Table 3 Components of diagnostic capacity by facilities in Malawi, Senegal and Tanzania
Facility type | Among facilities offering malaria diagnosis/treatment services or curative sick child care services, percentage with | ||||||||
|---|---|---|---|---|---|---|---|---|---|
Components of microscopy diagnostic capacity | Components of RDT diagnostic capacity | RDT diagnostic capacityb | Malaria diagnostic capacityc | Total number of facilities | |||||
Personnel trained in microscopy | Microscopy supplies | Microscopy diagnostic capacitya | Personnel trained in RDT | RDT supplies | RDT protocol | ||||
Malawi | 2013–2014 Malawi SPA |  |  |  | |||||
Government hospital | 71.9 [57.9–82.6] | 60.1 [46.0–72.6] | 39.9 [27.4–54] | 81.9 [68.7–90.3] | 98 [87.1–99.7] | 88 [75.8–94.5] | 71.9 [57.9–82.6] | 75.9 [62.1–85.8] | 48 |
Government health centre | 48.1 [42.9–53.4] | 4.6 [2.8–7.4] | 2.9 [1.5–5.3] | 60.5 [55.2–65.5] | 94.8 [91.9–96.7] | 68.9 [63.8–73.5] | 40.9 [35.8–46.1] | 41.4 [36.4–46.7] | 338 |
Government health post or mobile clinic | 25.7 [16.6–37.6] | 3.0 [0.7–11.1] | 1.4 [0.2–9.5] | 36.1 [25.4–48.3] | 79.6 [68–87.8] | 52.8 [40.8–64.6] | 19.6 [11.7–30.9] | 19.6 [11.7–30.9] | 68 |
Private facility | 28.3 [23.6–33.5] | 12.6 [9.4–16.7] | 4.0 [2.3–6.8] | 34.4 [29.4–39.8] | 75.6 [70.6–80] | 45.6 [40.3–51.1] | 17.6 [13.8–22.2] | 19.1 [15.2–23.8] | 330 |
Christian health association/mission/ faith-based | 43.9 [36.5–51.5] | 24.7 [18.7–31.8] | 15.0 [10.3–21.3] | 55.3 [47.7–62.7] | 97.5 [93.6–99.1] | 68.1 [60.6–74.7] | 38.5 [31.4–46.1] | 43.3 [36.0–51.0] | 162 |
Total | 40.1 [37–43.2] | 13.5 [11.5–15.9] | 7.1 [5.7–8.9] | 49.8 [46.7–53] | 87.6 [85.3–89.6] | 60.5 [57.3–63.5] | 32.4 [29.5–35.4] | 34.2 [31.2–37.2] | 947 |
Senegal | 2016 Senegal Continuous DHS | Â | Â | Â | |||||
Government hospital or health centre | 86.2 [74.4–93.1] | 80.7 [68.4–88.9] | 74.3 [61.6–83.9] | 62.0 [48.9–73.5] | 98.4 [89.2–99.8] | 92.6 [81.4–97.3] | 60.3 [47.3–72.1] | 81.9 [69.8–89.8] | 29 |
Government health post or mobile clinic | 96.2 [92.1–98.2] | 1.2 [0.4–4] | 1.2 [0.4–4] | 80.5 [74.4–85.4] | 98.5 [95.3–99.5] | 90.9 [86.1–94.2] | 73.3 [66.8–79] | 73.8 [67.3–79.4] | 252 |
Government health hut | 84.2 [69.5–92.5] | 0.0 [0.0–0.0] | 0.0 [0.0–0.0] | 41.7 [29.2–55.4] | 74.5 [57.7–86.2] | 60.6 [45.9–73.6] | 27.6 [17.7–40.2] | 27.6 [17.7–40.2] | 85 |
Private facility | 64.5 [51.7–75.5] | 26.8 [17.4–39] | 20.2 [12.1–31.8] | 36.3 [25.7–48.6] | 74.9 [62.5–84.2] | 68.6 [56.0–78.9] | 27.9 [18.7–39.5] | 41.6 [30.3–53.9] | 70 |
Total | 88.1 [83.9–91.3] | 10.4 [8–13.4] | 8.9 [6.8–11.6] | 64.6 [59.2–69.6] | 90 [85.4–93.3] | 81.5 [76.6–85.6] | 56.2 [50.9–61.5] | 60.1 [54.7–65.3] | 436 |
Tanzania | 2014–15 Tanzania SPA |  |  |  | |||||
Government hospital | 61.7 [45.5–75.6] | 55.4 [41.0–69.0] | 43.0 [31.4–55.5] | 56.0 [41.4–69.7] | 93.8 [88.2–96.9] | 88.9 [81.9–93.4] | 50.5 [37.2–63.8] | 61.7 [45.6–75.6] | 24 |
Government health centre | 65.7 [59.7–71.3] | 44.7 [38.7–50.9] | 33.1 [27.5–39.1] | 65.9 [59.9–71.5] | 92.5 [88.5–95.2] | 79.7 [74.3–84.2] | 49.7 [43.6–55.8] | 57.4 [51.2–63.4] | 88 |
Government clinic/dispensary | 33.5 [28.6–38.7] | 4.9 [2.9–7.9] | 0.9 [0.3–2.5] | 40.8 [35.6–46.2] | 83.8 [79.4–87.5] | 64.7 [59.3–69.7] | 26.4 [21.9–31.3] | 26.5 [22.1–31.5] | 761 |
Private facility | 24.7 [16.0–36.1] | 38.5 [27.4–50.9] | 7.6 [4–14] | 25.7 [16.9–37.1] | 63.1 [50.6–74] | 54.8 [42.5–66.5] | 18.2 [10.7–29.2] | 20.9 [13.0–31.8] | 156 |
Mission/faith-based | 38.1 [27.9–49.5] | 37.9 [27.5–49.6] | 12.6 [7.7–19.8] | 35.7 [25.9–46.9] | 72.4 [60.4–81.9] | 54.1 [42.4–65.4] | 16.9 [10.9–25.2] | 20.5 [13.9–29.2] | 147 |
Total | 35.9 [32.1–39.9] | 17.5 [14.7–20.7] | 6.6 [5.4–8] | 40.4 [36.4–44.5] | 80.5 [76.9–83.7] | 63.7 [59.5–67.7] | 26.4 [23–30] | 28.1 [24.7–31.7] | 1177 |