Table 3 Proportion of all records and proportion of records from children admitted with major, common diseases in which clinical features of particular relevance were recorded in the pre-intervention and the four post-intervention periods. The Kenyan Acute Respiratory Infection (ARI) and Control of Diarrhoeal Diseases (CDD) Programmes (now merged in the IMCI programme) have been in place promoting use of WHO case management for more than 10 years. New National Malaria Control Programme guidelines were disseminated in 1998
All records | Kenyan programme (Duration) | Pre-intervention (%) | Post intervention periods (%) | |||
|---|---|---|---|---|---|---|
One | Two | Three | Four | |||
Weight | 47 | 22 | 24 | 32 | 41 | |
Record of DTP-HepB-HiB vaccination | 1 | 45 | 33 | 32 | 31 | |
History of Fever | Malaria (6 yrs) | 77 | 82 | 79 | 81 | |
History of Convulsions | Malaria, (6 yrs) | 20 | 51 | 72 | 70 | 75 |
History of Cough | ARI/IMCI (>10 yrs) | 53 | 70 | 77 | 73 | 66 |
History of Difficulty Breathing | ARI/IMCI (>10 yrs) | 37 | 62 | 75 | 70 | 69 |
History of Diarrhoea | CDD/IMCI (>10 yrs) | 43 | 58 | 74 | 73 | 72 |
History of Diarrhoea > two weeks | CDD/IMCI (>10 yrs) | 22 | 48 | 69 | 67 | 59 |
History of vomiting everything | - | 6 | 47 | 67 | 68 | 71 |
Conscious level – AVPU classification | - | 42 | 78 | 65 | 67 | |
Ability to Drink | Malaria (6 yrs) | 3 | 41 | 67 | 66 | 75 |
Stiff Neck | - | 45 | 42 | 69 | 65 | 72 |
Presence of Visible Severe Wasting | - | 3 | 41 | 68 | 66 | 64 |
Bilateral Oedema of Kwashiorkor | - | 31 | 55 | 74 | 71 | 65 |
Respiratory Rate | ARI/IMCI (>10 yrs) | 64 | 56 | 53 | 59 | |
Lower chest wall indrawing | ARI/IMCI (>10 yrs) | 43 | 49 | 67 | 68 | 67 |
Cyanosis | ARI/IMCI (>10 yrs) | 36 | 56 | 75 | 73 | 73 |
Grunting | - | 13 | 42 | 69 | 65 | 68 |
Acidotic/Deep breathing | Malaria (6 yrs) | 3 | 41 | 65 | 64 | 57 |
Wheeze | 16 | 36 | 67 | 63 | 57 | |
Sunken Eyes | CDD/IMCI (>10 yrs) | 5 | 43 | 67 | 66 | 58 |
Skin pinch (skin turgor) | CDD/IMCI (>10 yrs) | 3 | 41 | 65 | 65 | 53 |
Records of malaria cases | ||||||
Conscious level – AVPU classification | - | 42 | 79 | 74 | 80 | |
Acidotic/Deep breathing | Malaria (6 yrs) | 2 | 44 | 77 | 80 | 78 |
Records of Dehydration/diarrhoea cases | ||||||
Sunken Eyes | CDD/IMCI (>10 yrs) | 2 | 60 | 83 | 90 | 83 |
Skin pinch (skin turgor) | CDD/IMCI (>10 yrs) | 7 | 60 | 86 | 92 | 83 |
Records of ARI/Pneumonia cases | ||||||
Lower chest wall indrawing | ARI/IMCI (>10 yrs) | 33 | 69 | 85 | 87 | 91 |
Ability to Drink | ARI/IMCI (>10 yrs) | 4 | 53 | 85 | 85 | 100 |