Table 4.
Adherence to World Health Organization Integrated Management of Childhood Illness Rehydration Guidelines During Vaccine Impact of Diarrhea in Africa Study (2015–2018) at Home and in a Facility by Site and Dehydration Status and Change in Adherence Compared With the Global Enteric Multisite Study (2007–2011)
| Adherence to Integrated Management of Childhood Illness Guidelines During Vaccine Impact of Diarrhea in Africa Study | Change in Percent Adherence from the Global Enteric Multisite Studya | |||||
|---|---|---|---|---|---|---|
| Guideline | No Dehydration | Some Dehydration | Severe Dehydration | No Dehydration | Some Dehydration | Severe Dehydration |
| The Gambia | ||||||
| N = 339 n (%) |
N = 1154 n (%) |
N = 148 n (%) |
NA | NA | NA | |
| Home | 59 (17.4%) | NA | NA | 0.4% | NA | NA |
| Facility | 161 (47.5%) | 517 (44.8%) | 10 (6.8%) | 47.5% | 44.8% | 6.8% |
| Kenya | ||||||
| N = 83 | N = 1050 | N = 414 | NA | NA | NA | |
| Home | 2 (2.4%) | NA | NA | −2% | NA | NA |
| Facility | 80 (96.4%) | 871 (83.0%) | 44 (10.6%) | 30.5% | 23.0% | −0.2% |
| Mali | ||||||
| N = 32 | N = 1454 | N = 117 | NA | NA | NA | |
| Home | 10 (31.2%) | NA | NA | 12.0% | NA | NA |
| Facility | 4 (12.5%) | 0 (0.0%) | 0 (0.0%) | 12.5% | 0% | 0% |
| All sites | ||||||
| N = 454 | N = 3658 | N = 679 | NA | NA | NA | |
| Home | 71 (15.6%) | NA | NA | −1.0% | NA | NA |
| Facility | 245 (54.0%) | 1388 (37.9%) | 54 (8.0%) | 47.2% | 19.4% | 2.5% |
Negative number indicates decrease in adherence; positive number indicates an increase.
Abbreviation: NA, not applicable.