Table 1 Compliance with the outpatient malaria guidelines by epidemiological zones in 2010 and 2016, Kenya
Indicators of malaria case-management quality | Lake endemic | Coast endemic | Highland epidemic | Semi-arid, seasonal transmission | Low risk |
|---|---|---|---|---|---|
Primary indicators—‘test and treat’ compliance | |||||
Malaria testing of febrile patients | |||||
Baseline-2010 | 43.5 (177/407) | 40.0 (80/200) | 41.4 (86/208) | 45.9 (112/244) | 39.6 (72/182) |
Last survey-2016 | 93.9 (216/230) | 76.3 (61/80) | 70.3 (85/121) | 53.1 (77/145) | 24.5 (24/98) |
AL treatment for test positive patients | |||||
Baseline | 82.7 (86/104) | 71.4 (35/49) | 73.9 (17/23) | 91.4 (64/70) | 93.6 (29/31) |
Last survey | 98.6 (139/141) | 100 (32/32) | 96.9 (31/32) | 100 (12/12) | 100 (3/3) |
Compliance with test negative results | |||||
Baseline | 35.6 (26/73) | 48.4 (15/31) | 33.3 (21/63) | 81.0 (34/42) | 56.1 (23/41) |
Last survey | 89.3 (67/75) | 96.6 (28/29) | 83.0 (44/53) | 90.8 (59/65) | 100 (21/21) |
Composite “test and treat” compliance | |||||
Baseline | 27.5 (112/407) | 25.0 (50/200) | 18.3 (38/208) | 40.2 (98/244) | 28.6 (52/182) |
Last survey | 89.6 (206/230) | 75.0 (60/80) | 62.0 (75/121) | 49.0 (71/145) | 24.5 (24/98) |
Secondary indicators—AL dosing, dispensing and counselling compliance | |||||
Correct prescribing of AL dose | |||||
Baseline | 92.7 (240/259) | 91.2 (83/91) | 91.3 (105/115) | 86.9 (106/122) | 86.4 (51/59) |
Last survey | 94.6 (139/147) | 85.3 (29/34) | 97.5 (39/40) | 89.5 (17/19) | 100 (3/3) |
Weighing of patients prescribed AL | |||||
Baseline | 61.9 (169/273) | 48.2 (53/110) | 51.2 (62/121) | 37.2 (55/148) | 33.3 (20/60) |
Last survey | 83.9 (125/149) | 74.3 (26/35) | 55.0 (22/40) | 52.6 (10/19) | 33.3 (1/3) |
First AL dose administered at the facility | |||||
Baseline | 41.4 (113/273) | 14.6 (16/110) | 37.2 (45/121) | 16.2 (24/148) | 20.0 (12/60) |
Last survey | 69.1 (103/149) | 97.1 (34/35) | 27.5 (11/40) | 26.3 (5/19) | 33.3 (1/3) |
Explanation of AL dosage | |||||
Baseline | 98.2 (268/273) | 97.3 (107/110) | 92.6 (112/121) | 94.6 (140/148) | 91.7 (55/60) |
Last survey | 98.0 (146/149) | 97.1 (34/35) | 97.5 (39/40) | 89.5 (17/19) | 100 (3/3) |
Advised to take the second AL dose after 8 h | |||||
Baseline | 70.3 (192/273) | 90.9 (100/110) | 67.8 (82/121) | 56.1 (83/148) | 66.7 (40/60) |
Last survey | 91.9 (136/148) | 91.4 (32/35) | 95.0 (38/40) | 89.5 (17/19) | 100 (3/3) |
Advised to take drugs after meals | |||||
Baseline | 54.6 (149/273) | 72.7 (80/110) | 68.6 (83/121) | 53.4 (79/148) | 53.3 (32/60) |
Last survey | 76.2 (112/147) | 68.6 (24/35) | 42.5 (17/40) | 84.2 (16/19) | 33.3 (1/3) |
Advised what to do in case of vomiting | |||||
Baseline | 5.9 (16/273) | 9.1 (10/110) | 1.7 (2/121) | 2.0 (3/148) | 1.7 (1/60) |
Last survey | 10.1 (15/149) | 17.1 (6/35) | 2.5 (1/40) | 5.3 (1/19) | 0 (0/3) |
Advised to complete all AL doses | |||||
Baseline | 76.6 (209/273) | 70.9 (78/110) | 81.8 (99/121) | 76.4 (113/148) | 80.0 (48/60) |
Last survey | 87.2 (129/148) | 85.7 (30/35) | 87.5 (35/40) | 84.2 (16/19) | 100 (3/3) |