Table 6.
Quality of Treatment for Diarrhea & ARI, among Infants/ Children 2-59 m
Medicine shops (%) | Physician-run Clinics (%) | ||||
---|---|---|---|---|---|
Proximity to hospital (in minutes) | < 30 min | 30–60 min | >60 min | All | |
Diarrhea | |||||
Dispense or refer only | 57 | 2 | 5 | 64 | |
Assess & treat | n = 222 | n = 112 | n = 103 | n = 437 | n = 86 |
ORS most/ all cases | 93 | 89 | 88 | 91 | 98 |
Zinc most/ all cases | 69 | 61 | 67 | 66 | 90† |
No antibiotics for non-bloody diarrhea | 25 | 23 | 22 | 24 | 30 |
Antibiotics for bloody diarrhea: | |||||
Ciprofloxacin or other quinolone | 19 | 40 | 32 | 32 | 18†† |
Metronidazole | 26 | 28 | 29 | 27 | 31 |
A cephalosporin antibiotic | 16 | 11 | 11 | 14 | 38† |
Cotrimoxozole | 22 | 18 | 23 | 21 | 11 |
Acute Respiratory Infection | |||||
Dispense/ refer only | 59 | 5 | 6 | 70 | |
Assess & treat | n = 220 | n = 109 | n = 102 | n = 431 | n = 86 |
Antibiotic based on respiratory rate | 97 | 99 | 98 | 98 | 98 |
Specific antibiotics used: | |||||
Amoxicillin +/− clavulanate | 70 | 68 | 70 | 69 | 65 |
Cefixime | 17 | 23 | 16 | 18 | 12 |
Other cephalosporin | 3 | 4 | 2 | 3 | 9 |
Cotrimoxazole | 8 | 5 | 8 | 7 | 2 |
Azithromicin | 0 | 0 | 0 | 0 | 7 |
Other | 3 | 1 | 5 | 3 | 5 |
Note that due to rounding, in some instances totals may not sum to exactly 100%
† p-value on difference between medicine shops and clinics < 0.001
†† p-value on difference between medicine shops and clinics < 0.05