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Table 2 Source of advice or treatment for children with fever and components of malaria service readiness by facilities in Malawi, Senegal and Tanzania

From: Examination of malaria service utilization and service provision: an analysis of DHS and SPA data from Malawi, Senegal, and Tanzania

Facility typeDHS Survey DataSPA Survey Data
% for whom advice or treatment was soughtNumber of children under 5 years with a feverAmong facilities offering malaria diagnosis/treatment services or curative sick child care services, percentage with
Personnel trained in RDT, microscopy or case management treatment of malaria in childrenNational guidelines for diagnosis and treatment of malariaDiagnostic capacityaACT availableMalaria service readiness indexTotal number of facilities
Malawi2015–2016 Malawi DHS2013–2014 Malawi SPA
Government hospital7.8 [6.5–9.2]477483.9 [70.9–91.7]82.0 [68.9–90.4]75.9 [62.1–85.8]100.059.9 [45.9–72.5]48
Government health centre38.6 [36.4–40.9]477465.4 [60.2–70.2]71.2 [66.2–75.7]41.4 [36.4–46.7]99.2 [97.7–99.9]32.0 [27.3–37.1]338
Government health post or mobile clinic6.9 [5.8–8.3]477440.9 [29.8–53.2]60.4 [48.2–71.5]19.6 [11.7–30.9]80.8 [69.2–88.7]14.9 [8.2–25.7]68
Private facility4.9 [3.8–6.2]477438.8 [33.6–44.2]50.8 [45.4–56.3]19.1 [15.2–23.8]81.5 [76.9–85.4]11.7 [8.6–15.7]330
Christian health association/mission/faith-based3.9 [3.1–4.9]477457.8 [50.1–65.1]70.4 [63–76.9]43.3 [36.0–51.0]98.8 [95.3–99.7]32.5 [25.8–40.0]162
Any other source5.9 [5.0–6.9]4774n/an/an/an/an/an/a
Total67.1 [65.1–69.0]477454.0 [50.8–57.1]63.7 [60.6–66.8]34.2 [31.2–37.2]91.8 [89.8–93.4]25.2 [22.5–28.0]947
Senegal2016 Senegal Continuous DHS2016 Senegal Continuous DHS
Government hospital or health centre4.6 [3.0–7.1]69286.2 [74.4–93.1]91.1 [79.8–96.4]81.9 [69.8–89.8]89.8 [78.4–95.5]77.0 [64.4–86.0]29
Government health post or mobile clinic32.3 [27.0–38.1]69296.2 [92.1–98.2]94.1 [89.8–96.7]73.8 [67.3–79.4]96.0 [92.4–97.9]68.8 [62.1–74.8]252
Government health hut3.4 [2.0–5.7]69284.2 [69.5–92.5]76.0 [60.5–86.7]27.6 [17.7–40.2]63.0 [48–75.8]20.9 [12.2–33.3]85
Private facility8.6 [5.3–13.9]69264.5 [51.7–75.5]71.9 [60–81.4]41.6 [30.3–53.9]48.5 [36.5–60.6]26.3 [16.9–38.5]70
Any other source2.8 [1.5–4.9]692n/an/an/an/an/an/a
Total49.8 [45.1–54.6]69288.1 [83.9–91.3]86.8 [82.4–90.2]60.1 [54.7–65.3]81.5 [76.7–85.5]53.2 [47.8–58.4]436
Tanzania2015–2016 Tanzania DHS-MIS2014–2015 Tanzania SPA
Government hospital3.8 [2.6–5.3]170666.5 [48.9–80.5]47.8 [35.1–60.8]61.7 [45.6–75.6]91.0 [84.5–95.0]33.3 [23.7–44.4]24
Government health centre5.8 [4.4–7.7]170673.5 [67.8–78.6]61.0 [54.8–66.9]57.4 [51.2–63.4]94.5 [91.2–96.6]35.3 [29.6–41.4]88
Government clinic/dispensary18.8 [15.8–22.2]170646.8 [41.4–52.2]64.9 [59.5–70.0]26.5 [22.1–31.5]94.2 [91.0–96.2]18.5 [14.8–23.0]761
Private facility7.7 [6.1–9.7]170627.5 [18.4–38.8]42.5 [31.0–54.9]20.9 [13.0–31.8]73.7 [61.3–83.2]10.9 [5.2–21.4]156
Mission/faith-based3.9 [2.9–5.3]170647.7 [36.4–59.3]60.4 [48.6–71.1]20.5 [13.9–29.2]84.1 [73.1–91.2]12.2 [7.5–19.1]147
Any other source54.3 [50.7–57.8]1706n/an/an/an/an/an/a
Total81.3 [78.5–83.6]170646.7 [42.6–50.9]60.7 [56.5–64.8]28.1 [24.7–31.7]90.2 [87.3–92.4]18.3 [15.5–21.5]1177
  1. See Table 3 for more details on the components of diagnostic capacity
  2. aDiagnostic capacity is defined as a facility having microscopy diagnostic capacity or RDT diagnostic capacity