Table 2.
Source of advice or treatment for children with fever and components of malaria service readiness by facilities in Malawi, Senegal and Tanzania
| Facility type | DHS Survey Data | SPA Survey Data | ||||||
|---|---|---|---|---|---|---|---|---|
| % for whom advice or treatment was sought | Number of children under 5 years with a fever | Among facilities offering malaria diagnosis/treatment services or curative sick child care services, percentage with | ||||||
| Personnel trained in RDT, microscopy or case management treatment of malaria in children | National guidelines for diagnosis and treatment of malaria | Diagnostic capacitya | ACT available | Malaria service readiness index | Total number of facilities | |||
| Malawi | 2015–2016 Malawi DHS | 2013–2014 Malawi SPA | ||||||
| Government hospital | 7.8 [6.5–9.2] | 4774 | 83.9 [70.9–91.7] | 82.0 [68.9–90.4] | 75.9 [62.1–85.8] | 100.0 | 59.9 [45.9–72.5] | 48 |
| Government health centre | 38.6 [36.4–40.9] | 4774 | 65.4 [60.2–70.2] | 71.2 [66.2–75.7] | 41.4 [36.4–46.7] | 99.2 [97.7–99.9] | 32.0 [27.3–37.1] | 338 |
| Government health post or mobile clinic | 6.9 [5.8–8.3] | 4774 | 40.9 [29.8–53.2] | 60.4 [48.2–71.5] | 19.6 [11.7–30.9] | 80.8 [69.2–88.7] | 14.9 [8.2–25.7] | 68 |
| Private facility | 4.9 [3.8–6.2] | 4774 | 38.8 [33.6–44.2] | 50.8 [45.4–56.3] | 19.1 [15.2–23.8] | 81.5 [76.9–85.4] | 11.7 [8.6–15.7] | 330 |
| Christian health association/mission/faith-based | 3.9 [3.1–4.9] | 4774 | 57.8 [50.1–65.1] | 70.4 [63–76.9] | 43.3 [36.0–51.0] | 98.8 [95.3–99.7] | 32.5 [25.8–40.0] | 162 |
| Any other source | 5.9 [5.0–6.9] | 4774 | n/a | n/a | n/a | n/a | n/a | n/a |
| Total | 67.1 [65.1–69.0] | 4774 | 54.0 [50.8–57.1] | 63.7 [60.6–66.8] | 34.2 [31.2–37.2] | 91.8 [89.8–93.4] | 25.2 [22.5–28.0] | 947 |
| Senegal | 2016 Senegal Continuous DHS | 2016 Senegal Continuous DHS | ||||||
| Government hospital or health centre | 4.6 [3.0–7.1] | 692 | 86.2 [74.4–93.1] | 91.1 [79.8–96.4] | 81.9 [69.8–89.8] | 89.8 [78.4–95.5] | 77.0 [64.4–86.0] | 29 |
| Government health post or mobile clinic | 32.3 [27.0–38.1] | 692 | 96.2 [92.1–98.2] | 94.1 [89.8–96.7] | 73.8 [67.3–79.4] | 96.0 [92.4–97.9] | 68.8 [62.1–74.8] | 252 |
| Government health hut | 3.4 [2.0–5.7] | 692 | 84.2 [69.5–92.5] | 76.0 [60.5–86.7] | 27.6 [17.7–40.2] | 63.0 [48–75.8] | 20.9 [12.2–33.3] | 85 |
| Private facility | 8.6 [5.3–13.9] | 692 | 64.5 [51.7–75.5] | 71.9 [60–81.4] | 41.6 [30.3–53.9] | 48.5 [36.5–60.6] | 26.3 [16.9–38.5] | 70 |
| Any other source | 2.8 [1.5–4.9] | 692 | n/a | n/a | n/a | n/a | n/a | n/a |
| Total | 49.8 [45.1–54.6] | 692 | 88.1 [83.9–91.3] | 86.8 [82.4–90.2] | 60.1 [54.7–65.3] | 81.5 [76.7–85.5] | 53.2 [47.8–58.4] | 436 |
| Tanzania | 2015–2016 Tanzania DHS-MIS | 2014–2015 Tanzania SPA | ||||||
| Government hospital | 3.8 [2.6–5.3] | 1706 | 66.5 [48.9–80.5] | 47.8 [35.1–60.8] | 61.7 [45.6–75.6] | 91.0 [84.5–95.0] | 33.3 [23.7–44.4] | 24 |
| Government health centre | 5.8 [4.4–7.7] | 1706 | 73.5 [67.8–78.6] | 61.0 [54.8–66.9] | 57.4 [51.2–63.4] | 94.5 [91.2–96.6] | 35.3 [29.6–41.4] | 88 |
| Government clinic/dispensary | 18.8 [15.8–22.2] | 1706 | 46.8 [41.4–52.2] | 64.9 [59.5–70.0] | 26.5 [22.1–31.5] | 94.2 [91.0–96.2] | 18.5 [14.8–23.0] | 761 |
| Private facility | 7.7 [6.1–9.7] | 1706 | 27.5 [18.4–38.8] | 42.5 [31.0–54.9] | 20.9 [13.0–31.8] | 73.7 [61.3–83.2] | 10.9 [5.2–21.4] | 156 |
| Mission/faith-based | 3.9 [2.9–5.3] | 1706 | 47.7 [36.4–59.3] | 60.4 [48.6–71.1] | 20.5 [13.9–29.2] | 84.1 [73.1–91.2] | 12.2 [7.5–19.1] | 147 |
| Any other source | 54.3 [50.7–57.8] | 1706 | n/a | n/a | n/a | n/a | n/a | n/a |
| Total | 81.3 [78.5–83.6] | 1706 | 46.7 [42.6–50.9] | 60.7 [56.5–64.8] | 28.1 [24.7–31.7] | 90.2 [87.3–92.4] | 18.3 [15.5–21.5] | 1177 |
See Table 3 for more details on the components of diagnostic capacity
aDiagnostic capacity is defined as a facility having microscopy diagnostic capacity or RDT diagnostic capacity