Demand-side factors for use of malaria diagnostic testing
malaria, fever, acute illness
MALARIA, FEBRILE ILLNESS
In total, 3719 households were approached, 1877 had an eligible fever in the last 4 weeks, 56 did not know if there was an eligible fever, 0 refused and 1738 completed the survey with no missing answers (92.6%). The community-based demand analysis relies on 1738 complete surveys from participants in randomly selected households in intervention clusters with an acute illness in the last 4 weeks (Participant characteristics at the 12-month and 18-month surveys and association between participant characteristics and malaria diagnostic testingThis table refers to those who reported getting a test from any source.Adjusted and unadjusted ORs for receiving a malaria diagnostic test, either microscopy or mRDT, from any source for the most recent febrile illness.Bold indicate results significant to p<0.05.CHW, community health worker; ITN, insecticide-treated net; mRDT, malaria rapid diagnostic test.Demand-side factors that were associated with uptake of malaria testing for their most recent illness are examined (The analysis further focused on those who were tested for malaria by a CHW (Association between patient characteristics and having an mRDT from a CHW before taking any treatmentThis table refers to those who reported getting a test from a CHW.In this analysis, awareness of a CHW in the village was not included as a covariate because 100% of individuals who had a test by a CHW were also aware of the CHW in the village. Of note, 73.5% of those tested elsewhere were also aware of a CHW in their village.Bold indicate results significant to p<0.05.CHW, community health worker; ITN, insecticide-treated net; mRDT, malaria rapid diagnostic test.To understand how individual perceptions about malaria testing and treatment, malaria risk, and illness severity affected uptake of testing or testing by a CHW, the analysis focused on the final survey at the 18-month survey (Relationship between participant beliefs and perceptions and uptake of testing from any source or from a CHWModels are adjusted for patient age, gender, household wealth quintile and the education level of the respondent in addition to the variables in the table.Bold indicate results significant to p<0.05.AL, artemether–lumefantrine; CHW, community health worker; mRDT, malaria rapid diagnostic test.