The Implementation of Integrated Management of Childhood Illness ...

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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
In all health facilities there were more females than males. This was true for both adults and children except in Nankhwali where there were more boys than girls (Figure 4-1). Among adults, female attendance was significantly higher (p
Page 1 and 2: The Implementation of Integrated Ma
Page 3 and 4: . Diagnoses .......................
Page 5 and 6: List of Abbreviations ARI………
Page 7 and 8: Since 1970 there has been a conside
Page 9 and 10: over half of all deaths associated
Page 11 and 12: (16). The vertical programmes were
Page 13 and 14: The case-management guidelines are
Page 15 and 16: The childhood deaths resulting from
Page 17 and 18: though ear infection is not one of
Page 19 and 20: guidelines after training seems unn
Page 21 and 22: 3. Material and Methods a. The Sett
Page 23 and 24: perform surgical procedures. Illnes
Page 25 and 26: workload at the Mangochi District h
Page 27 and 28: The respiratory tract infections in
Page 29: 4. Results a. Health Care Workers I
Page 33 and 34: c. Diagnoses Children could be clas
Page 35 and 36: Pro ii. Pneumonia In total, about 7
Page 37 and 38: iv. Diarrhoea As shown in Figure 4-
Page 39 and 40: Table 4-10: Availability of IMCI-re
Page 41 and 42: 5. Discussion The results of this s
Page 43 and 44: . Diagnoses The fact that around 84
Page 45 and 46: This is interesting in the light of
Page 47 and 48: In the present study, of the just l
Page 49 and 50: eceived care from the trained healt
Page 51 and 52: Acknowledgments This project is a c
Page 53 and 54: area of Kenya with high malaria tra
Page 55 and 56: 53. Creese A, Kutzin J. Lessons fro
Page 57 and 58: Annexes 57
Page 59 and 60: Annex 2 59
Page 61 and 62: Annex 4 61

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