Domain | % Adherencec | |
---|---|---|
CHW | Gold standard (comparator) | |
A. General practice | 77.2 | 79.0 |
 i. Asked about fever | 88.6 | 87.1 |
 ii. Asked for child’s age | 100 | 100 |
 iii. Temperature measurement takena | 5.9 | 12.5 |
 iv. Respiratory rate measurementb | 4.0 | 0.0 |
 v. Looked for danger signs (signs of severe malaria) | 42.9 | 50.0 |
B. Proficiency in the use of rapid diagnostic test kit | 91.1 | 90.6 |
 i. Checked for safety measure | 85.7 | 86.2 |
 ii. Labeled the cassettes used for each child | 97.1 | 85.7 |
 iii. Pricked the child’s finger correctly | 88.6 | 90.3 |
 iv. Accurate blood volume collected | 77.1 | 83.9 |
 v. Correct volume of buffer applied | 97.1 | 96.6 |
 vi. Blood and buffer placed in wells appropriately | 91.4 | 89.7 |
 vii. Waited specified time before reading the results | 94.3 | 96.3 |
 viii. Interpreted the results correctly | 97.1 | 96.4 |
C. Adherence to malaria treatment recommendation | 93.6 | 92.5 |
 i. Told caregiver the result of the RDT |  |  |
 ii. RDT positive—gave artemether-lumefantrine (ACT) | 74.3 | 70.0 |
 iii. or rectal artesunate (RA) as required | 100 | 100 |
 iv. RDT negative—did not give ACT or RA | 100 | 100 |
 v. Gave the correct dose of ACT or RA when applicable | 100 | 100 |
D. Post-treatment initiation counseling of caregivers | 69.3 | 67.9 |
 i. Correct medication dosage | 97.1 | 97.1 |
 ii. Told caregiver how to use oral medications | 68.6 | 68.6 |
 iii. Ask to return within 48 h if the child’s health does not improve | 54.3 | 50.0 |
 iv. Told the caregiver to feed the child well | 57.1 | 55.9 |
Average Adherence | 82.8 | 82.5 |