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Table 2 Training and professional skills of health workers at lower level facilities in Uganda between June and August 2009

From: Parasite-based malaria diagnosis: Are Health Systems in Uganda equipped enough to implement the policy?

Assessment parameter

Characteristics

N = 131

Pre-service training

Clinical officers

9(7%)

 

Mid wife

8(6%)

 

Nurse

28(21%)

 

Nursing aid/assistant

86(66%)

Personal capacity

  

Skills

Knowledge of severe malaria danger signs*

47(37%)

 

Received IMCI training

62(50%)

 

Supervision in the preceding 6 months

55(42%)

Motivation

Received Job descriptions and appointment letters (n=124)

78(63%)

Referral practice(N = 186)

Pre-referral antimalarial drugs given (n = 186)

130(70%)

 

Referral clinical notes given to patients

115(61%)

 

Transport for referred patients

12(6%)

Reasons for referral (n = 186)

Lack of blood

55(30%)

 

Poor response to treatment

66(36%)

 

Lack of IV Fluids

31(17%)

 

No beds for admission

16(8.7)

 

Others

18(9.6)

  1. *Dangers signs as convulsions or fits, temp above 39.5°C, very pale mucous membranes (anaemia) and unable to localise painful stimuli (coma) Integrated Management of Childhood Illnesses (IMCI).