Table 4. Identification and classification in young infants (0–59 days) with possible serious bacterial infection.
Parameters | All PSBI cases | Fast Breathing 7–59 days | Fast Breathing 0–6 days | Clinical Severe Infection 0–59 days | Critical Illness 0–59 days |
---|---|---|---|---|---|
A. Identification and Referral History | N = 1302 n/m (%) | N = 173 n/m (%) | N = 37 n/m (%) | N = 866 n/m (%) | N = 226 n/m (%) |
Identified by Families and brought to Sub-centre/ Primary Health Centre/ Community Health Centre | 189/1302 (14.5) | 21/173 (12.1) | 18/37 (48.6) | 103/866 (11.9) | 47/226 (20.8) |
Identified by families and brought to District Hospital / Teaching Hospital | 55/1302 (4.2) | 1/173 (0.6) | 0/37 (0) | 38/866 (4.4) | 16/226 (7.1) |
Identified by ASHA | 1058/1302 (81.3) | 151/173 (87.3) | 19/37 (51.3) | 725/866 (83.7) | 163/226 (72.1) |
a) Went to Subcentre/ Primary Health Centre/ Community Health Centre | 814/1058 (76.9) | 127/151 (84.1) | 17/19 (89.5) | 599/725 (82.6) | 71/163 (43.6) |
b) Refused referral to government health system | 244/1058 (23.1) | 24/151 (15.9) | 2/19 (10.5) | 126/725 (17.4) | 92/163 (56.4) |
i)Went to Private for treatment | 186/244 (76.2) | 24/24 (100) | 2/2 (100) | 110/126 (87.3) | 50/92 (54.3) |
ii)No formal treatment received* | 58/244 (23.8) | 0/24 (0) | 0/0 (0) | 16/126 (12.7) | 42/92 (45.7) |
Total infants assessed at Subcentre/ Primary Health Centre/ Community Health Centre | 1003/1302 (77.0) | 148/173 (85.5) | 35/37 (94.6) | 702/866 (81.1) | 118/226 (52.2) |
Referred to District Hospital | 33/1003 (3.2) | 0/148 (0) | 1/35 (2.9) | 12/702 (1.7) | 20/118 (17) |
Treated as outpatient on simplified treatment that does not need referral | 147/1003 (14.7) | 147/148 (99.3) | - | - | - |
Refused referral to a hospital and accepted simplified treatment | 812/1003 (81) | - | 34/35 (97.1) | 685/702 (97.6) | 93/118 (78.8) |
Refused treatment at Primary Health Centre/ Community Health Centre | 11/1003 (1.1) | 1/148 (0.7) | 0/0 (0) | 5/702 (0.7) | 5/118 (4.2) |
B. Follow up | N = 959 n/m (%) | N = 147 n/m (%) | N = 34 n/m (%) | N = 685 n/m (%) | N = 93 n/m (%) |
Infants followed up on day 4 (mandatory day as to WHO guideline) | 919/959 (95.8) | 146/147 (99.3) | 34/34 (100) | 663/685 (96.8) | 76/93 (81.7) |
Infants completed all follow-up visits on Day 4 and Day 8 | 898/959 (93.6) | 142/147 (96.6) | 34/34 (100) | 651/685 (95.0) | 71/93 (76.3) |
Infants partially followed-up (all follow-up visits not completed) | 59/959 (6.2) | 5/147 (3.4) | 0/34 (0.0) | 33/685 (4.8) | 21/93 (22.6) |
No of infants lost to follow-up (final outcome unknown) | 2/959 (0.2) | 0/147 (0.0) | 0/34 (0.0) | 1/685 (0.1) | 1/93 (1.1) |
C. Simplified Treatment given at first level health facility (Subcentre/ Primary Health Centre/ Community Health Centre) | N = 959 n/m (%) | N = 147 n/m (%) | N = 34 n/m (%) | N = 685 n/m (%) | N = 93 n/m (%) |
No of infants completed treatment for 7 days | 131/959 (13.7) | 105/147 (71.4) | 16/34 (47.1) | 81/685 (11.8) | 34/93 (36.6) |
* Home remedies, faith healers or no formal treatment