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Table 4 Effects of the iCCM intervention on appropriate treatment for febrile childhood conditions among U5 children at drug shops in South Western Uganda from 2013 to 2014; difference-in-difference analysis

From: Integrated community case management by drug sellers influences appropriate treatment of paediatric febrile illness in South Western Uganda: a quasi-experimental study

  Observed percentage (crude) Effect estimate of the iCCM intervention (crude) Observed percentage (adjusted) Effect estimate of the iCCM intervention (adjusted)
Intervention arm Comparison arm Change in percentage 95% CI p value Intervention arm Comparison arm Change in percentage 95% CI p value
Child cases with fever, pneumonia symptoms and diarrhea
 Pre-intervention n = 212 n = 216         
 Post-intervention n = 285 n = 268         
Appropriate treatment for the childhood conditions
 Uncomplicated malariaa
  Pre-intervention 8.3 31.9 80.2 53.9, 106.5 < 0.001 − 65.3 − 38.5 34.5 8.6, 60.4 < 0.009
  Post-intervention 57.4 0.9     − 51.9 − 59.6    
 Pneumonia symptomsb
  Pre-intervention 0 0 65.5 51.2, 79.8 < 0.001 − 56.1 − 56.9 54.7 28.4, 81.0 < 0.001
  Post-intervention 65.5 0     − 0.4 − 55.8    
 Non-bloody diarrheac
  Pre-intervention 51.3 45.7 31.4 0.8, 62.0 0.045 5.3 − 10.1 − 11.2 − 65.5, 43.1 0.687
  Post-intervention 65.6 28.6     − 11.8 − 16.0    
  1. aControlled for child presenting with fever or history of fever, testing child with malaria RDT, counting respiratory rate of child, care-seeker being friends with drug seller, if care-seeker paid for diagnostic tests, time to get from home to drug shop, R-square = 0.75
  2. bControlled for child presenting with fever or history of fever, child presenting with cough or difficulty in breathing, testing child with malaria RDT, if child did not undergo any diagnostic testing, how care-seeker decided to buy medicine, care-seeker being friends with drug seller, care-seeker sex, child’s condition not being severe, R-square = 0.66
  3. cControlled for child presenting with signs of fever or history of fever, cough or difficulty in breathing, diarrhoea, counting respiratory rate of child, measuring temperature of child, if care-seeker was made to repeat treatment instructions, seeking care elsewhere before coming to drug shop, how care-seeker decided to buy medicine, care-seeker being able to take medicines on credit, good customer service at drug shop, R = 0.29