From: Management of febrile children under five years in hospitals and health centres of rural Ghana
Characteristic | Hospitals | Health centres | ||||||
---|---|---|---|---|---|---|---|---|
(N = 1,122) | (N = 861) | |||||||
n | % | 95% CI | n | % | 95% CI | p | ||
PROVIDERS | ||||||||
Cadre (vital signs and history taking) | Medical assistant | 22 | 2.0 | 0.06, 6.2 | 3 | 0.3 | 0.07, 1.7 | 0.05 |
Nurse | 353 | 31.5 | 11.0, 63.0 | 80 | 9.3 | 4.7, 17.7 | 0.04 | |
Nurse assistant | 742 | 66.1 | 34.2, 88.0 | 698 | 81.1 | 57.2, 93.2 | 0.4 | |
Cadre (consultation) | Doctor | 338 | 30.1 | 10.8, 60.6 | 10 | 1.2 | 0.2, 7.1 | 0.0001 |
Medical assistant | 537 | 47.9 | 28.7, 67.7 | 416 | 48.3 | 26.2, 71.1 | 1.0 | |
Nurse | 146 | 13.0 | 5.7, 26.9 | 164 | 19.1 | 11.0, 30.9 | 0.4 | |
Nurse assistant | 110 | 9.8 | 1.6, 42.2 | 162 | 18.8 | 7.3, 40.4 | 0.5 | |
CARERS | ||||||||
Sex | Male | 62 | 5.5 | 2.6, 11.4 | 38 | 4.4 | 3.0, 6.4 | 0.6 |
Female | 1,060 | 94.5 | 88.6, 97.4 | 823 | 95.6 | 93.6, 97.0 | 0.6 | |
Age | <18 | 25 | 2.2 | 1.5, 3.3 | 15 | 1.7 | 1.2, 2.5 | 0.3 |
18-30 | 639 | 57.0 | 50.1, 63.5 | 482 | 56.0 | 51.0, 60.8 | 0.8 | |
≥31 | 458 | 40.8 | 34.9, 47.1 | 364 | 42.3 | 37.1, 47.7 | 0.7 | |
Education | None | 314 | 28.0 | 22.0, 34.9 | 296 | 34.4 | 25.2, 44.9 | 0.3 |
Primary | 192 | 17.1 | 14.9, 19.5 | 182 | 21.4 | 18.0, 24.6 | 0.05 | |
Middle/Secondary | 604 | 53.8 | 49.1,58.5 | 372 | 43.2 | 34.3,52.6 | 0.05 | |
Tertiary | 12 | 1.1 | 0.6, 1.9 | 11 | 1.3 | 0.7, 2.3 | 0.7 | |
Language (speak any of 3 major dialects) | Twi/Fanti/Asante | 1,021 | 91.0 | 86.1, 94.3 | 757 | 87.9 | 79.6, 93.1 | 0.4 |
Bono | 947 | 84.4 | 76.4, 90.1 | 574 | 66.7 | 44.0, 83.6 | 0.06 | |
Dagarti | 143 | 12.8 | 9.5, 16.9 | 152 | 17.7 | 12.7, 24.1 | 0.1 | |
Relationship to child | Mother | 977 | 87.1 | 81.8, 91.0 | 766 | 89.0 | 86.6, 91.0 | 0.4 |
CHILD | ||||||||
Age | <12 months | 155 | 13.81 | 9.6, 19.5 | 166 | 19.3 | 14.2, 25.7 | 0.1 |
12-23 months | 329 | 29.3 | 26.8, 32.0 | 238 | 27.6 | 24.3, 31.3 | 0.4 | |
≥24 months | 638 | 56.9 | 51.2, 62.3 | 457 | 53.1 | 48.2, 57.9 | 0.3 | |
Sex | Male | 602 | 53.9 | 52.2, 55.5 | 454 | 52.8 | 48.0, 57.6 | 0.7 |
Health insurance | Yes | 1,071 | 95.5 | 90.8, 97.8 | 703 | 81.7 | 68.7, 90.0 | 0.004 |
Presenting symptoms | Vomiting | 338 | 30.1 | 27.2, 33.2 | 260 | 30.2 | 26.5, 34.2 | 1.0 |
Cough | 406 | 36.2 | 25.9, 48.0 | 243 | 28.2 | 23.4, 33.6 | 0.2 | |
Diarrhoea | 303 | 27.0 | 24.2, 30.0 | 268 | 31.1 | 26.9, 35.8 | 0.1 | |
Abdominal pain | 213 | 19.0 | 15.2, 23.4 | 147 | 17.1 | 13.7, 21.0 | 0.5 |