Table 3.
Proportions of children for whom specific case management tasks were performed by CHWs; quality of care survey
| Variable | n/N (%) | 95 % CI |
|---|---|---|
| Classification | ||
| Children whose classification of uncomplicated fever given by CHWs matched the classification by IMCI trained clinician (Gold standard) | 78/83 (93.9) | [85.8–99.7] |
| Children whose classification of uncomplicated diarrheoa given by CHWs matched the classification by IMCI trained clinician (Gold standard) | 17/19 (89.4) | [79.3–97.0] |
| Children whose classification of uncomplicated cough/fast breathing given by CHWs matched the classification by IMCI trained clinician (Gold standard) | 10/14 (71.4) | [62.1–82.4] |
| Treatment of child illness by CHWs | ||
| Children with fever plus RDT +ve results who are prescribed an antimalarial (ACT) correctly | 49/55 (89.1) | [75.3–96.9] |
| Children with uncomplicated cough/fast breathing who are prescribed an antibiotic correctly | 9/14 (64.3) | [58.7–72.1] |
| Children with uncomplicated diarrheoa who are prescribed ORS correctly | 13/16 (81.2) | [72.6–93.2] |
| Children with uncomplicated diarrheoa who are prescribed zinc correctly | 5/6 (83.3) | [74.1–95.3] |
| Performance of RDTs by CHWs | ||
| CHWs with RDTs available at their village clinic | 39/40 (97.5) | [95.3–102.1] |
| Children with fever RDT performed | 86/90 (95.5) | [83.2–99.8] |
| RDTs performed correctly by CHWsa | 83/86 (96.5) | [86.8–101.8] |
| Children with RDT +ve results | 48/83 (57.8) | [43.5–67.1] |
| RDT results adhered to by CHWs when providing malaria treatment | 82/86 (95.3) | [74.8–93.7] |
| RDTs performances on which CHWs adhered to SOPs for disposal of bio-wastes and sharps | 82/86 (95.4) | [85.7–101.2] |
| Referral for danger signs and use of pre-referral rectal artesunate | ||
| Children with general danger signs referred | 7/9 (78.0) | [58.7–89.2] |
Three children presenting danger signs were observed being administered with rectal artesunate by HSAs during the assessment of care survey. Two out of these 3 (66.7 %) were observed to have been correctly administered with rectal artesunate suppository by HSAs
Correct administration of RA means CHWs being able to adhere to Standard Operation Procedures (SOPs) for administration of RA
a Correct performance of RDTs means that CHWs followed the Standard Operation Procedures (SOPs) for performing RDTs including disposal of bio-wastes on the day of survey