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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