Fraction of providers who asked or performed key diagnostic questions and examinations, diagnosis and treatment and average competence score
| All providers | MBBS [1] | BA/H/U/MS [2] | Other [3] | DIFF 1–2 | DIFF 1–3 | |
|---|---|---|---|---|---|---|
| Questions and examinations | ||||||
| Since when has he had the fever | 48.9 (43.8 to 53.9) | 51.4 (32.7 to 70.1) | 47.8 (33.1 to 62.5) | 48.7 (42.7 to 54.7) | 3.6 | 2.7 |
| Fever with chills | 31.4 (26.8 to 36.2) | 31.4 (16 to 46.9) | 32.6 (18.6 to 46.6) | 31.2 (25.5 to 37.0) | −1.2 | 0.2 |
| Is fever continuous | 33.4 (28.8 to 38.3) | 34.3 (16.5 to 52.1) | 39.1 (23.5 to 54.8) | 32.5 (26.8 to 38.2) | −4.8 | 1.8 |
| Are there any night sweats present | 6.1 (3.9 to 8.9) | 11.4 (2.2 to 20.6) | 6.5 (−0.5 to 13.6) | 5.4 (2.9 to 7.9) | 4.9 | 6.0 |
| Cough since when | 32.2 (27.6 to 37) | 37.1 (22.7 to 51.5) | 37.0 (20 to 53.9) | 30.9 (24.9 to 36.9) | 0.2 | 6.3 |
| Pain in the chest | 13.7 (10.4 to 17.5) | 20.0 (5.1 to 34.9) | 21.7 (9.5 to 34) | 11.8 (8.2 to 15.4) | −1.7 | 8.2 |
| Is there sputum | 24.6 (20.4 to 29.1) | 34.3 (20.2 to 48.4) | 23.9 (10.4 to 37.4) | 23.6 (19.0 to 28.2) | 10.4 | 10.7 |
| How is the sputum | 24.6 (20.4 to 29.1) | 37.1 (20 to 54.3) | 23.9 (9.7 to 38.1) | 23.2 (18.8 to 27.7) | 13.2 | 13.9 |
| Blood in the sputum | 11.1 (8.2 to 14.7) | 14.3 (0.7 to 27.9) | 13.0 (3.3 to 22.8) | 10.5 (7.3 to 13.7) | 1.2 | 3.8 |
| How much blood in the sputum | 10.9 (8.0 to 14.4) | 8.6 (−0.4 to 17.6) | 10.9 (1.4 to 20.3) | 11.1 (7.4 to 14.8) | −2.3 | −2.6 |
| Have you been eating less | 13.2 (10 to 16.9) | 28.6 (12.3 to 44.8) | 23.9 (10.8 to 37.1) | 9.9 (6.3 to 13.4) | 4.7 | 18.7** |
| Have you visited other doctors before coming here | 15.9 (12.5 to 19.9) | 20.0 (4.2 to 35.8) | 8.7 (0.2 to 17.2) | 16.6 (11.7 to 21.4) | 11.3 | 3.4 |
| Weight | 10.6 (7.8 to 14.1) | 25.7 (8.5 to 43) | 13.0 (2.8 to 23.3) | 8.6 (5.2 to 12.0) | 12.7 | 17.1* |
| Temperature | 16.7 (13.2 to 20.8) | 20.0 (7.1 to 32.9) | 13.0 (3.0 to 23.1) | 16.9 (11.8 to 22.0) | 7.0 | 3.1 |
| Blood for tlc/dlc | 32.4 (27.8 to 37.3) | 45.7 (27.3 to 64.1) | 28.3 (14.8 to 41.7) | 31.5 (25.2 to 37.8) | 17.5 | 14.2 |
| Blood test hb | 15.9 (12.5 to 19.9) | 34.3 (18.5 to 50) | 10.9 (1.2 to 20.5) | 14.6 (10.0 to 19.3) | 23.4** | 19.6** |
| Blood for fasting ESR (erythrocytic sedimentation rate) | 32.4 (27.8 to 37.3) | 37.1 (20.3 to 54) | 26.1 (12.6 to 39.6) | 32.8 (26.1 to 39.5) | 11.1 | 4.3 |
| Mantaux tuberculin skin test | 12.7 (9.5 to 16.3) | 17.1 (3.5 to 30.8) | 13.0 (2.8 to 23.3) | 12.1 (8.4 to 15.8) | 4.1 | 5.0 |
| Sputum for AFB (acid-fast bacilli) | 20.0 (16.2 to 24.3) | 54.3 (35.6 to 73) | 15.2 (4.5 to 26.0) | 16.9 (12.4 to 21.3) | 39.1*** | 37.4*** |
| Chest X-ray | 31.9 (27.3 to 36.7) | 57.1 (38.2 to 76.1) | 28.3 (13.6 to 42.9) | 29.6 (23.9 to 35.3) | 28.9** | 27.5*** |
| TB test | 2.3 (1.0 to 4.3) | 2.9 (−2.8 to 8.5) | 4.3 (−1.7 to 10.4) | 1.9 (0.4 to 3.4) | −1.5 | 1.0 |
| Diagnosis | ||||||
| Gave any diagnosis | 92.4 (89.3 to 94.8) | 97.1 (91.3 to 103) | 95.7 (89.4 to 101.9) | 91.4 (88.3 to 94.5) | 1.5 | 5.7* |
| Correct diagnosis | 60.0 (55.0 to 64.9) | 91.4 (81.8 to 101) | 73.9 (60.8 to 87) | 54.5 (48.8 to 60.1) | 17.5** | 37.0*** |
| Correct diagnosis, if any | 64.9 (59.8 to 69.8) | 94.1 (86.1 to 102.2) | 77.3 (64.4 to 90.2) | 59.6 (53.6 to 65.6) | 16.8** | 34.5*** |
| Treatment | ||||||
| Gave any treatment | 66.6 (61.7 to 71.2) | 82.9 (71.0 to 94.8) | 80.4 (68.1 to 92.8) | 62.7 (57.2 to 68.3) | 2.4 | 20.1*** |
| Correct treatment | 14.4 (11.1 to 18.3) | 45.7 (26.0 to 65.4) | 19.6 (8.6 to 30.6) | 10.2 (6.8 to 13.6) | 26.2** | 35.5*** |
| Correct treatment, if any | 21.7 (16.8 to 27.1) | 55.2 (33.4 to 76.9) | 24.3 (11.2 to 37.5) | 16.2 (11.1 to 21.4) | 30.9** | 38.9*** |
| Others | ||||||
| Recommend referral | 48.9 (43.8 to 53.9) | 77.1 (63.3 to 91.0) | 63.0 (48.8 to 77.3) | 43.6 (37.4 to 49.9) | 14.1 | 33.5*** |
| Knowledge score | −1.0 (−1.2 to −0.73) | 0.0 (−0.6 to 0.6) | −1.3 (−2.1 to −0.45) | −1.0 (−1.3 to −0.7) | 1.3** | 1.0*** |
Values are percentage except for the competence score variable. Source: Vignette survey. Observations from 395 providers. CIs reported in parentheses.
Asterisks represent statistically significant differences, with ***p<0.01, **p<0.05, *p<0.1.