Table 3 Proportions of children for whom specific case management tasks were performed by CHWs; quality of care survey
Variable | n/N (%) | 95 % CI |
|---|---|---|
Classification | ||
Children whose classification of uncomplicated fever given by CHWs matched the classification by IMCI trained clinician (Gold standard) | 78/83 (93.9) | [85.8–99.7] |
Children whose classification of uncomplicated diarrheoa given by CHWs matched the classification by IMCI trained clinician (Gold standard) | 17/19 (89.4) | [79.3–97.0] |
Children whose classification of uncomplicated cough/fast breathing given by CHWs matched the classification by IMCI trained clinician (Gold standard) | 10/14 (71.4) | [62.1–82.4] |
Treatment of child illness by CHWs | ||
Children with fever plus RDT +ve results who are prescribed an antimalarial (ACT) correctly | 49/55 (89.1) | [75.3–96.9] |
Children with uncomplicated cough/fast breathing who are prescribed an antibiotic correctly | 9/14 (64.3) | [58.7–72.1] |
Children with uncomplicated diarrheoa who are prescribed ORS correctly | 13/16 (81.2) | [72.6–93.2] |
Children with uncomplicated diarrheoa who are prescribed zinc correctly | 5/6 (83.3) | [74.1–95.3] |
Performance of RDTs by CHWs | ||
CHWs with RDTs available at their village clinic | 39/40 (97.5) | [95.3–102.1] |
Children with fever RDT performed | 86/90 (95.5) | [83.2–99.8] |
RDTs performed correctly by CHWsa | 83/86 (96.5) | [86.8–101.8] |
Children with RDT +ve results | 48/83 (57.8) | [43.5–67.1] |
RDT results adhered to by CHWs when providing malaria treatment | 82/86 (95.3) | [74.8–93.7] |
RDTs performances on which CHWs adhered to SOPs for disposal of bio-wastes and sharps | 82/86 (95.4) | [85.7–101.2] |
Referral for danger signs and use of pre-referral rectal artesunate | ||
Children with general danger signs referred | 7/9 (78.0) | [58.7–89.2] |