Determinants of Integrated Management of Childhood Illness (IMCI) non-severe pneumonia classification and care in Malawi health facilities: Analysis of a national facility census

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Search: onr:"swepub:oai:DiVA.org:uu-340321" > Determinants of Int...

1 of 1
Previous record
Next record
To hitlist

Details
MARC

White Johansson, Emily,1976-Uppsala universitet,Internationell barnhälsa och nutrition (author)

Determinants of Integrated Management of Childhood Illness (IMCI) non-severe pneumonia classification and care in Malawi health facilities : Analysis of a national facility census

Article/chapterEnglish2017

Publisher, publication year, extent ...

International Global Health Society,2017
printrdacarrier

Numbers

LIBRIS-ID:oai:DiVA.org:uu-340321
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-340321URI
https://doi.org/10.7189/jogh.07.020408DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:137358689URI

Supplementary language notes

Language:English
Summary in:English

Part of subdatabase

SwePubSwePub

Classification

Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

Notes

BackgroundResearch shows inadequate Integrated Management of Childhood Illness (IMCI)-pneumonia care in various low-income settings but evidence is largely from small-scale studies with limited evidence of patient-, provider-and facility-levels determinants of IMCI non-severe pneumonia classification and its management.MethodsThe Malawi Service Provision Assessment 2013-2014 included 3149 outpatients aged 2-59 months with completed observations, interviews and re-examinations. Mixed-effects logistic regression models quantified the influence of patient-, provider and facility-level determinants on having IMCI non-severe pneumonia and its management in observed consultations.FindingsAmong 3149 eligible outpatients, 590 (18.7%) had IMCI non-severe pneumonia classification in re-examination. 228 (38.7%) classified cases received first-line antibiotics and 159 (26.9%) received no antibiotics. 18.6% with cough or difficult breathing had 60-second respiratory rates counted during consultations, and conducting this assessment was significantly associated with IMCI training ever received (odds ratio (OR) = 2.37, 95% confidence interval (CI): 1.29-4.31) and negative rapid diagnostic test results (OR = 3.21, 95% CI: 1.45-7.13). Older children had lower odds of assessments than infants (OR = 48-59 months: 0.35, 95% CI: 0.16-0.75). Children presenting with any of the following complaints also had reduced odds of assessment: fever, diarrhea, skin problem or any danger sign. First-line antibiotic treatment for classified cases was significantly associated with high temperatures (OR = 3.26, 95% CI: 1.24-8.55) while older children had reduced odds of first-line treatment compared to infants (OR = 48-59 months: 0.29, 95% CI: 0.10-0.83). RDT-confirmed malaria was a significant predictor of no antibiotic receipt for IMCI non-severe pneumonia (OR = 10.65, 95% CI: 2.39-47.36).ConclusionsIMCI non-severe pneumonia care was sub-optimal in Malawi health facilities in 2013-2014 with inadequate assessments and prescribing practices that must be addressed to reduce this leading cause of mortality. Child's symptoms and age, malaria diagnosis and provider training were primary influences on assessment and treatment practices. Current evidence could be used to better target IMCI training and support to improve pneumonia care for sick children in Malawi facilities.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

Nsona, HumphreysMinist Hlth, Integrated Management Childhood Illness IMCI Unit, Lilongwe, Malawi. (author)
Carvajal-Aguirre, LilianaUnited Nat Childrens Fund, Data & Analyt Sect, New York, NY USA. (author)
Amouzou, AgbessiUnited Nat Childrens Fund, Data & Analyt Sect, New York, NY USA. (author)
Hildenwall, HelenaKarolinska Institutet (author)
Uppsala universitetInternationell barnhälsa och nutrition (creator_code:org_t)

Related titles

In:Journal of Global Health: International Global Health Society7:22047-29782047-2986

Internet link

Find in a library

Journal of Global Health (Search for host publication in LIBRIS)

To the university's database

1 of 1
Previous record
Next record
To hitlist

Find more in SwePub

By the author/editor: White Johansson, ...; Nsona, Humphreys; Carvajal-Aguirre ...; Amouzou, Agbessi; Hildenwall, Hele ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: Journal of Globa ...

By the university: Uppsala University; Karolinska Institutet

Search outside SwePub

Extend your search to:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se