Table 2.
Percentage change in malaria cases, admissions and deaths, and test positivity rate in 2015 period 1 compared to pre-scale-up period (2005–2010) period 1, by epidemiological zone in given number of health facilities (HF) with complete data 2005–2015, Ghana
| Stratum | No of HFs | Indicator | All ages | Under 5 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Baseline | Observed values | Observed relative change (%) | Predicted relative change compared to baseline (%) | Baseline | Observed values | Observed relative change (%) | Predicted relative change compared to baseline (%) | |||
| Ave (2005−2010) P1 | 2015 P1 | 2015 P1 | 2015 P1 | Ave (2005−2010) P1 | 2015 P1 | 2015 P1 | 2015 1 | |||
| Coastal | 30 | Outpatient malaria cases | 215,920 | 193,102 | −11 | −57 (−71 to −37)† | 42,069 | 43,377 | 3 | −52 (−70 to −25)† |
| Malaria admissions | 17,722 | 17,607 | −1 | −40 (−58 to −14)† | 7596 | 8284 | 9 | −26 (−49 to 7) | ||
| Malaria deaths | 505 | 181 | −64 | −68 (−84 to −35)† | 192 | 56 | −71 | −57 (−76 to −22)† | ||
| Anaemia inpatients | 3773 | 4985 | 32 | 14 (−37 to 107) | 1509 | 1879 | 25 | 4 (−55 to 144) | ||
| Anaemia deaths | 205 | 281 | 37 | 74 (12 to 171) | 82 | 64 | −21 | 39 (−8 to 109) | ||
| Tested (Mic) | 89,297 | 136,568 | 53 | 25 (−31 to 129) | 46,182 | 135,576 | 194 | |||
| Positive (Mic) | 29,615 | 42,550 | 44 | −16 (−40 to 16) | 24,319 | 57,544 | 137 | |||
| Test positivity rate (mic) | 34 | 31 | −9 | −33 (−58 to 7) | 54 | 42 | −22 | |||
| Proportion of outpatients | 29 | 21 | −28 | −23 (−43 to 2) | 46 | 30 | −34 | −31 (−43 to −17)† | ||
| Proportion of inpatients | 21 | 16 | −24 | −34 (−55 to −3)† | 47 | 34 | −28 | −36 (−46 to −24)† | ||
| Proportion of deaths | 17 | 5 | −72 | −76 (−90 to −42)† | 29 | 7 | −77 | −73 (−86 to −47)† | ||
| Non-malaria outpatient | 718,045 | 871,851 | 21 | −45 (−64 to −17)† | 68,351 | 86,222 | 26 | −42 (−68 to 3) | ||
| Non-malaria inpatients | 67,327 | 94,489 | 40 | 0 (−17 to 21) | 8499 | 16,124 | 90 | 61 (14 to 128) | ||
| Non-malaria deaths | 2493 | 3622 | 45 | 56 (8 to 127) | 462 | 769 | 66 | 100 (22 to 229) | ||
| Forest | 30 | Outpatient malaria cases | 235,523 | 197,145 | −16 | −57 (−65 to −48)† | 50,020 | 51,668 | 3 | −46 (−62 to −25)† |
| Malaria admissions | 19,887 | 31,406 | 58 | −27 (−46 to −1)† | 8162 | 12,748 | 56 | −44 (−70 to 5) | ||
| Malaria deaths | 222 | 89 | −60 | −67 (−78 to −49)† | 101 | 31 | −69 | −81 (−88 to −69)† | ||
| Anaemia inpatients | 3597 | 11,377 | 216 | 32 (−9 to 92) | 1887 | 4280 | 127 | 8 (−36 to 81) | ||
| Anaemia deaths | 142 | 165 | 16 | −20 (−63 to 72) | 43 | 42 | −2 | −45 (−77 to 31) | ||
| 24 | Tested (Mic) | 28,702 | 29,626 | 3 | −70 (−89 to −15)† | 10,518 | 25,094 | 139 | ||
| Positive (Mic) | 6184 | 4896 | −21 | −66 (−83 to −30)† | 3152 | 3448 | 9 | |||
| Test positivity rate (mic) | 22 | 17 | −26 | 13 (−32 to 87) | 30 | 14 | −54 | |||
| 30 | Proportion of outpatients | 37 | 19 | −49 | −50 (−60 to −38)† | 52 | 29 | −44 | −46 (−57 to −31)† | |
| Proportion of inpatients | 26 | 25 | −2 | −28 (−49 to 1) | 51 | 41 | −20 | −44 (−53 to −31)† | ||
| Proportion of deaths | 7 | 4 | −46 | −41 (−61 to −12)† | 14 | 8 | −40 | −40 (−70 to 20) | ||
| Non-malaria outpatient | 634,600 | 1037,746 | 64 | −14 (−33 to 11) | 93,083 | 173,324 | 86 | −3 (−22 to 21) | ||
| Non-malaria inpatients | 56,415 | 91,878 | 63 | 15 (−26 to 79) | 7704 | 18,677 | 142 | 76 (16 to 166) | ||
| Non-malaria deaths | 2795 | 2132 | −24 | −41 (−64 to −5)† | 613 | 335 | −45 | −66 (−80 to −42)† | ||
| Savannah | 28 | Outpatient malaria cases | 183,718 | 191,659 | 4 | −59 (−73 to −39)† | 53,330 | 60,632 | 14 | −51 (−70 to −20)† |
| Malaria admissions | 22,460 | 42,412 | 89 | −48 (−77 to 19) | 10,517 | 17,825 | 69 | −54 (−85 to 41) | ||
| Malaria deaths | 502 | 362 | −28 | −64 (−79 to −38)† | 276 | 147 | −47 | −70 (−86 to −39)† | ||
| Anaemia inpatients | 3241 | 7642 | 136 | −30 (−94 to 659) | 1686 | 3086 | 83 | −45 (−94 to 370) | ||
| Anaemia deaths | 110 | 226 | 106 | 59 (−41 to 329) | 54 | 52 | −4 | −49 (−85 to 79) | ||
| 18 | Tested (Mic) | 21,471 | 40,977 | 91 | −28 (−55 to 16) | 24,823 | 33,395 | 35 | ||
| Positive (Mic) | 8910 | 13,435 | 51 | −55 (−77 to −9)† | 11,613 | 10,697 | −8 | |||
| Test positivity rate (mic) | 42 | 33 | −21 | −37 (−61 to 2) | 47 | 32 | −32 | |||
| 28 | Proportion of outpatients | 46 | 33 | −28 | −15 (−34 to 9) | 69 | 50 | −27 | −5 (−36 to 42) | |
| Proportion of inpatients | 30 | 21 | −30 | −51 (−66 to −30)† | 61 | 28 | −54 | −55 (−71 to −29)† | ||
| Proportion of deaths | 21 | 12 | −41 | −57 (−71 to −35)† | 40 | 20 | −50 | −59 (−71 to −41)† | ||
| Non-malaria outpatient | 396,294 | 561,263 | 42 | −52 (−67 to −28)† | 67,199 | 110,711 | 65 | −52 (−76 to 0)† | ||
| Non-malaria inpatients | 51,207 | 158,597 | 210 | 44 (−19 to 156) | 6869 | 46,089 | 571 | 89 (−70 to 1095) | ||
| Non-malaria deaths | 1887 | 2586 | 37 | 2 (−26 to 40) | 421 | 593 | 41 | 14 (−28 to 82) | ||
Negative percentages indicate decrease in the indicator while positive percentages indicate increase during the post-scale up period (2011–2015) compared to the pre-scale-up period
CI with symbol “†” is statistically significant