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


Mwakyusa et al. BMC International Health and Human Rights 2006 6:9   doi:10.1186/1472-698X-6-9

Open Data