The Implementation of Integrated Management of Childhood Illness ...

Pro
ii.
Pneumonia
In total, about 7% of the children were classified with pneumonia and the highest
number was classified in the 1-4 years age group (Table 4-6). However, the 2-11
month group received proportionately most of the pneumonia classifications, as
attendees aged aged 2-11 months were roughly half as many as attendees aged 1-4
months (Table 4-4). In Nankhwali, almost 2/5 of all pneumonia classifications fell
within the 2-11 month age group.
The proportion of children who were classified with pneumonia varied from 1%
in Nkope to 22% in Nankhwali. In Nankhwali, where pneumonia classifications
were more common than other respiratory infections (Figure 4-4), 10 out of the 15
children less than two months were given a pneumonia classification.
Table 4-6: Number of pneumonia cases and proportion of total children in each age group
classified with pneumonia by facility. (g) Government run, (c) CHAM-run.
HC
Total < 2 months 2-11 months 1-4 years 5-14 years 0-14 years
children n (%) n (%) n (%) n (%) n (%)
MBCH (g) 1569 5 (0,3) 49 (3) 65 (4) 48 (3) 167 (11)
Nankumba (g) 1119 0 (0) 11 (1) 13 (1) 6 (1) 30 (3)
Malembo (c) 466 0 (0) 13 (3) 12 (3) 3 (1) 28 (6)
Nankhwali (c ) 243 10 (4) 20 (8) 12 (5) 11 (5) 53 (22)
Nkope (c) 668 2 (0,3) 3 (0,4) 3 (0,4) 1 (0,1) 9 (1)
Grand Total 4065 17 (0,4) 96 (2) 105 (3) 69 (2) 287 (7)
Figure 4-6 does not show
any trend in proportion of
Government
|
CHAM
tion of U5s with pneumonia p ay
por er d
children classified with
pneumonia in the govern-
0,600
ment-run facilities versus the
CHAM facilities. Comparing
0,400
the means of the CHAM
versus the government-run
facilities did not reveal a
significant difference.
0,200
Pneumonia was commonly
classified with malaria.
0,000
MBCH Nankumba Malembo Nankhwali Nkope
Health facility
Figure 4-6: Proportion of children under five (U5s) classified
with pneumonia per day
35