TABLE 2.
Survey Sampling, Enrollment of Study Participants, and Scale-Up of Integrated Management of Childhood Illness (IMCI) Guidelines: Benin, 1999–2004
| Baseline Survey (Before IMCI Training) | Follow-Up Survey 1 | Follow-Up Survey 2 | Follow-Up Survey 3 | ||
| Data collection | July 28–Oct 29, 1999 | Dec 3, 2001–Jan 25, 2002 | Sept 16–Oct 30, 2002 | July 19–Oct 6, 2004 | |
| Zones sampleda | 1, 2, 3, 4 | 1, 2, 3, 4 | 1, 3 | 1, 2, 3, 4 | |
| Surveys in intervention area | |||||
| Health facilities sampled/total eligible, no. | 48/48 | 55/60 | 22/22 | 54/72 | |
| Health facilities open and with ≥ 1 ill child consultation | 41 | 47 | 18 | 40 | |
| IMCI-trained health workers/total health workers who performed ≥ 1 ill child consultation, no. (%) | 0/50 (0) | 21/69 (30.4) | 15/28 (53.6) | 34/58 (58.6) | |
| Among IMCI-trained health workers, median time since IMCI training, mo (range) | … | 2 (1–4) | 12 (1–16) | 20 (1–37) | |
| Ill children enrolled,b no. | 288 | 225 | 77 | 156 | |
| Initial consultations performed by IMCI-trained health workers/total initial consultations, no. (%) | 0/225 (0) | 52/186 (30.0) | 39/65 (60.0) | 63/126 (50.0) | |
| Surveys in control area | |||||
| Health facilities sampled/total eligible, no. | 39/39 | 45/51 | 33/33 | 46/58 | |
| Health facilities open and with ≥ 1 ill child consultation | 38 | 40 | 30 | 40 | |
| IMCI-trained health workers/total health workers who performed ≥ 1 ill child consultation, no. (%) | 0/51 (0) | 23/47 (48.9) | 17/37 (45.9) | 31/53 (58.5) | |
| Among IMCI-trained health workers, median time since IMCI training, mo (range) | … | 4 (1–6) | 12 (2–15) | 20 (1–37) | |
| Ill children enrolled,b no. | 295 | 168 | 154 | 214 | |
| Initial consultations performed by IMCI-trained health workers/total initial consultations, no. (%) | 0/205 (0) | 71/127 (55.9) | 61/138 (44.2) | 125/172 (72.7) | |
Note. Ellipses indicate that the data are not applicable.
a
Zone 1 was the trial intervention area in which IMCI was piloted in 2001, zone 2 was the trial intervention area in which IMCI began in 2003, zone 3 was the trial control area in which IMCI was piloted in 2001, and zone 4 was the trial control area in which IMCI began in 2003.
b
Excluded 1 child in 1999 (consultation accidentally not observed), 4 in 2001 (all withdrew after initially agreeing), 10 in 2002 (6 refused, 4 withdrew), and 10 in 2004 (8 refused, 2 withdrew).