | n = 898 | n = 1047 | n = 1382 | n = 1219 | n = 524 | n = 7195 |
RDT | 222 (39.6) | 386 (54.7) | 321 (37.4) | 536 (59.7) | 692 (66.1) | 674 (48.8) | 556 (45.6) | 22 (4.2) | 3409 (47.4) |
Microscopy | 296 (52.8) | 246 (34.8) | 167 (19.5) | 1 (0.1) | 307 (29.3) | 113 (8.2) | 578 (47.4) | 116 (22.1) | 1824 (25.4) |
No laboratory confirmation | 43 (7.7) | 74 (10.5) | 370 (43.1) | 361 (40.2) | 48 (4.6) | 595 (43.1) | 85 (7.0) | 386 (73.7) | 1962 (27.3) |
Diagnosis of uncomplicated malaria | 506 (90.2) | 600 (85.5) | 573 (66.8) | 589 (65.6) | 904 (86.3) | 1174 (84.9) | 1122 (92.0) | 412 (78.6) | 5880 (81.7) |
Diagnosis of severe malaria | 55 (9.8) | 106 (15.0) | 285 (33.2) | 309 (34.4) | 143 (13.7) | 208 (15.1) | 97 (8.0) | 112 (21.4) | 1315 (18.3) |