The exit interview as a proxy measure of malaria case management practice: sensitivity and specificity relative to direct observation
Justin Pulford, Peter M Siba, Ivo Mueller, Manuel W Hetzel
BMC Health Services Research | BMC | Published : 2014
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..View full abstract
The authors gratefully acknowledge the many health workers and patients involved in this study. The generous support of the respective provincial and district health authorities and the PNG National Department of Health are also acknowledged as are the following individuals for assisting with data collection and processing: Mrs. Serah F Kurumop, Mr. Samuel Hurim, Mr. Brown Kaupa, Mr. Gaius Sabumai, Mr. Gibson Gideon, Ms. Elsie Bilam, Mrs. Aiyoh Gubag, Mr. Ismart Martin, Mr. George Dogoya, Mr. Loui Ipatu, Ms. Angeline Angwin, Mr. Iso Smith, Mr. Yangta Ura, Mr. Samson Pes, Ms. Tema Kay, Ms. Sherva Kevin, Mrs. Lillian Akunaii, Ms. Rose Kawage, Ms. Carolyn Kopan, Ms. Abanie Ginbol, Ms. Julianne Onga, Ms. Ceciliah Kamel, Mrs. Theresa Nime, Ms. Freda Opnal, Ms. Rose Charles, Ms. Winnifred Boina, Ms. Florence Lawrence and Ms. Regina Arre. This study was financially supported by a Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) Round 8 grant.