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

Table 6 Quality of Treatment for Diarrhea & ARI, among Infants/ Children 2-59 m

	Medicine shops (%)				Physician-run Clinics (%)
Proximity to hospital (in minutes)	< 30 min	30–60 min	>60 min	All	Physician-run Clinics (%)
Diarrhea
Dispense or refer only	57	2	5	64
Assess & treat	n = 222	n = 112	n = 103	n = 437	n = 86
ORS most/ all cases	93	89	88	91	98
Zinc most/ all cases	69	61	67	66	90†
No antibiotics for non-bloody diarrhea	25	23	22	24	30
Antibiotics for bloody diarrhea:
Ciprofloxacin or other quinolone	19	40	32	32	18††
Metronidazole	26	28	29	27	31
A cephalosporin antibiotic	16	11	11	14	38†
Cotrimoxozole	22	18	23	21	11
Acute Respiratory Infection
Dispense/ refer only	59	5	6	70
Assess & treat	n = 220	n = 109	n = 102	n = 431	n = 86
Antibiotic based on respiratory rate	97	99	98	98	98
Specific antibiotics used:
Amoxicillin +/− clavulanate	70	68	70	69	65
Cefixime	17	23	16	18	12
Other cephalosporin	3	4	2	3	9
Cotrimoxazole	8	5	8	7	2
Azithromicin	0	0	0	0	7
Other	3	1	5	3	5

ISSN: 1472-6963