edoc

The exit interview as a proxy measure of malaria case management practice: sensitivity and specificity relative to direct observation

Pulford, Justin and Siba, Peter M. and Mueller, Ivo and Hetzel, Manuel W.. (2014) The exit interview as a proxy measure of malaria case management practice: sensitivity and specificity relative to direct observation. BMC Health Services Research, 14. p. 628.

[img]
Preview
PDF - Published Version
Available under License CC BY (Attribution).

138Kb

Official URL: http://edoc.unibas.ch/dok/A6329171

Downloads: Statistics Overview

Abstract

Background: This paper aims to assess the sensitivity and specificity of exit interviews as a measure of malaria case management practice as compared to direct observation.
Methods: The malaria case management of 1654 febrile patients attending 110 health facilities from across Papua New Guinea was directly observed by a trained research officer as part of a repeat cross sectional survey. Patient recall of 5 forms of clinical advice and 5 forms of clinical action were then assessed at service exit and statistical analyses on matched observation/exit interview data conducted.
Results: The sensitivity of exit interviews with respect to clinical advice ranged from 36.2% to 96.4% and specificity from 53.5% to 98.6%. With respect to clinical actions, sensitivity of the exit interviews ranged from 83.9% to 98.3% and specificity from 70.6% to 98.1%.
Conclusion: The exit interview appears to be a valid measure of objective malaria case management practices such as the completion of a diagnostic test or the provision of antimalarial medication, but may be a less valid measure of low frequency, subjective practices such as the provision of malaria prevention advice.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Interventions > Malaria Interventions (Lengeler)
UniBasel Contributors:Hetzel, Manuel W
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:BioMed Central
e-ISSN:1472-6963
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:24 Feb 2017 12:35
Deposited On:09 Jan 2015 09:25

Repository Staff Only: item control page