The Implementation of Integrated Management of Childhood Illness ...

Table 4-2. Total attendance to the five health facilities in the Monkey Bay health zone. (g)
Government run, (c) CHAM-run.
Health facility Males Females Total
MBCH (g) 1572 2286 3858 (43,8%)
Nankumba (g) 1046 1586 2632 (29,9%)
Malembo (c) 274 468 742 (8,4%)
Nankhwali (c) 192 210 402 (4,6%)
Nkope (c) 511 663 1174 (13,3%)
Grand total 3595 5213 8808 (100,0%)
Revisits during a disease episode were generally registered separately.
However, in Nankumba the Outpatient Register did not make any distinction as to
whether visits were primary or secondary. Nankhwali had the highest proportion of
revisits (Table 4-3).
Table 4-3: Revisits, total first-visit attendees, and total of all OPD visists to the five health facilities
in the Monkey Bay health zone. (g) Government run, (c) CHAM-run.
Health facility Revisits Total attendees
Total
(including revisits)
% revisits
MBCH (g) 424 3858 4282 10%
Nankumba (g) . 2632 . .
Malembo (c) 2 742 744 0.3%
Nankhwali (c) 84 402 486 17%
Nkope (c) 76 1174 1250 6%
Grand Total 586 8808 9394 6%
Monkey Bay Community Hospital, which was the most frequented health
facility, received on average 175 (median 180, range 53-261) attendees per day.
Nankhwali, the least frequented facility, received on average 21.2 (median 19, range
8-35) attendees. The government-run health facilities had on average 154 (median
150, range 53-261) visits while the CHAM health facilities had 35.1 (median 30.5,
range 8-81) attendees on average. Based on population data for each catchment area,
people living in a catchment area where there was a government run facility were
1.45 times more likely (RR, 95% CI 1.43-1.47) to visit their health centre than people
living in catchment areas where there was a CHAM run facility. Comparing the two
government-run facilities, the population in the MBCH catchment area was 1.26
more likely (RR, 95% CI 1.23-1.29) to attend the hospital than the Nankumba
catchment area population attending the Nankumba health centre.
30