Management of uncomplicated malaria in private health facilities in North-West Ethiopia: a clinical audit of current practices

Table 4 Anti-malarial prescription with acceptable and minor error treatment classifications, West Gojjam, Oct 2016 – Jan 2017

Description	Acceptable & Minor Error Treatments
	Illegible			Acceptable treatment (AL or Qn Or CQ + 14 d PQ)			Minor Error (AL + Arth or Antib Or CQ + Arth or Antib
	Illegible			Actual practices			Actual practices
	Both PPM + NPPM	PPM	NPPM	Both PPM + NPPM	PPM	NPPM	Both PPM + NPPM	PPM	NPPM
Microscopy (n = 252)
P. falciparum	117	63	54	62	28	34	3	2	1
Mixed (Pf &Pv)	38	23	15	4	4	0	34	19	15
Presumed^a	30	12	18	11	5	6	0	0	0
P. vivax	67	34	33	3	1	2	5	2	3
Sub total	252	132	120	80	38	42	42	23	19
Percentage				31.7	28.8	31.8	16.7	17.4	15.8
RDTs (n = 78)
P. falciparum	26	16	10	13	9	4	0	0	0
Mixed (Pf &Pv or Pf)	11	7	4	10	6	4	1	1	0
Presumed^a	26	14	12	11	5	6	2	0	2
P. vivax	15	11	4	0	0	0	1	0	1
Sub total	78	48	30	34	20	14	4	1	3
Percentage				43.6	41.6	46.6	5.1	2.1	10.0
Grand total	330	180	150	114	58	56	46	24	22
Percentage				34.5	32.8^b	37.3^b	13.9	13.3% ^c	14.7%^c

The table depicts the frequency of records of antimalarial drug prescription in 11 medium clinics in the West Gojjam Zone, Amhara. It also describes the magnitude of acceptable prescription or treatment practices by partnership status. In addition, it describes the frequency of minor errors treatment practices by partnership status
AL Artemether –Lumefantrine, PQ Premaquine, CQ Chloroquine, Qn Quinine, sld Single low dose, Arthem Arthemter injection, Antibio Antibiotics, ^a: negative microscopy or RDT result but treated as presumed malaria cases; Acceptable Treatments: AL or Quinine for Pf malaria cases 75 patients; AL or Quinine for Mixed (Pf or Pf & Pv) malaria cases 14 patients; AL or CQ plus PQ for 14 days for 3 patients; Presumed malaria cases treated with Qn or AL for 14 patients. Minor Error treatment: AL plus Arthem Injection for 3 Pf malaria cases; CQ plus Arthem Injection for 6 Pv malaria case; AL plus Arthem plus Tetracycline or Metronidazole or Doxycycline 35 mixed (Pf & Pv) malaria cases; AL plus Arthem Injection for 2 Presumed malaria cases
^bThe X² statistic is 0.35. The p-value is 0.55. This result is not significant at p < .05
^cThe X² statistic is 0.12. The p-value is 0.72. This result is not significant at p < .05

ISSN: 1472-6963