Table 2

Appropriate management of sick children reflecting improved skills of health providers13 12

IndicatorSource: Pre-IMCI and post-IMCI assessment (13) (97 health facilities, 13 districts, 2001–2002)Source: Follow-up visits 4–6 weeks after training(17) (6770 observations, 242 districts, 1999–2008)*
Pre-IMCI6 months post-IMCI
Correctly assessed child for all 5 main symptoms (cough, diarrhoea, fever, throat problem, ear problem)0/97 (0%)81/86 (94.2%)6550/6770 (96.8%)
Correctly checked child for immunisation status (BCG, polio, DPT, hepatitis B, measles and MMR)†18/97 (18.6%)83/88 (94.3%)6029/6169 (97.7%)
Correctly assessed feeding (in child less than 2 years old and/or with low weight and/or with anaemia)†1/85 (1.2%)72/73 (98.6%)5141/5519 (93.1%)
Correctly prescribed oral antibiotics to child needing antibiotics (for pneumonia, dysentery, acute ear infection and streptococcal sore throat)6/58 (10.3%)13/16 (81.3%)998/1076 (92.8%)
  • *#The denominators of the indicators reported vary depending on the indicator definition.

  • †Tasks performed by nurses. All the other indicators refer to tasks performed by physicians.

  • IMCI, Integrated Management of Childhood Illness.