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

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)