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Table 3 Diagnosis and treatment of severe pneumonia or other severe respiratory infection

From: Quality of care for children with severe disease in the Democratic Republic of the Congo

  Proportion of IMCI-determined severe pneumonia (or other severe respiratory infection) cases in which providers …
  Diagnosed with pneumonia or other respiratory infectionDiagnosed with severe pneumonia or other severe respiratory infectionPrescribed antibioticsRecommended inpatient care (in the facility where the visit took place)Referred to another facility
 NN (%)N (%)N (%)N (%)N (%)
All18995 (52)34 (19)114 (69)17 (9)7 (4)
Province
 Bandundu3812 (32)5 (14)20 (59)4 (11)2 (5)
 Equateur5540 (74)16 (30)33 (82)2 (4)0 (0)
 Katanga3613 (41)4 (12)22 (61)2 (6)2 (6)
 North Kivu158 (53)3 (20)10 (67)3 (20)2 (13)
 South Kivu4522 (49)6 (13)29 (71)6 (13)1 (2)
p-value < 0.0010.1340.1900.2160.142
Urban vs. rural
 Urban82 (25)1 (12)4 (57)0 (0)0 (0)
 Rural18193 (53)33 (19)110 (69)17 (9)7 (4)
p-value 0.1460.6810.5040.3660.573
Facility type
 Hospital5626 (46)7 (12)28 (60)13 (23)2 (4)
 Referral health center146 (43)1 (7)10 (77)2 (14)0 (0)
 Other health center11963 (56)26 (23)76 (72)2 (2)5 (4)
p-value 0.6170.1790.267< 0.0010.735
Training on IMCI protocols
 Trained6528 (45)8 (13)39 (65)7 (11)2 (3)
 Not trained12467 (55)26 (21)75 (71)10 (8)5 (4)
p-value 0.1540.1420.4460.540.743
Provider type
 Doctor4318 (42)6 (14)23 (68)10 (23)0 (0)
 Nurse13769 (53)24 (18)84 (68)7 (5)7 (5)
 Other98 (89)4 (44)7 (78)0 (0)0 (0)
p-value 0.0370.0930.8330.0010.255
Diagnosis
 Diagnosed: respiratory infection, not severe6248 (89)5 (8)1 (2)
 Diagnosed: respiratory infection, severe2820 (83)2 (6)1 (3)
 Not diagnosed with respiratory infection9946 (52)10 (11)5 (5)
p-value < 0.0010.6870.483
Number of IMCI-determined SDs
 12917 (61)6 (21)19 (73)0 (0)0 (0)
 215676 (50)28 (19)92 (67)17 (11)7 (4)
 342 (50)0 (0)3 (100)0 (0)0 (0)
p-value 0.6230.6040.4220.140.468
  1. Notes: This table shows quality of care for the subset of patients who met the IMCI classification for severe pneumonia or other respiratory infection based on observed symptoms. The columns represent different steps in providing quality of care for severe respiratory infections, and the rows represent different subsets of the data. The results shown are the number of patients and percent of patients in each subgroup for whom each step was taken (based on direct observation data and caregiver exit interviews). P-values were calculated using a chi-square test comparing means in the subgroups presented. For diagnosis and treatment, missing data are treated as missing completely at random. There are 6 cases missing information on diagnosis and 23 cases missing observation on treatment; these are omitted from the percentages presented in the table