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Table 5 Performance of all HFs, HPs, and CHVs in select indicators by MERA domain

From: Malaria case management and elimination readiness in health facilities of five districts of Madagascar in 2018

  HFs HPs Observations CHVs
Domain 1: Resource availability, n/N (%)
Thermometers in stock 31/35 (89)    3/34 (9)
RDTs in stock 27/35 (77)    13/26 (50)
ASAQ in stock 28/35 (80)    11/26 (42)
Primaquine in stock 15/35 (43)    
Injectable artesunate or quinine in stock 12/35 (34)    
RDT stock out in past 2 months 9/35 (26)    
Providers are able to test for P. vivax   14/41 (34)   
Providers diagnose P. vivax in their facility   10/41 (24)   
ACT (age 14 +) stock out in past 2 months 10/35 (29)    
ACT (age 5–13) stock out in past 2 months 8/35 (23)    
Stock out of any RDTs and ACTs at time of survey     19/34 (56)
Domain 2: Case management, n/N (%)
Identifies history of fever as criteria for suspect case   34/41 (83)   18/26 (69)
Identifies history of any symptoms in recent traveler as criteria for suspect case   29/41 (71)   5/26 (19)
Asked fever history if patient did not spontaneously report    92/189 (49)  
Took temperature of patient    195/300 (65)  
A temperature was recorded    142/300 (47)  
Performed RDT for patient with reported or recorded fever    56/129 (43)  
Patient with positive RDT was given an ACT    4/5 (80)  
Reports asking for travel history     27/34 (79)
Reports performing RDT if patient has history of fever     20/26 (77)
Reports giving ACT for positive RDT     12/26 (46)
Domain 3: Data management and use, n/N (%)
Uses a registry to record consultations     30/34 (88)
Reviews monthly data for trends 26/35 (74)    
Able to follow individual patients between registers (ex: laboratory and pharmacy registers) 19/35 (54)    
Able to map cases geographically 24/35 (69)    
Use data to make decisions (ex: community outreach, request assistance or commodities) 25/35 (71)    18/34 (53)
Ever received guidance on how to interpret and use data 9/35 (26)    
Reviews registers for data quality 33/35 (94)    
Ever received guidance on how to assess data quality 8/35 (23)    
Performs active case detection or community level outreach in the event of outbreak 2/35 (6)    
Able to perform community outreach in the event of an outbreak     30/34 (88)
Domain 4: Training, supervision, technical assistance, n/N (%)
Received malaria specific training   28/41 (68)   
Received malaria elimination training   6/41 (15)   
Received supervision vision in past 6 months 15/35 (43)    20/34 (59)
Received data management training in past 2 years 10/35 (29)    19/34 (56)
Data quality audit was performed in past year 12/35 (34)    
Reported ever receiving feedback on submitted data 25/35 (71)    9/34 (26)
Received guidance on how to respond to an outbreak 11/35 (31)    17/34 (50)