Table 1.
Danger signs for referrals and coverage achieved
| Assessment | Danger sign | Coverage of assessments |
|
|---|---|---|---|
| DOS (N = 759) | Process (N = 2795) | ||
| Ask | |||
| How is the baby feeding? | 1. Baby not breastfeeding well since birth or stopped breastfeeding | 740 (97.5%) | |
| History of convulsion or fits since birth. | 2. Baby convulsed or fitted since birth and not treated in a health facility | 641 (84.5%) | |
| Check for | |||
| Chest movements | 3. Baby having lower chest in-drawing on inspiration | 656 (86.4%) | |
| Palms and soles of the feet | 4. Baby having yellow palms and soles | 682 (89.9%) | |
| Lethargy/failure to move | 5. Baby very weak and not moving at all or only moving when stimulated | 671 (88.4%) | |
| Local infections | 6. Baby having reddening around the ‘umbilicus’ or pus discharging from the stump, ‘skin pustules’ or purulent discharge from the eyes. | 672 (88.5%) | |
| Measure | |||
| Respiratory rate | 7. Baby breathing too fast: 60 breaths or more per minute validated by a second count | 742 (97.9%) | 2662 (95.2%) |
| Temperature | 8. Baby having fever: axillary temperature of 37.5°C or more | 747 (98.4%) | 2677 (95.8%) |
| 9. Baby too cold: axillary temperature of 35.4°C or less | |||
| Weight | 10. Less than 1.5 kg (red zone of the scale) | 671 (88.4%) | 2651 (94.9%)a |
| Coverage of assessments | 8 + signs–91.9% 9 + signs–78.8% | 2116 (75.7%)b | |
| Referrals made | 101 (13.1%) | 279 (10.0%) | |
aThis represents weight assessed at first postnatal visit.
bThis represents babies who have had a full assessment for all the 10 signs.