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Table 4 Adherence (percentage) of health workers to IMCI protocols during assessment of danger signs and main symptoms

From: Adherence to the integrated management of childhood illness guidelines in Namibia, Kenya, Tanzania and Uganda: evidence from the national service provision assessment surveys

IMCI item   Child’s age Health system level Health staff category
Inability to eat/drink Overall ≤ 24 months > 24 months Hospital Health centre Dispensary Physician NPC Nurse-midwife Auxiliary staffa
 Namibia 43.1 47.3 36.7 41.4 48.5 42.2 37.0 75.0 43.2
 Kenya 42.9 47.1 35.4 42.6 43.0 43.3 40.9 43.9 43.8 17.9
 Tanzania 34.2 38.7 25.1 39.2 43.7 30.5 30.1 36.6 28.4 80.0
 Uganda 66.0 69.0 59.6 69.2 65.1 55.5 77.5 72.3 53.3 66.7
Vomiting everything Overall ≤ 24 months > 24 months Hospital Health centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 49.9 51.9 46.8 47.1 51.5 49.8 40.7 50.0 50.2
 Kenya 52.9 53.4 52.0 55.9 51.3 49.1 55.1 55.9 50.5 28.6
 Tanzania 58.6 59.8 56.2 67.4 52.4 54.9 52.6 63.4 46.7 80.0
 Uganda 65.6 68.1 60.3 70.4 61.8 53.5 80.0 72.2 51.5 83.3
Febrile convulsions Overall ≤ 24 months > 24 months Hospital Health Centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 18.1 18.2 17.9 16.1 16.1 18.6 13.0 37.5 18.2
 Kenya 17.4 17.8 16.7 17.5 16.6 17.9 23.9 18.1 16.9 1.8
 Tanzania 26.0 26.6 24.7 31.1 19.9 24.1 17.8 29.6 17.6 80.0
 Uganda 39.7 41.6 35.7 46.0 34.0 25.2 45.0 47.5 24.9 50.0
All danger signs Overall ≤ 24 months > 24 months Hospital Health Centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 10.8 12.0 8.9 12.5 9.6 11.0 7.4 25.0 10.8
 Kenya 10.6 11.8 8.5 10.2 12.1 10.4 16.9 10.8 10.3 1.8
 Tanzania 13.6 15.1 10.4 17.5 9.9 12.0 7.0 15.8 8.7 60.0
 Uganda 31.3 33.2 27.3 35.9 27.2 20.9 41.8 37.4 18.9 33.3
Cough/difficult breathing Overall ≤ 24 months > 24 months Hospital Health Centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 90.5 89.9 91.4 90.8 92.9 90.0 92.6 87.5 90.4
 Kenya 82.0 83.1 80.0 84.1 79.9 80.0 86.5 84.6 78.5 76.8
 Tanzania 80.6 81.2 79.3 84.7 74.3 79.2 79.6 83.0 74.4 40.0
 Uganda 87.5 87.4 87.7 87.9 86.3 88.0 90.2 88.8 84.5 100
Diarrhoea Overall ≤ 24 months > 24 months Hospital Health Centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 58.6 62.9 52.0 54.0 66.4 57.4 40.7 62.5 59.3
 Kenya 45.0 47.8 39.9 66.8 55.0 61.9 47.2 48.5 41.1 32.1
 Tanzania 62.9 65.8 56.9 46.9 43.7 42.8 59.0 64.4 59.7 60.0
 Uganda 66.8 71.7 56.4 69.7 65.2 58.6 67.5 69.8 60.5 100
Fever Overall ≤ 24 months > 24 months Hospital Health Centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 87.7 85.9 90.5 91.9 88.9 87.1 90.6 85.7 87.6
 Kenya 87.4 87.0 87.5 87.5 88.1 86.8 92.1 87.3 88.4 69.6
 Tanzania 90.4 90.7 89.8 91.2 86.9 90.4 81.9 91.3 90.2 80.0
 Uganda 92.2 92.6 91.2 92.9 92.0 89.9 95.1 93.0 90.2 100
All main symptoms Overall ≤ 24 months > 24 months Hospital Health Centre Dispensary Physician NPC Nurse-midwife Auxiliary staff
 Namibia 47.8 49.8 44.5 48.3 55.4 46.1 38.9 50.0 48.1
 Kenya 33.9 35.7 30.6 35.8 32.5 31.8 39.3 37.6 29.4 21.4
 Tanzania 49.6 51.9 44.9 53.0 39.3 49.2 40.1 51.8 46.1 40.0
 Uganda 56.7 61.1 47.3 58.4 56.0 51.3 58.5 59.6 50.3 100
  1. IMCI Integrated management of childhood illness, NPC non-physician clinician
  2. athis category did not exist in Namibia