Skip to main content

Table 5 Quality/ Appropriateness of Care for Sick Young Infants (unprompted questions)

From: A national survey of private-sector outpatient care of sick infants and young children in Nepal

 Medicine shops (%)Physician-run Clinics (%)
Proximity to hospital (in minutes)< 30 min30–60 min>60 minAll
Sick young infants < 2 months of agen = 200n = 100n = 100n = 400n = 82
Reports assessing for:
 Respiratory rate9292869190
 Temperature9180908889
 Feeding (as reported by mother)6765616582
 Seizures (as reported by mother)1736232462
 Weight2844293266
 Chest in-drawing4859575360
 Umbilical redness or pus3125242848††
 Level of consciousness1421231846
Treatment
Usual first-lineoralantibioticn = 200n = 100n = 100n = 400n = 82
  Amoxicillin (+/− clavulanate)6376777382
  Cefixime4130283539
  Cefpodoxime172317
  Cotrimoxazole613888
  others7818108
Usual first-lineinjectableantibiotican = 28n = 17n = 36n = 81N = 38
  Gentamicin5134635321††
  Ampicillin169161437††
  Cefotaxime2047162429
  Ceftriaxone2017222024
  Amikacin9200716
  others003111††
Other treatments usedn = 200n = 100n = 100n = 400N = 82
  Bronchodilators5037344343
  Injectable steroids1111111121
  Steroids given within past 6 mo.5107612
Dosage determination & weighingn = 200n = 100n = 100n = 400N = 82
Determines dose by age, not weight3030503510
Doses by weight, determined byb:n = 140n = 68n = 50n = 258N = 71
 Salter or pan scale99121063
 Adult scale (subtract. technique)8281687937
 Estimates by looking91020110
Among those weighed,n = 129n = 61n = 39n = 229N = 71
leaves baby’s clothes on97971009780††
Shortened treatment coursen = 200n = 100n = 100n = 400N = 82
Somewhat or very often5053364840
Danger sign referraln = 200n = 100n = 100n = 400N = 82
 Helps arrange transport6083576559
 Provides referral note4265585277
 Calls ahead to MD at receiving HF2516202239††
 Gives pre-referral oral antibiotics4260595148
 Gives pre-referral inj. Antibiotics5813812
Schedules follow-up visits9998999995
  1. a denominator includes only those reporting having used injectable antibiotics to treat sick infants over the previous 6 months
  2. b denominator includes only those reporting determining dose based on weight
  3. p-value on difference between medicine shops and clinics < 0.001
  4. †† p-value on difference between medicine shops and clinics < 0.05