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Table 4 Status of adoption and implementation of WHO recommendations for the case management of PSBI in Bangladesh

From: Understanding key drivers and barriers to implementation of the WHO recommendations for the case management of childhood pneumonia and possible serious bacterial infection with amoxicillin dispersible tablets (DT) in Bangladesh: a qualitative study

Status of compliance with WHO recommendations

Influential factors

Health and Family Welfare Centers and Union sub-Centres identified as the service delivery point for outpatient case management of PSBI by the HSPs when referral to a hospital is not feasible

Evidence on case management of PSBI using amoxicillin drops and intramuscular gentamycin generated from the pilot program through partnership with Save the Children

Amoxicillin DT included in OP of MNC&AH under DGHS as an alternative to pediatric drops but is not mentioned in the treatment table of the CNCP training manual

Members of the Bangladesh Pediatric Association and HSPs are unwilling to use amoxicillin DT instead of drops due to lack of operational research