Table 4.
Interventions | Intervention effects, M-H Odds ratios of association between pre/post intervention and correctness of diagnosis (95% CI) |
|||
---|---|---|---|---|
Diagnostic resolution | Diagnostic Accuracy of Dengue 3) | Prescription of Antibiotics | ||
"Undifferentiated fever"1) | "Dengue" 2) | |||
Training | 2.1 (1.6-2.8)a) | 0. 3 (0.2-0.5)a) | 0.8 (0.3-2.0) c) | 1. 1 (0.7-1.5)c) |
RDTs | 1.3 (1.0-1.8) b) | 0.3 (0.1-0.6) a)d) | 1. 4 (0.8-2.4)c) | 0. 7 (0.5-0.9)a) |
Training + RDTs | 0.9 (0.7-1.1)c) | 1.5 (1.0-2.2)c) | 1.9 (1.1-3. 5)b)d) | 0.1 (0.0-0.1)a) |
Control | 1.2 (0.9-1.6)c)d) | 0.3 (0.2-0.5) a)d) | 1.1 (0.4-3.2)c) | 10.3 (6.9-15.4)a) |
1) "undifferentiated fever" as a presumptive diagnosis, compared to all more specific diagnoses; 2) "dengue" as a presumptive diagnosis, compared to diagnoses not being dengue; 3) the serologically confirmed presumptive diagnosis of dengue or not dengue.
a) p-value: ≤ 0.002; b) 0.05 > p-value ≥ 0.01; c) p-value: ≥ 0.05 d) significant homogeneity among individual health staff members within the intervention group.