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Table 2 Uncomplicated malaria case management indicators among patients exiting facilities in the Busoga sub-region

From: Adherence to malaria management guidelines by health care workers in the Busoga sub-region, eastern Uganda

Variable

All

Level

Ownership

Age category

IV

III

II

GOU

PNFP

PFP

0–4

5 -14

14–44

 > 45

Total number of patients enrolled, N

3936

363

1398

2175

3414

323

199

1235

776

1643

282

Documentation of information

 Age, n (%)

3612 (91.8)

324 (89.3)

1298 (92.9)

1990 (91.5)

3131 (91.7)

292 (90.4)

189 (94.9)

1156 (93.6)

715 (92.1)

1476 (89.8)

265 (94.0)

 Prior use of anti-malarials, n (%)

214 (5.4)

5 (1.4)

69 (4.9)

140 (6.4)

136 (3.9)

42 (13.0)

36 (18.1)

45 (3.6)

39 (5.0)

109 (6.6)

21 (7.4)

 Temperature, n (%)

649 (24.3)

34 (11.6)

385 (29.9)

230 (21.0)

440 (20.2)

127 (43.3)

82 (41.2)

221 (25.9)

114 (22.0)

274 (24.1)

40 (24.2)

 Weight, n (%)

2842 (79.7)

245 (67.5)

1147 (83.7)

1450 (79.0)

2490 (81.1)

249 (83.5)

103 (51.8)

891 (80.6)

586 (81.9)

1150 (77.8)

215 (79.9)

Malaria testing

 Suspects  tested, n (%)

3552 (90.2)

317 (87.3)

1330 (95.1)

1905 (87.6)

3128 (91.6)

290 (89.8)

134 (67.3)

1121 (90.8)

690 (88.9)

1488 (90.6)

253 (89.7)

 Test positivity rate, n (%)

2106 (59.3)

191 (60.3)

715 (53.8)

1200 (63.0)

1894 (60.5)

139 (47.9)

73 (54.5)

715 (63.8)

522 (75.6)

749 (50.3)

120 (47.4)

Malaria test: RDT, n (%)

3040 (85.6)

124 (39.1)

1086 (81.6)

1830 (96.1)

2721 (87.0)

246 (84.8)

73 (54.5)

959 (85.6)

600 (87.0)

1265 (85.0)

216 (85.4)

Anti-malarial treatment prescribed

Among tested positive, n (%)

2094 (99.4)

190 (99.5)

704 (98.5)

1200 (100.0)

1886 (99.6)

136 (97.8)

72 (98.6)

713 (99.7)

520 (99.6)

744 (99.3)

117 (97.5)

Among tested negative, n (%)

25 (1.7)

1 (0.8)

9 (1.5)

15 (2.1)

22 (1.8)

3 (2.0)

0

19 (4.7)

2 (1.2)

3 (0.4)

1 (0.8)

Among not tested, n (%)

216 (56.3)

10 (21.7)

16 (23.5)

190 (70.4)

134 (46.9)

22 (66.7)

60 (92.3)

80 (70.2)

68 (79.1)

56 (36.1)

12 (41.4)

Anti-malarial types prescribed

 AL

1991 (95.1)

175 (92.1)

671 (95.3)

1145 (95.4)

1821 (96.6)

130 (95.6)

40 (55.6)

667 (93.6)

498 (95.7)

710 (95.4)

116 (99.1)

 AL + SP

1 (0.05)

1 (0.5)

0

0

1 (0.1)

0

0

1 (0.1)

0

0

0

 AL + TQ

1 (0.05)

0

1 (0.1)

0

1 (0.1)

0

0

1 (0.1)

0

0

0

 AL + MQ

5 (0.2)

0

0

5 (0.4)

5 (0.3)

0

0

0

5 (0.9)

0

0

 IV AS + AL

30 (1.4)

6 (3.0)

14 (2.0)

10 (0.8)

29 (1.5)

1 (0.7)

0

16 (2.2)

12 (2.3)

1 (0.1)

1 (0.9)

 DP

33 (1.6)

4 (2.1)

9 (1.3)

20 (1.7)

17 (0.9)

1 (0.7)

15 (20.8)

9 (1.3)

3 (0.6)

21 (2.8)

0

 IM  rtemether

2 (0.1)

0

2 (0.3)

0

0

1 (0.7)

1 (1.4)

1 (0.1)

1 (0.2)

0

0

 Piperaquine

5 (0.2)

0

0

5 (0.4)

5 (0.3)

0

0

0

0

5 (0.7)

0

 Quinine

1 (0.05)

0

1 (0.1)

0

0

0

1 (1.4)

1 (0.1)

0

0

0

 Amodiaqu ne

1 (0.05)

0

1 (0.1)

0

0

1 (1.5)

0

0

0

1 (0.1)

0

 Oral rtesunate

1 (0.05)

1 (0.5)

0

0

1 (0.1)

0

0

1 (0.1)

0

0

0

 IV AS

23 (1.1)

3 (1.6)

5 (0.7)

15 (1.2)

6 (0.5)

2 (3.1)

15 (20.8)

16 (2.2)

1 (0.2)

6 (0.8)

0

Appropriate MCM; AL prescribed, n (%)

3419 (86.9)

301 (82.9)

1278 (91.4)

1820 (84.6)

3040 (89.1)

278 (86.1)

101 (50.7)

1056 (85.5)

669 (86.2)

1446 (88.0)

248 (87.9)

Appropriate MCM; ACT prescribed, n (%)

3464 (88.0)

306 (84.3)

1298 (92.9)

1860 (85.5)

3065 (89.8)

282 (87.3)

117 (58.8)

1067 (86.4)

674 (86.8)

1472 (89.6)

251 (89.0)

Appropriate MCM; AL given, n (%)

3034 (77.1)

230 (63.4)

1134 (81.1)

1670 (76.8)

2671 (78.2)

268 (82.9)

95 (47.7)

931 (75.4)

566 (72.9)

1320 (80.3)

217(77.0)

Patient satisfaction score1, median (IQR)

8 (6, 9)

7 (6, 8)

8 (6, 9)

8 (7, 9)

8 (6, 9)

8 (7, 9)

9 (8, 10)

8 (7, 9)

8 (6, 9)

8 (6, 9)

8 (6, 9)

  1. AL Artemether-Lumefantrine, ACT Artemisinin-based Combination Therapy, MCM malaria case management, SP Sulfadoxine Pyrimethamine, TQ Tafenoquine, MQ Mefloquine, IV AS intravenous artesunate, DP Dihydroartemisinin Piperaquine
  2. 1Score; range 0 (least) to 10 (most);