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Table 3 Availability of ETAT+ components in Malawi hospitals and lower-level facilities, 2013-2014

From: Accessibility of basic paediatric emergency care in Malawi: analysis of a national facility census

Category

Item

All facilities

Hospitals

Lower-level facilities

  

N

% (95% CI)

N

% (95% CI)

N

% (95% CI)

Total

Total

977

100.0

116

100.0

861

100.0

Staff

24-h staff on call

389

39.8 (36.7–42.9)

102

90.4 (83.4–94.6)

287

33.2 (30.1–36.4)

Transport

Ambulance

322

33.0 (30.1–36.0)

95

84.3 (76.5–89.9)

227

26.3 (23.4–29.3)

Equipment

Infant scale

692

70.8 (67.8–73.6)

105

92.9 (86.4–96.4)

587

67.9 (64.7–71.0)

 

Child scale

757

77.5 (74.8–80.1)

98

87.0 (79.5–92.0)

659

76.3 (73.3–79.0)

 

Oxygen source

239

24.4 (21.9–27.2)

102

90.4 (83.4–94.6)

137

15.8 (13.6–18.4)

 

Suction with catheter/bulb for newborns

500

51.2 (48.0–54.3)

95

84.1 (76.2–89.7)

405

46.9 (43.6–50.2)

 

Self-inflating bag/mask

622

63.6 (60.5–66.6)

104

92.1 (85.4–95.8)

518

59.9 (56.6–63.2)

 

Micro nebulizer or spacer for inhalers

183

18.7 (16.4–21.3)

57

50.9 (41.9–60.0)

125

14.5 (12.3–17.0)

Laboratory

Malaria testing

853

87.3 (85.0–89.3)

109

96.5 (91.0–98.7)

745

86.2 (83.6–88.4)

 

Haemoglobin measurement

202

20.6 (18.2–23.3)

91

81.0 (72.8–87.1)

110

12.8 (10.7–15.2)

 

Blood glucose measurement

225

23.0 (20.5–25.7)

84

74.9 (66.2–82.0)

140

16.2 (13.9–18.9)

 

Blood typing

57

5.9 (4.5–7.4)

46

40.4 (31.9–49.6)

11

1.3 (0.7–2.3)

 

Radiology

69

7.1 (5.6–8.8)

61

54.2 (45.1–63.0)

8

0.9 (0.5–1.8)

Medications

Injectable epinephrine / adrenaline

606

62.1 (58.9–65.1)

91

80.9 (72.6–87.1)

515

59.6 (56.3–62.9)

 

Injectable diazepam

776

79.4 (76.7–81.9)

106

93.9 (87.7–97.1)

670

77.5 (74.5–80.2)

 

Injectable glucose solution

755

77.3 (74.5–79.8)

103

91.3 (84.5–95.3)

652

75.4 (72.4–78.2)

 

Injectable hydrocortisone

194

19.9 (17.5–22.5)

55

49.2 (40.2–58.2)

139

16.1 (13.7–18.7)

 

Inhalation salbutamol

323

33.0 (30.1–36.0)

76

67.3 (58.2–75.2)

247

28.5 (25.6–31.7)

 

Injectable antibiotics

924

94.5 (92.8–95.8)

111

98.2 (93.2–99.6)

813

94.1 (92.2–95.5)

 

Injectable antimalarials

859

87.9 (85.6–89.8)

106

93.8 (87.6–97.0)

753

87.1 (84.6–89.2)

Fluids

Intravenous fluids

829

84.8 (82.4–87.0)

109

96.4 (90.9–98.7)

720

83.3 (80.6–85.7)

Consumables

Syringes with needles

967

98.9 (98.0–99.4)

112

99.1 (93.9–99.9)

855

98.9 (97.9–99.4)

 

Blood transfusion in past 3 months

73

7.4 (6.0–9.2)

70

61.8 (52.6–70.2)

3

0.3 (0.1–1.1)

 

Cannula for administering IV fluids

815

83.4 (80.9–85.7)

110

97.4 (92.1–99.2)

706

81.6 (78.8–84.1)

 

Nasogastric tubes

105

10.8 (9.0–12.9)

39

34.5 (26.4–43.6)

66

7.7 (6.1–9.7)

  1. Point estimates were weighted to account for unequal probabilities of selection due to facility non-response. There were 1060 facilities included in the Ministry of Health national facility list and 977 (92.1%) facilities were audited as part of this national facility census