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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

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