1. Training Workshop: 2012 Web: www.nmcc.org.zmwww.nmcc.org.zm Email: malaria@nmcc.org.zmmalaria@nmcc.org.zm

2. Dashboard Summary Summary of data collected from OPD, Gives a summary of a health facilities malaria disease burden Illustrates the number of clinically and parasitologically confirmed cases i.e. RDT or microscopy (where available)at health facility level Presents a malaria drug situation at health facility.

3. Graph Number 1 Shows actual numbers of clinical, RDT positive and slide positive cases if reported. If clinical cases are reported, NMCC encourages a transition from clinically diagnosed and reported malaria cases to parasitologically confirmed cases i.e. either with RDTs or slide microscopy if microscopy available. The facility displayed here is reporting no clinical cases and no slide positive cases, only RDT positive cases.

4. Graph Number 2 Presents actual total outpatient attendance by week and the number of suspected malaria cases. Total outpatient attendance is collected to understand the broader trends in the facilities attendance patterns that might not be revealed by only reviewing the malaria data. Suspected malaria cases are a calculated number and are based on adding the number of clinical malaria cases and the number of cases tested for malaria

5. Graph number 3 Presents malaria positivity rates by week for RDT and slide microscopy. Malaria positivity is an important indicator of the level of true malaria presenting to the clinic. It is defined as the number of parasitologically confirmed malaria cases divided by the number of patients tested for malaria, presented separately for RDT and microscopy.

6. Graph number 4 Presents the number of suspected malaria cases tested, or the malaria testing rate. Parasitological confirmation of suspected cases is critical for understanding the true burden of malaria at facilities. Ensuring that those suspected of having malaria are tested is measured through the testing rate. It is calculated by the number of patients tested divided by the number of suspected cases. The desired testing rate should be 100%, meaning that sufficient diagnostic supplies are available and all patients suspected of having malaria are tested. This example facility is reporting that all of the suspected malaria patients are being tested.

7. Graph Number 5 Presents information on the number of ACT (Coartem) treatments dispensed by the facility by week in relation to the number of suspected malaria cases and the number treatable malaria cases. A treatable malaria case is defined as the number of clinical malaria cases plus the number of parasitologically confirmed positive malaria cases. There should be a consistent trend in the number of treatable malaria cases and the ACTs dispensed. In this example facility, the trend in these two indicators is identical and the trend lines overlap.

8. Graph Number 6 Presents the number of treatable cases, the number treatment doses of Coartem dispensed by pack size by week for the facility. This complements Figure 5 by introducing the relative pack size for Coartem dispensed.

9. Stock Table: Cumulative dispensed, balance, requirements, stockouts Table below summarizes both availability and stockouts of RDTs as well as ACTs (Coartem) by pack size. Table requires the number of previous weeks included to be specified. In the example provided, the number of previous weeks is 10. For the previous 10 week period, the numbers of RDT and Coartem by pack size is presented. The minimum amount required reflects the total number of treatable malaria cases reported by the facility for the previous 10 week period suggesting that, at a minimum, this amount of RDTs and Coartem treatment doses were required by the facility to meet this need. Stockouts for RDTs and Coartem by pack size presents whether the facility reported having no supplies for any week during the 10 week period considered and the number of weeks this outage was reported. This example facility had no reported stockouts of RDTs or Coartem by pack size for the previous 10 week period.

11. Coartem dispensed by pack size and confirmed cases by age Figure below presents percentage of ACTs (Coartem or ART-LUM) dispensed by pack size and parasitologically confirmed positive cases. It is dependent on the information supplied in stocks table for the number of previous weeks included in the presentation of results. Since the pack size of Coartem is determined by a patient’s weight, which is corresponds with patient age, the percentage of parasitologically confirmed positive malaria patients by age should reflect similar percentages as the volume of Coartem dispensed by pack size. While not an exact representation, these two figures together help determine if a facility is combining excessive smaller pack sizes for treatment of adults or if the facility may be cutting packs to accommodate treatments for young children. NMCC promotes having adequate supplies of the correct pack size and administering the appropriate pack size by weight is important to promote patient compliance to the full treatment course.