Table 2. Identification and outcomes of infants 0–59 days old with signs of clinical severe infection presenting at health centres and health posts.
| Parameter | Level of health facility | Total n (%) N = 155 | |
|---|---|---|---|
| Health post n (%) n = 97 | Health centre n (%) n = 58 | ||
| Treated without being offered a referral to next-level health facility* | 41 (42.3) | 18 (31.0) | 59 (38.0) |
| Referred to next-level health facility | 56 (57.7) | 40 (68.9) | 96 (62.0) |
| Refused to accept referral advice to the next-level health facility | 51 (52.6) | 22 (37.0) | 73 (47.0) |
| Accepted referral advice to the next-level health facility | 5 (5.2) | 18 (31.0) | 23 (14.8%) |
| Accepted and received outpatient treatment at the initial health facility | 92 (94.8) | 40 (68.9) | 132 (85) |
| Compliance with treatment on an outpatient basis | |||
| Completed treatment | 90 (92.8) | 40 (68.9) | 130 (83.9) |
| Completed all the respective 2 or 7 injections of gentamicin | 90 (92.8) | 40 (68.9) | 130 (83.9) |
| Received all 14 doses of oral amoxicillin | 90 (92.8) | 38 (65.6) | 128 (82.6) |
| Missing data | 2 (2.1) | 2 (3.4) | 4 (2.6) |
| Follow-up of infants treated on an outpatient basis | |||
| Completed day 14 follow-up visit | 90 (92.8) | 38 (65.6) | 128 (82.6) |
| Partially followed-up (did not complete day 14 follow-up visit) | 1(1.0) | 1 (1.7) | 2 (1.3) |
| Lost to follow-up (outcome unknown) | 1 (1.0) | 1 (1.7) | 2 (1.3) |
| Treatment outcomes | |||
| Declared as treatment success | 91 (93.8) | 38 (65.6) | 129 (83) |
| Declared as ‘Clinical treatment failure’† | 0 | 1(1.7) | 1 (1.3) |
| The outcome of the illness | |||
| ‘Better’ (including those treated at hospital) ‡ | 91 (93.8) | 38 (65.6) | 129 (97.7) |
| ‘Still sick’ | 0 | 1 (1.7) | 1 (0.65) |
| Outcome unknown | 0 | 1 (1.7) | 1 (0.65) |
| Died⁋ | 0 | 2 (3.6) | 2 (1.3) |
*Did not follow the guideline recommendation.
†Developed convulsions on the 4th day of treatment for CSI and referred to a hospital; improved and discharged after inpatient treatment.
‡Additionally, 22 infants, 21 from among those who had accepted referral to a hospital after initial identification and one who was referred after failing simplified treatment at a health centre improved after completing their inpatient treatment.
⁋Both deaths occurred in infants who were referred from a health centre to the referral hospitalbut died before reaching there.