Table 4.
Adherence (percentage) of health workers to IMCI protocols during assessment of danger signs and main symptoms
| IMCI item | Child’s age | Health system level | Health staff category | |||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Inability to eat/drink | Overall | ≤ 24 months | > 24 months | Hospital | Health centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staffa |
| Namibia | 43.1 | 47.3 | 36.7 | 41.4 | 48.5 | 42.2 | 37.0 | 75.0 | 43.2 | – |
| Kenya | 42.9 | 47.1 | 35.4 | 42.6 | 43.0 | 43.3 | 40.9 | 43.9 | 43.8 | 17.9 |
| Tanzania | 34.2 | 38.7 | 25.1 | 39.2 | 43.7 | 30.5 | 30.1 | 36.6 | 28.4 | 80.0 |
| Uganda | 66.0 | 69.0 | 59.6 | 69.2 | 65.1 | 55.5 | 77.5 | 72.3 | 53.3 | 66.7 |
| Vomiting everything | Overall | ≤ 24 months | > 24 months | Hospital | Health centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 49.9 | 51.9 | 46.8 | 47.1 | 51.5 | 49.8 | 40.7 | 50.0 | 50.2 | – |
| Kenya | 52.9 | 53.4 | 52.0 | 55.9 | 51.3 | 49.1 | 55.1 | 55.9 | 50.5 | 28.6 |
| Tanzania | 58.6 | 59.8 | 56.2 | 67.4 | 52.4 | 54.9 | 52.6 | 63.4 | 46.7 | 80.0 |
| Uganda | 65.6 | 68.1 | 60.3 | 70.4 | 61.8 | 53.5 | 80.0 | 72.2 | 51.5 | 83.3 |
| Febrile convulsions | Overall | ≤ 24 months | > 24 months | Hospital | Health Centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 18.1 | 18.2 | 17.9 | 16.1 | 16.1 | 18.6 | 13.0 | 37.5 | 18.2 | – |
| Kenya | 17.4 | 17.8 | 16.7 | 17.5 | 16.6 | 17.9 | 23.9 | 18.1 | 16.9 | 1.8 |
| Tanzania | 26.0 | 26.6 | 24.7 | 31.1 | 19.9 | 24.1 | 17.8 | 29.6 | 17.6 | 80.0 |
| Uganda | 39.7 | 41.6 | 35.7 | 46.0 | 34.0 | 25.2 | 45.0 | 47.5 | 24.9 | 50.0 |
| All danger signs | Overall | ≤ 24 months | > 24 months | Hospital | Health Centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 10.8 | 12.0 | 8.9 | 12.5 | 9.6 | 11.0 | 7.4 | 25.0 | 10.8 | – |
| Kenya | 10.6 | 11.8 | 8.5 | 10.2 | 12.1 | 10.4 | 16.9 | 10.8 | 10.3 | 1.8 |
| Tanzania | 13.6 | 15.1 | 10.4 | 17.5 | 9.9 | 12.0 | 7.0 | 15.8 | 8.7 | 60.0 |
| Uganda | 31.3 | 33.2 | 27.3 | 35.9 | 27.2 | 20.9 | 41.8 | 37.4 | 18.9 | 33.3 |
| Cough/difficult breathing | Overall | ≤ 24 months | > 24 months | Hospital | Health Centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 90.5 | 89.9 | 91.4 | 90.8 | 92.9 | 90.0 | 92.6 | 87.5 | 90.4 | – |
| Kenya | 82.0 | 83.1 | 80.0 | 84.1 | 79.9 | 80.0 | 86.5 | 84.6 | 78.5 | 76.8 |
| Tanzania | 80.6 | 81.2 | 79.3 | 84.7 | 74.3 | 79.2 | 79.6 | 83.0 | 74.4 | 40.0 |
| Uganda | 87.5 | 87.4 | 87.7 | 87.9 | 86.3 | 88.0 | 90.2 | 88.8 | 84.5 | 100 |
| Diarrhoea | Overall | ≤ 24 months | > 24 months | Hospital | Health Centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 58.6 | 62.9 | 52.0 | 54.0 | 66.4 | 57.4 | 40.7 | 62.5 | 59.3 | – |
| Kenya | 45.0 | 47.8 | 39.9 | 66.8 | 55.0 | 61.9 | 47.2 | 48.5 | 41.1 | 32.1 |
| Tanzania | 62.9 | 65.8 | 56.9 | 46.9 | 43.7 | 42.8 | 59.0 | 64.4 | 59.7 | 60.0 |
| Uganda | 66.8 | 71.7 | 56.4 | 69.7 | 65.2 | 58.6 | 67.5 | 69.8 | 60.5 | 100 |
| Fever | Overall | ≤ 24 months | > 24 months | Hospital | Health Centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 87.7 | 85.9 | 90.5 | 91.9 | 88.9 | 87.1 | 90.6 | 85.7 | 87.6 | – |
| Kenya | 87.4 | 87.0 | 87.5 | 87.5 | 88.1 | 86.8 | 92.1 | 87.3 | 88.4 | 69.6 |
| Tanzania | 90.4 | 90.7 | 89.8 | 91.2 | 86.9 | 90.4 | 81.9 | 91.3 | 90.2 | 80.0 |
| Uganda | 92.2 | 92.6 | 91.2 | 92.9 | 92.0 | 89.9 | 95.1 | 93.0 | 90.2 | 100 |
| All main symptoms | Overall | ≤ 24 months | > 24 months | Hospital | Health Centre | Dispensary | Physician | NPC | Nurse-midwife | Auxiliary staff |
| Namibia | 47.8 | 49.8 | 44.5 | 48.3 | 55.4 | 46.1 | 38.9 | 50.0 | 48.1 | – |
| Kenya | 33.9 | 35.7 | 30.6 | 35.8 | 32.5 | 31.8 | 39.3 | 37.6 | 29.4 | 21.4 |
| Tanzania | 49.6 | 51.9 | 44.9 | 53.0 | 39.3 | 49.2 | 40.1 | 51.8 | 46.1 | 40.0 |
| Uganda | 56.7 | 61.1 | 47.3 | 58.4 | 56.0 | 51.3 | 58.5 | 59.6 | 50.3 | 100 |
IMCI Integrated management of childhood illness, NPC non-physician clinician
athis category did not exist in Namibia