Table 3.
Malaria case management practices at surveyed health facilities in November, 2013, and November, 2014
Ebola-unaffected prefectures |
Ebola-affected prefectures |
p value‡ | ||||||
---|---|---|---|---|---|---|---|---|
November, 2013 | November, 2014 | p value* | November, 2013 | November, 2014 | p value† | |||
Individual patient visits assessed | 1987 | 2116 | 1870 | 1853 | ||||
Fever cases among all patient visits | 68% (65–71) | 65% (62–67) | 0·06 | 71% (68–74) | 57% (54–60) | <0·0001 | 0·0004 | |
Laboratory testing of fever cases | 37% (34–40) | 65% (62–68) | <0·0001 | 47% (44–51) | 45% (41–49) | 0·4 | <0·0001 | |
Rapid diagnostic test for malaria | 29% (26–32) | 63% (60–67) | <0·0001 | 41% (37–44) | 42% (38–46) | 0·6 | <0·0001 | |
Microscopy | 8% (6–10) | 2% (1–3) | <0·0001 | 4% (3–5) | 2% (1–3) | 0·01 | 0·05 | |
Test positivity rate | 82% (77–85) | 72% (68–75) | 0·0006 | 73% (68–78) | 73% (68–78) | 1 | 0·02 | |
Antimalarial treatment of fever | 50% (46–53) | 53% (49–56) | 0·3 | 62% (58–65) | 54% (50–58) | 0·007 | 0·005 | |
Presumptive treatment (no test) | 24% (21–27) | 21% (19–25) | 0·2 | 32% (29–35) | 23% (20–26) | <0·0001 | 0·09 | |
Correct treatment (positive test) | 81% (76–85) | 75% (70–79) | 0·06 | 84% (80–88) | 86% (81–89) | 0·6 | 0·1 | |
Incorrect treatment (negative test) | 14% (7–24) | 5% (3–8) | 0·005 | 27% (17–39) | 19% (13–28) | 0·2 | 0·2 |
Data are percentages (95% CI), unless otherwise indicated.
Comparison of November, 2013, and November, 2014, in unaffected prefectures.
Comparison of November, 2013, and November, 2014, in affected prefectures.
Comparison of change between 2013 and 2014 in affected and unaffected prefectures with difference-in-differences analysis.