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Table 2 Case-management practices for febrile children - comparison between pre- and post-intervention

From: Health worker performance in the management of paediatric fevers following in-service training and exposure to job aids in Kenya

 

2008

2009

      
 

Pre-intervention

Post-intervention

Restricted to children seen by trained HWs

Restricted to children seen by HWs exposed to minimum package of intervention*

 

N

%

95% CI

N

%

95% CI

N

%

95% CI

N

%

95% CI

Febrile children

N = 386

N = 390

N = 249

N = 174

   AL prescribed

297

76.9

69.4, 83.1

342

87.6

82.5, 91.5

213

85.5

79.2, 90.2

148

85.1

75.9, 91.1

   Other anti-malarial prescribed

33

8.5

5.5, 13.0

10

2.6

1.3, 5.1

8

3.2

1.5, 7.0

7

4.0

1.7, 9.0

   AL prescribed and dispensed

268

69.4

60.2, 77.4

342

87.6

82.5, 91.5

213

85.5

79.2, 90.2

148

85.1

75.9, 91.1

Febrile children with AL dispensed

N = 268

N = 342

N = 213

N = 148

   Weight measured

199

74.2

58.1, 85.7

270

79.0

64.8, 88.4

157

73.7

54.6, 86.7

113

76.3

53.0, 90.3

   First dose given at the health facility

58

21.6

10.4, 40.0

115

33.6

20.0, 50.6

62

29.1

14.3, 50.2

56

37.8

18.5, 62.0

   Dosage to take at home explained

264

98.5

95.2, 99.5

339

99.1

97.4, 99.7

211

99.1

96.5, 100

147

99.3

94.5, 99.9

   Advise on vomiting provided

9

3.3

1.6, 6.7

27

8.0

3.3, 17.6

11

5.1

2.4, 10.6

11

7.4

3.6, 14.5

   At least three of the four counseling and dispensing tasks provided

54

20.1

10.2, 35.9

119

34.8

21.0, 52.1

62

29.1

14.4, 50.1

56

37.8

19.0, 61.7

  1. *Minimum intervention package includes: exposure to training plus access to guidelines or training manual plus at least one of five job aids