Acceptability of pre-referral rectal artesunate for severe malaria in children under 5 years by health workers and caregivers in the Democratic Republic of the Congo, Nigeria and Uganda

Table 4 Health care provider knowledge and utilization of RAS

	CHW				PHC
	PRE-RAS 2018	POST RAS 2019	POST RAS 2020	Chi Sq p value	PRE-RAS 2018	POST RAS 2019	POST RAS 2020	Chi Sq p value
DRC	n = 28	n = 42	n = 31		n = 65	n = 71	n = 37
Heard about suppositories	64.3	100	96.8	< 0.001	53.1	95.5	100	< 0.001
Heard about RAS	100	97.6	100	0.492	95.2	100	100	0.046
RAS administered by CHW/used at facility	n/a	85.4	90.3	n/a	0.0	81.7	81.2	0.281
How do you feel about treating a sick child with a suppository?				< 0.001				< 0.001
Very good	14.3	42.9	90.3		17.1	55.6	69.2
Good	60.7	57.1	6.5		60.0	41.1	30.8
Neutral	25.0	0.0	3.2		18.6	3.3	0.0
Bad	0.0	0.0	0.0		4.3	0.0	0.0
Very bad	0.0	0.0	0.0		0.0	0.0	0.0

NIGERIA	n = 40	n = 40	n = 40		n = 37	n = 55	n = 49
Heard about suppositories	28.0	94.4	100.0	< 0.001	30.2	93.3	95.8	< 0.001
Heard about RAS	67.3	100.0	97.7	< 0.001	83.1	98.3	97.8	0.001
RAS administered by CHW/used at facility	n/a	20.4	44.3	n/a	0.0	89.5	89.7	0.288
How do you feel about treating a sick child with a suppository?				0.158				0.006
Very good	30.0	40.0	55.0		28.0	65.5	62.0
Good	55.0	42.5	38.0		44.0	31.0	31.0
Neutral	15.0	17.5	5.0		24.0	3.5	7.0
Bad	0.0	0.0	0.0		4.0	0.0	0.0
Very bad	0.0	0.0	2.0		0.0	0.0	0.0

UGANDA	n = 40	n = 40	n = 40		n = 41	n = 59	n = 53
Heard about suppositories	50.0	100	100	< 0.001	100	93.2	100	0.336
Heard about RAS	92.5	100	100	0.046	97.6	93.2	98.1	0.582
RAS administered by CHW/used at facility	n/a	85.0	95.0	n/a	67.5	87.3	88.5	0.872
How do you feel about treating a sick child with a suppository?				0.332				0.006
Very good	42.5	65.0	43		20.6	61.2	27
Good	55.0	35.0	55		70.6	32.7	63
Neutral	2.5	0.0	2		2.9	4.1	5
Bad	0.0	0.0	0.0		5.9	2.0	5
Very bad	0.0	0.0	0.0		0.0	0.0	0.0

ISSN: 1475-2875