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Table 5 Case finding and referrals by zone

From: Village malaria worker performance key to the elimination of artemisinin-resistant malaria: a Western Cambodia health system assessment

Practices

Overall N = 197

Zone 1 N = 71

Zone 2 N = 126

P value

n

(%)

n

(%)

n

(%)

Ways in which VMW/MMW find malaria cases in their villages

 Conduct home visits

157

79.7

61

85.9

96

76.2

0.103

 Malaria suspects know me and come to my house

154

78.2

52

73.2

102

80.1

0.208

 Other people refer them

105

53.3

41

57.8

64

50.8

0.348

 Conduct health education activities

100

50.8

39

54.9

61

48.4

0.38

 During campaigns conducted by NGOs

2

1.0

0

0.0

2

1.6

0.286

 Other

4

2.0

0

0.0

4

3.17

0.129

Refer malaria cases to the health centre or hospital

 Yes

148

75.1

50

70.4

98

77.8

0.404

 No

49

24.9

21

29.6

28

22.2

Who gets referred

 Severe malaria cases

122

82.4

41

82.0

81

82.7

0.921

 Pregnant women

47

31.8

21

42.0

26

26.5

0.056

 The elderly

44

29.7

15

30.0

29

29.6

0.959

 Children under five

37

25.0

17

34.0

20

20.4

0.071

 Patients who’s life is at risk

28

18.9

11

22.0

17

17.4

0.494

 Othera

30

20.3

7

14.0

23

33.5

0.175

Barriers faced when referring severe malaria to the HC

 Lack of transportation

130

87.8

45

90.0

85

86.7

0.565

 Long distance

98

66.2

34

68.0

64

65.3

0.743

 Lack of money

67

42.3

18

36.0

49

50.0

0.106

 The patient disagrees

29

19.6

13

26.0

16

16.3

0.161

 Lack of understanding of severity of disease

17

11.5

6

12.0

11

11.2

0.889

 Treatment with other providers

10

6.8

2

4.0

8

8.2

0.34

 Self-treatment

5

3.4

1

2.0

4

4.1

0.507

 Otherb

4

2.7

0

0.0

4

4.1

0.148

  1. aOther includes: patient with multiple illnesses, patient with negative blood test, not malaria cases. Patients also get referred when there is blood test error and VMWs and MMWs medicine is out of stock
  2. bOther includes: medicine was out of stock, negative blood test, never have barriers, and never have problems