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Table 2 Health workers’ knowledge about malaria treatment policies and interpretation of RDT results, by training exposure

From: Health systems readiness and management of febrile outpatients under low malaria transmission in Vanuatu

Knowledge of treatment policies (correct response in brackets)

Trained (N = 36)

Not trained (N = 31)

All HWs (N = 67)

n (%)

n (%)

n (%)

First-line treatment policy for uncomplicated falciparum malaria

 Adults and children above 5 kg [AL]

32 (88.9)

24 (77.4)

56 (83.6)

 Children below 5 kg [AL]

22 (61.1)

17 (54.8)

39 (58.2)

 Pregnant women in first trimester [QN]

10 (27.8)

2 (6.5)

12 (17.9)

 Pregnant women in second & third trimester [AL]

21 (58.3)

15 (48.4)

36 (53.7)

First-line treatment policy for uncomplicated vivax malaria

 Adults and children above 4 years [AL + PQ]

15 (41.7)

3 (9.7)

18 (26.9)

 Children below 4 years [AL]a

21 (58.3)

15 (50.0)

36 (54.6)

 Pregnant women in first trimester [QN]

7 (19.4)

2 (6.5)

9 (13.4)

 Pregnant women in second and third trimester [AL]

17 (47.2)

11 (35.5)

28 (41.8)

First-line treatment policy for uncomplicated mixed infection (including P. falciparum) malaria

 Adults and children above 4 years [AL + PQ]

9 (25.0)

2 (6.5)

11 (16.4)

 Children below 4 years [AL]

22 (61.1)

14 (45.2)

36 (53.7)

 Pregnant women in first trimester [QN]

9 (25.0)

2 (6.5)

11 (16.4)

 Pregnant women in second & third trimester [AL]

18 (50.0)

10 (32.3)

28 (41.8)

 Pre-referral Rx for suspected severe malaria [AS sup/inj]

21 (58.3)

11 (35.5)

32 (47.8)

First-line treatment policy for severe falciparum malaria

 Adults and children above 5 kg [AS inj]a

11 (31.4)

4 (12.9)

15 (22.7)

 Children below 5 kg [AS inj]a

5 (14.3)

3 (9.7)

8 (12.1)

 Pregnant women in first trimester [QN inj]b

8 (22.9)

4 (13.3)

12 (18.5)

 Pregnant women in second & third trimester [AS inj]b

5 (14.3)

4 (13.3)

9 (13.9)

Knowledge of Carestart Pan Pf results interpretation

Trained (N = 45)

Not trained (N = 20)

All HWs (N = 65)b

n (%)

n (%)

n (%)

Positive P. falciparum result

36 (80.0)

8 (40.0)

44 (67.7)

Positive non-P. falciparum (P. vivax/P. malariae) resulta

31 (68.9)

9 (45.0)

40 (61.5)

Positive mixed infection result

38 (84.4)

10 (50.0)

48 (73.9)

Negative result

37 (82.2)

11 (55.0)

48 (73.8)

Invalid result

29 (64.4)

8 (40.0)

37 (56.9)

All five test readings correct

25 (55.6)

6 (30.0)

31 (47.7)

All three test positive readings correct

31 (69.0)

7 (35.0)

38 (58.5)

  1. aOne health worker excluded due to missing response values
  2. bTwo health workers excluded due to missing response values
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Malaria Journal

ISSN: 1475-2875

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