ArticleBMC health services research2014
The exit interview as a proxy measure of malaria case management practice: sensitivity and specificity relative to direct observation.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Comparing the use of direct observation, standardized patients and exit interviews in low- and middle-income countries: a systematic review of methods of assessing quality of primary care.Health policy and planning · 2021Pooled it
- Health Worker Compliance with a 'Test And Treat' Malaria Case Management Protocol in Papua New Guinea.PloS one · 2016Trial
- Truth is relative; Client report versus provider report, a post-modern analysis of data from a trial in the private retail medicine sector.Research square · 2024Article
- Access to quality-assured artemisinin-based combination therapy and associated factors among clients of selected private drug outlets in Uganda.Malaria journal · 2024Article
- Quality of malaria data in public health facilities in three provinces of Mozambique.PloS one · 2020Article
- Quality of Malaria Case Management and Reporting at Public Health Facilities in Six Health Districts in Guinea, 2018.The American journal of tropical medicine and hygiene · 2019Article
- Quality of malaria services offered in public health facilities in three provinces of Mozambique: a cross-sectional study.Malaria journal · 2019Article
- Fever case management at private health facilities and private pharmacies on the Kenyan coast: analysis of data from two rounds of client exit interviews and mystery client visits.Malaria journal · 2018Article
- Evaluating malaria case management at public health facilities in two provinces in Angola.Malaria journal · 2017Article
- Exit interviews administered to patients participating in the COSTOP placebo controlled randomised trial in Uganda.Contemporary clinical trials communications · 2016Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper aims to assess the sensitivity and specificity of exit interviews as a measure of malaria case management practice as compared to direct observation.
methodsThe 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.
resultsThe 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%.
conclusionThe 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.