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Table 3 Malaria diagnostic and treatment practices for febrile patients at all 244 surveyed facilities in Sudan

From: Progress towards implementation of ACT malaria case-management in public health facilities in the Republic of Sudan: a cluster-sample survey

 

Children < 5 yrs N = 425

Patients ≥ 5 yrs N = 1218

P-value

All age groups

N = 1643

 

n (%)

n (%)

 

n (%)

95% CI

Correctly managed a

150 (35.3)

417 (34.2)

0.723

567 (34.5)

29.3-39.7

Malaria test performed

186 (43.8)

566 (46.5)

0.425

752 (45.8)

39.0-52.6

Treatment for test positive patients

N = 72

N = 231

 

N = 303

   AS+SP

51 (70.8)

139 (60.2)

0.116

190 (62.7)

55.6-69.9

   Artemether injection

12 (16.7)

66 (28.6)

0.056

78 (25.7)

19.6-31.8

   Other antimalarials b

4 (5.6)

10 (4.3)

0.754

14 (4.6)

1.1-8.2

   No AM prescribed

5 (6.9)

16 (6.9)

0.995

21 (6.9)

3.5-10.4

Treatment for test negative patients

N = 114

N = 335

 

N = 449

   AS+SP

11 (9.6)

46 (13.7)

0.303

57 (12.7)

6.3-17.7

   Artemether injection

3 (2.6)

8 (2.4)

0.874

11 (2.5)

1.0-3.9

   Other antimalarials c

1 (0.9)

3 (0.9)

0.986

4 (0.9)

0-1.7

   Any AM prescribed

15 (13.2)

57 (17.0)

0.336

72 (16.0)

9.3-21.3

   No AM prescribed

99 (86.8)

278 (83.0)

0.336

377 (84.0)

77.9-90.0

Treatment when test not done

N = 239

N = 652

 

N = 891

   AS+SP

40 (16.7)

193 (29.6)

0.002

233 (26.2)

19.5-32.8

   Artemether injection

4 (1.7)

32 (4.9)

0.049

36 (4.0)

1.7-6.3

   Other antimalarials d

6 (2.5)

11 (1.7)

0.251

17 (1.9)

0.6-3.2

   No AM prescribed

189 (79.1)

416 (63.8)

0.001

605 (67.9)

60.9-74.9

  1. aDefined as performance of all of the following three tasks: 1) patient tested for malaria; 2) if positive test result treated with AS+SP, and 3) if negative test result not treated for malaria.
  2. bOther antimalarial treatments include: SP (5), QN (5) and AL (4)
  3. cOther antimalarial treatments include: SP (3), QN (1)
  4. dOther antimalarial treatments include: SP (5), QN (7) and CQ (5)