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Table 4 Diagnosis and treatment of severe febrile illness (confirmed malaria)

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

  Proportion of severe febrile disease with confirmed malaria cases in which providers … 
  Diagnosed with malariaPrescribed antibioticsPrescribed anti-malarialsPrescribed paracetamolPrescribed the correct treatments (based on temperature)Recommended in-patient care (where the visit took place)Referred to another facility
 NN (%)N (%)N (%)N (%)N (%)N (%)N (%)
All174166 (95)82 (50)140 (85)92 (56)54 (33)28 (16)8 (5)
Province
 Bandundu3633 (92)21 (62)30 (88)14 (41)14 (41)10 (28)2 (6)
 Equateur2929 (100)12 (46)22 (85)10 (38)9 (35)1 (3)0 (0)
 Katanga4746 (98)24 (51)37 (79)19 (40)12 (26)5 (11)2 (4)
 North Kivu119 (82)5 (45)8 (73)8 (73)3 (27)2 (18)2 (18)
 South Kivu5149 (96)20 (43)43 (91)41 (87)16 (34)10 (20)2 (4)
p-value 0.0960.5350.343< 0.0010.6840.0710.189
Urban vs. rural
 Urban87 (88)5 (62)5 (62)3 (38)2 (25)0 (0)0 (0)
 Rural166159 (96)77 (49)135 (86)89 (57)52 (33)28 (17)8 (5)
p-value 0.2770.4610.0710.3750.6020.2070.528
Facility type
 Hospital6564 (98)35 (61)48 (84)22 (39)23 (40)22 (34)2 (3)
 Referral health center1715 (88)3 (18)13 (76)11 (65)1 (6)1 (6)0 (0)
 Other health center9287 (95)44 (48)79 (87)59 (65)30 (33)5 (5)6 (7)
p-value 0.1740.0060.548< 0.0010.029< 0.0010.384
Training on IMCI protocols
 Trained6866 (97)34 (51)57 (85)32 (48)22 (33)11 (16)4 (6)
 Not trained106100 (94)48 (49)83 (85)60 (61)32 (33)17 (16)4 (4)
p-value 0.4060.8250.9470.2210.9470.9810.52
Provider type
 Doctor5250 (96)23 (51)40 (89)19 (42)15 (33)18 (35)0 (0)
 Nurse117111 (95)57 (50)96 (83)69 (60)37 (32)9 (8)8 (7)
 Other55 (100)2 (40)4 (80)4 (80)2 (40)1 (20)0 (0)
p-value 0.8280.8950.6640.0120.947< 0.0010.131
Number of IMCI-determined SDs
 18985 (96)31 (35)78 (89)48 (55)19 (22)14 (16)2 (2)
 2+8581 (95)51 (66)62 (81)44 (57)35 (45)14 (16)6 (7)
p-value 0.947< 0.0010.1490.7760.0020.1310.895
  1. Notes: This table shows quality of care for the subset of patients who met the IMCI classification for severe febrile disease based on observed symptoms and also tested positive for malaria. The columns represent different steps in providing quality of care for severe febrile disease, 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. There are 9 cases with missing information on the treatments given; we assume that this information is missing completely at random