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

Table 4 Malaria diagnostic and treatment practices for febrile patients at 117 facilities with available AS + SP and malaria diagnostic services on survey days in Sudan

	Children < 5 yrs N = 252	Patients ≥ 5 yrs N = 709	P-value	All age groups N = 961
	n (%)	n (%)		n (%)	95% CI
Correctly managed ^a	120 (47.6)	365 (51.5)	0.325	485 (50.5)	44.5-56.4
Malaria test performed	154 (61.1)	488 (68.8)	0.045	642 (66.8)	59.6-74.0
Treatment for test positive patients	N = 59	N = 190		N = 249
AS+SP	40 (67.8)	120 (63.2)	0.519	160 (64.3)	56.3-72.2
Artemether injection	10 (17.0)	50 (26.3)	0.174	60 (24.1)	17.6-30.5
Other antimalarials ^b	4 (6.8)	5 (2.6)	0.278	9 (3.6)	0.4-6.8
No AM prescribed	5 (8.5)	15 (7.9)	0.863	20 (8.0)	3.8-12.2
Treatment for test negative patients	N = 95	N = 298		N = 393
AS+SP	11 (11.6)	42 (14.1)	0.574	53 (13.5)	7.1-19.8
Artemether injection	3 (3.2)	8 (2.7)	0.791	11 (2.8)	1.1-4.5
Other antimalarials ^c	1 (1.1)	3 (1.0)	0.969	4 (1.0)	0-2.0
Any AM prescribed	15 (15.8)	53 (17.8)	0.657	68 (17.3)	10.5-24.1
No AM prescribed	80 (84.2)	245 (82.2)	0.657	325 (82.7)	75.9-89.5
Treatment when test not done	N = 98	N = 221		N = 319
AS+SP	8 (8.2)	31 (14.0)	0.278	39 (12.2)	4.4-20.0
Artemether injection	1 (1.0)	5 (2.3)	0.389	6 (1.9)	0-3.7
Other antimalarials ^d	1 (1.0)	0 (0)	0.111	1 (0.3)	0-0.9
No AM prescribed	88 (89.8)	185 (83.7)	0.320	273 (85.6)	76.7-94.4

^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
^bOther antimalarial treatments include: SP (3), QN (2) and AL (4)
^cOther antimalarial treatments include: SP (3), QN (1)
^dOther antimalarial treatments include: SP (1)

ISSN: 1471-2458