TABLE 2.

Effect of Internship on Malaria Clinical Competence and Skill Retention for Community Health Officers in Ghana at 3-Month Post-Internship Mentoring Assessment

Clinical Competence AssessmentPre-Internship Assessment Score Percentage, Mean [SE]Post-Internship Assessment Score Percentage, Mean [SE]PP Difference Before-After Internship, Mean (95% CI)P Value3-Month Post-Internship Score Percentage, Mean [SE]PP Difference From Internship End to 3-Month Post-Internship, Mean (95% CI)P Value
Patient assessment/history taking86.2 (2.8)98.2 (1.2)+12.0 (8.3, 15.1)a<.001a98.0 (1.0)+0.2 (−1.1, 2.1).642
Severe malaria assessment and referral44.0 (1.7)76.0 (1.4)+32.0 (28.2, 35.8)a<.001a75.1 (1.5)−1.1 (−5.3, 3.4).681
Assessment of fever56.9 (1.5)81.8 (1.2)+24.9 (20.9, 29.3)a<.001a80.0 (1.0)−1.8 (−5.3, 1.1).173
Acute respiratory infection41.1 (1.7)71.1 (1.4)+30.0 (24.6, 34.0)a<.001a65.2 (1.0)−5.9 (−1.9, −8.8)a.003a
Diarrhea28.0 (1.0)47.0 (0.9)+19.0 (16.2, 22.3)a<.001a76.0 (1.0)+28.0 (24.6, 32.3)a<.001a
Medical history55.9 (1.9)81.9 (1.5)+26.0 (22.1, 31.4)a<.001a79.1 (1.4)-2.8 (−7.1, 1.2).136
Knowledge assessment57.4 (2.8)73.2 (0.8)+15.8 (10.0, 21.3)a<.001a---
  • Abbreviations: CI, confidence interval; PP, percentage point; SE, standard error.

  • a Statistically significant difference.