Table 4.
Tasks according to IMCI guidelines | No. (%) of children or caregivers eligible for task based on expert's recheck* | No. (%) of children or caregivers in whom the task was performed based on assessor's observation† |
---|---|---|
Assessment |
||
Index of integrated assessment (mean) (range 0-100) |
- |
18 |
Weighing |
348 (100.0) |
17 (4.9) |
Taking body temperature |
348 (100.0) |
210 (60.3) |
Checking for three danger signs |
348 (100.0) |
0 (0.0) |
Checking for the presence of cough, diarrhea, and fever |
348 (100.0) |
38 (10.9) |
Checking against the growth chart |
348 (100.0) |
1 (0.3) |
Checking the vaccination status |
348 (100.0) |
16 (4.6) |
Asking the caregiver about feeding practices (for children younger than 2 y) |
219 (62.9) |
2 (0.9) |
Checking for other problems |
348 (100.0) |
104 (29.9) |
Classification |
||
Correct classification |
348 (100.0) |
152 (43.7) |
Treatment |
||
Pneumonia treated by antibiotics |
7 (2.0) |
3/7‡ |
Correct prescription of oral antibiotic |
8 (2.3) |
4/8‡ |
The child who needed oral antibiotics received the first dose of treatment at the facility |
8 (2.3) |
6/8‡ |
The child who did not need antibiotic was not given them |
332 (95.4) |
198 (59.6) |
Oral rehydration solutions and zinc for diarrhea |
114 (32.8) |
0 (0.0) |
Referral given to the child who needs it |
1 (0.2) |
0 (0.0) |
Advice and counseling given to caregivers |
||
To give extra fluids and continue feeding |
347§ (99.7) |
2 (0.6) |
On how to give prescribed oral antibiotics |
96 (27.6) |
92 (95.8) |
On when to return to the doctor’s immediately | 347§ (99.7) | 0 (0.0) |
*Among all surveyed children, these children or their caregivers should be given specific case-management tasks by health providers based on the expert's recheck.
†Among those children or their caregivers who should be given the specific case-management tasks, these were actually given by health providers.
‡No percentage given as the numbers are very small.
§One child needing referral was not eligible for advice and counseling according to IMCI guidelines.