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 infection | Diagnosed with severe pneumonia or other severe respiratory infection | Prescribed antibiotics | Recommended inpatient care (in the facility where the visit took place) | Referred to another facility | ||
N | N (%) | N (%) | N (%) | N (%) | N (%) | |
All | 189 | 95 (52) | 34 (19) | 114 (69) | 17 (9) | 7 (4) |
Province | ||||||
Bandundu | 38 | 12 (32) | 5 (14) | 20 (59) | 4 (11) | 2 (5) |
Equateur | 55 | 40 (74) | 16 (30) | 33 (82) | 2 (4) | 0 (0) |
Katanga | 36 | 13 (41) | 4 (12) | 22 (61) | 2 (6) | 2 (6) |
North Kivu | 15 | 8 (53) | 3 (20) | 10 (67) | 3 (20) | 2 (13) |
South Kivu | 45 | 22 (49) | 6 (13) | 29 (71) | 6 (13) | 1 (2) |
p-value | < 0.001 | 0.134 | 0.190 | 0.216 | 0.142 | |
Urban vs. rural | ||||||
Urban | 8 | 2 (25) | 1 (12) | 4 (57) | 0 (0) | 0 (0) |
Rural | 181 | 93 (53) | 33 (19) | 110 (69) | 17 (9) | 7 (4) |
p-value | 0.146 | 0.681 | 0.504 | 0.366 | 0.573 | |
Facility type | ||||||
Hospital | 56 | 26 (46) | 7 (12) | 28 (60) | 13 (23) | 2 (4) |
Referral health center | 14 | 6 (43) | 1 (7) | 10 (77) | 2 (14) | 0 (0) |
Other health center | 119 | 63 (56) | 26 (23) | 76 (72) | 2 (2) | 5 (4) |
p-value | 0.617 | 0.179 | 0.267 | < 0.001 | 0.735 | |
Training on IMCI protocols | ||||||
Trained | 65 | 28 (45) | 8 (13) | 39 (65) | 7 (11) | 2 (3) |
Not trained | 124 | 67 (55) | 26 (21) | 75 (71) | 10 (8) | 5 (4) |
p-value | 0.154 | 0.142 | 0.446 | 0.54 | 0.743 | |
Provider type | ||||||
Doctor | 43 | 18 (42) | 6 (14) | 23 (68) | 10 (23) | 0 (0) |
Nurse | 137 | 69 (53) | 24 (18) | 84 (68) | 7 (5) | 7 (5) |
Other | 9 | 8 (89) | 4 (44) | 7 (78) | 0 (0) | 0 (0) |
p-value | 0.037 | 0.093 | 0.833 | 0.001 | 0.255 | |
Diagnosis | ||||||
Diagnosed: respiratory infection, not severe | 62 | – | – | 48 (89) | 5 (8) | 1 (2) |
Diagnosed: respiratory infection, severe | 28 | – | – | 20 (83) | 2 (6) | 1 (3) |
Not diagnosed with respiratory infection | 99 | – | – | 46 (52) | 10 (11) | 5 (5) |
p-value | – | – | < 0.001 | 0.687 | 0.483 | |
Number of IMCI-determined SDs | ||||||
1 | 29 | 17 (61) | 6 (21) | 19 (73) | 0 (0) | 0 (0) |
2 | 156 | 76 (50) | 28 (19) | 92 (67) | 17 (11) | 7 (4) |
3 | 4 | 2 (50) | 0 (0) | 3 (100) | 0 (0) | 0 (0) |
p-value | 0.623 | 0.604 | 0.422 | 0.14 | 0.468 | |