The Implementation of Integrated Management of Childhood Illness ...

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A closer look at the children reveals that, in the government-run health facilities, the proportion of 5-14 year-olds was greater than in the CHAM facilities (Figure 4-2). The proportion of children aged 2-11 months was smaller in the same facilities. 100% 90% 80% 584 328 95 47 145 70% 60% 50% 40% 604 505 230 111 306 5-14 years 1-4 years 30% 20% 10% 0% 339 42 268 18 123 18 70 15 193 24 2-11 months
c. Diagnoses Children could be classified with one or two illnesses at the same time. Therefore, the number of classifications is higher than the number of children. The diagnostic profile of children in the Monkey Bay health zone during the research period showed that malaria was the most common problem and respiratory infections the second most common problem in under-fives (Figure 4-3). Figure 4-4 shows that malaria and respiratory infections were by far the Ear 1% Diarrhoea 4% Other respiratory tract infections 26% Pneumonia 6% most common diagnoses in all the health facilities. The proportions of patients classified with other diseases that are dealt with in the IMCI, i.e. diarrhoea and ear infection were below 10% in all cases. One case of malnutrition was recorded in a child (1-4 years) in Nankumba during the research period and seven children aged 1-4 years and 6 children aged 5-14 years old were classified to have anaemia. Eye 2% Trauma 2% Skin 7% Other classifications 9% Malaria 43% Figure 4-3: Disease classifications in U5s. Each disease-classification as a proportion of the total number of given classifications. Note: each child may have up two classifications. Percentage of children under 5 90% 80% 70% 60% 50% 40% 30% 20% Malaria Pneumonia Other respiratory infections Diarrhoea Ear Eye Skin Trauma Other 10% 0% MBCH (g) Nankumba (g) Malembo (c) Nankhwali (c) Nkope (c) Figure 4-4: Percentage of under-fives classified with disease. (g) Government-run, (c) CHAM-run. 33
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 and 30: 4. Results a. Health Care Workers I
Page 31: In all health facilities there were
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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