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 malaria | Prescribed antibiotics | Prescribed anti-malarials | Prescribed paracetamol | Prescribed the correct treatments (based on temperature) | Recommended in-patient care (where the visit took place) | Referred to another facility | ||
N | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | |
All | 174 | 166 (95) | 82 (50) | 140 (85) | 92 (56) | 54 (33) | 28 (16) | 8 (5) |
Province | ||||||||
Bandundu | 36 | 33 (92) | 21 (62) | 30 (88) | 14 (41) | 14 (41) | 10 (28) | 2 (6) |
Equateur | 29 | 29 (100) | 12 (46) | 22 (85) | 10 (38) | 9 (35) | 1 (3) | 0 (0) |
Katanga | 47 | 46 (98) | 24 (51) | 37 (79) | 19 (40) | 12 (26) | 5 (11) | 2 (4) |
North Kivu | 11 | 9 (82) | 5 (45) | 8 (73) | 8 (73) | 3 (27) | 2 (18) | 2 (18) |
South Kivu | 51 | 49 (96) | 20 (43) | 43 (91) | 41 (87) | 16 (34) | 10 (20) | 2 (4) |
p-value | 0.096 | 0.535 | 0.343 | < 0.001 | 0.684 | 0.071 | 0.189 | |
Urban vs. rural | ||||||||
Urban | 8 | 7 (88) | 5 (62) | 5 (62) | 3 (38) | 2 (25) | 0 (0) | 0 (0) |
Rural | 166 | 159 (96) | 77 (49) | 135 (86) | 89 (57) | 52 (33) | 28 (17) | 8 (5) |
p-value | 0.277 | 0.461 | 0.071 | 0.375 | 0.602 | 0.207 | 0.528 | |
Facility type | ||||||||
Hospital | 65 | 64 (98) | 35 (61) | 48 (84) | 22 (39) | 23 (40) | 22 (34) | 2 (3) |
Referral health center | 17 | 15 (88) | 3 (18) | 13 (76) | 11 (65) | 1 (6) | 1 (6) | 0 (0) |
Other health center | 92 | 87 (95) | 44 (48) | 79 (87) | 59 (65) | 30 (33) | 5 (5) | 6 (7) |
p-value | 0.174 | 0.006 | 0.548 | < 0.001 | 0.029 | < 0.001 | 0.384 | |
Training on IMCI protocols | ||||||||
Trained | 68 | 66 (97) | 34 (51) | 57 (85) | 32 (48) | 22 (33) | 11 (16) | 4 (6) |
Not trained | 106 | 100 (94) | 48 (49) | 83 (85) | 60 (61) | 32 (33) | 17 (16) | 4 (4) |
p-value | 0.406 | 0.825 | 0.947 | 0.221 | 0.947 | 0.981 | 0.52 | |
Provider type | ||||||||
Doctor | 52 | 50 (96) | 23 (51) | 40 (89) | 19 (42) | 15 (33) | 18 (35) | 0 (0) |
Nurse | 117 | 111 (95) | 57 (50) | 96 (83) | 69 (60) | 37 (32) | 9 (8) | 8 (7) |
Other | 5 | 5 (100) | 2 (40) | 4 (80) | 4 (80) | 2 (40) | 1 (20) | 0 (0) |
p-value | 0.828 | 0.895 | 0.664 | 0.012 | 0.947 | < 0.001 | 0.131 | |
Number of IMCI-determined SDs | ||||||||
1 | 89 | 85 (96) | 31 (35) | 78 (89) | 48 (55) | 19 (22) | 14 (16) | 2 (2) |
2+ | 85 | 81 (95) | 51 (66) | 62 (81) | 44 (57) | 35 (45) | 14 (16) | 6 (7) |
p-value | 0.947 | < 0.001 | 0.149 | 0.776 | 0.002 | 0.131 | 0.895 | |