Table 2. Caregivers first source of treatment seeking and antimalarials received for febrile children < 5 years of age.
| Pre-intervention (June-July 2009) | Post-intervention (July-August 2010) | |||
|---|---|---|---|---|
| n (%) | n (%) | Difference in proportions (95% CI) | P- value***** | |
| Fevers and source of treatment (First action) | ||||
| Total Number of children <5 years of age | 958 | 1,123 | ||
| Proportion of children< 5 years reporting fever in last 14 days | 506 (52.8) | 515 (45.9) | -6.9 (-11.1, -2.6) | 0.006 |
| Proportion of children< 5 years reporting fever in last 14 days but not febrile on day of survey | 414 (81.8) | 377 (73.2) | -8.6 (13.7, -3.5) | 0.001 |
| Number of children< 5 years reporting fever in last 14 days but not febrile on day of survey | N = 506 | N = 515 | ||
| Proportion of all febrile children seeking any treatment (not including prayers) | 442 (87.3) | 473 (91.8) | 4.5 (0.7, 8.2) | 0.02 |
| Proportion of all febrile children seeking any treatment (not including prayers) within 48 hours | 318 (62.8) | 409 (79.4) | 16.6 (11.1, 22.1) | <0.001 |
| Proportion febrile children accessing treatment from formal government of Kenya (GoK)/mission health facilities | 200 (39.5)** | 115 (22.3)** | -17.2 (-22.8,-11.6) | <0.001 |
| Proportion febrile children accessing treatment from formal government of Kenya (GoK)/mission health facilities within 48 hours | 117 (23.1) | 85 (16.5) | -6.6 (-11.5, -1.7) | 0.04 |
| Proportion febrile children accessing treatment from formal private sector | 14 (3.0) | 20 (4.0) | 1.0 (-1.2, 3.2) | 0.43 |
| Proportion of febrile children accessing treatment from formal retail sector | 149 (29.4) | 162 (31.4) | 2.0 (-3.6, 7.6) | 0.63 |
| Proportion of febrile children accessing treatment from drugs available in household | 63 (12.4) | 160 (31.1) | 18.7 (13.8, 23.6) | <0.001 |
| Proportion of febrile children accessing treatment from community health workers (CHWs) | 16 (3.2) | 16 (3.1) | -0.1 (-2.2, 2.0) | 1.00 |
| Proportion of all febrile children not seeking any treatment | 64 (12.7) | 42 (8.2) | -4.5 (-8.2, -0.7) | 0.02 |
| Drugs used to treat malaria | ||||
| Proportion of febrile children accessing any anti-malarial drug in last 14 days | 224 (44.3) | 202 (39.2) | -5.1 (-11.1, 0.9) | 0.12 |
| Proportion of febrile children accessing AL at any time in last 14 days | 157 (31.0)*** | 165 (32.0)**** | 1.0 (-4.7, 6.7) | 0.76 |
| Proportion of febrile children treated with quinine | 33 (6.5) | 27 (5.2) | -1.3 (-4.2, 1.6) | 0.44 |
| Proportion of febrile children treated with sulfadoxine-pyrimethamine (SP) | 5 (1.0) | 6 (1.3) | 0.3 (-1.0, 1.6) | 0.76 |
| Proportion of febrile children treated with amodiaquine | 38 (7.5)***** | 9 (1.7) | -5.8 (-8.3, -3.2) | <0.001 |
| Proportion of febrile children treated with chloroquine | 3 (0.6) | 1 (0.2) | -0.4 (-1.2, 0.4) | 0.30 |
| Proportion of febrile children treated with dihydroartemisinin + piperaquine | 1 (0.2) | 0 | -0.2 (-0.6, 0.2) | - |
*Proportions are cluster adjusted
**Range of proportion across clusters in 2009 (0–61.5%%); 2010 (0–83.3%)
***Includes 10 febrile children treated with quinine injections and AL;
****Includes 7 febrile children treated with quinine injections and AL
*****Includes one febrile child treated with amodiaquine and quinine injection
*****P-value from chi-squared test adjusted for clustering