Table 2 Health facility and child factors associated with adherence by healthcare providers to referral guidelines for 0 – 59 months old sick children in Hadiya zone of Ethiopia
Characteristics | Healthcare providers’ adherence to referral guideline for sick 0 – 59 days sick young infants | Healthcare providers’ adherence to referral guideline for sick 2 – 59 months sick children | ||||
|---|---|---|---|---|---|---|
Appropriate decision N = 66 n (%) | Inappropriate decision N = 44 n (%) | P-value | Appropriate decision N = 397 n (%) | Inappropriate decision N = 336 n (%) | P-value | |
Profession of health care providers working in child health department | ||||||
Health extension worker | 38 (58) | 28 (42) | 0.690 | 218 (55) | 180 (45) | 0.890 |
Nurse | 28 (63) | 16 (37) | 179 (53) | 156 (47) | ||
Age of healthcare provider in years | ||||||
19 – 29 | 35 (55) | 29 (45) | 0.308 | 195 (49) | 207 (51) | 0.179 |
=> 30 | 31 (67) | 15 (33) | 202 (61) | 129 (39) | ||
Sex of healthcare provider | ||||||
Male | 50 (61) | 32 (39) | 0.766 | 265 (53) | 231 (47) | 0.675 |
Female | 16 (57) | 12 (43) | 128 (58) | 93 (42) | ||
Service years of healthcare providers in years | ||||||
< = 5 | 21 (53) | 19 (47) | 0.561 | 144 (49) | 149 (51) | 0.151 |
6 – 10 | 22 (61) | 14 (39) | 86 (48) | 95 (52) | ||
=> 11 | 23 (68) | 11 (32) | 167 (64) | 92 (36) | ||
Availability of ambulance or other transport for referral of sick children | ||||||
No | 28 (62) | 17 (38) | 0.710 | 128 (56) | 101 (44) | 0.836 |
Yes | 38 (58) | 27 (42) | 269 (53) | 235 (47) | ||
Facilities have records of quality assurance activity | ||||||
No | 40 (61) | 26 (39) | 0.910 | 122 (43) | 161 (57) | 0.089 |
Yes | 26 (59) | 18 (41) | 275 (61) | 175 (39) | ||
Healthcare providers received in-service training on child care and treatment | ||||||
No | 30 (55) | 25 (45) | 0.217 | 152 (46) | 180 (54) | 0.015 |
Yes | 36 (65) | 19 (35) | 245 (61) | 156 (39) | ||
Healthcare providers received supportive supervision on child care and treatment | ||||||
No | 52 (59) | 36 (41) | 0.797 | 331 (55) | 272 (45) | 0.701 |
Yes | 14 (64) | 8 (36) | 66 (51) | 63 (49) | ||
Age of sick child | ||||||
1st week | 13 (57) | 10 (43) | 0.605 | |||
2 – 4 weeks | 22 (55) | 18 (45) | ||||
5 – 8 weeks | 31 (66) | 16 (34) | ||||
2 – 11 months | 114 (54) | 97 (46) | 0.985 | |||
12 – 23 months | 114 (55) | 95 (45) | ||||
24 – 59 months | 169 (54) | 144 (46) | ||||
Sex of sick child | ||||||
Boy | 38 (61) | 24 (39) | 0.776 | 218 (55) | 181 (45) | 0.762 |
Girl | 28 (58) | 20 (42) | 179 (54) | 155 (44) | ||
Caregivers’ compliance with referral advice as perceived by healthcare providers | ||||||
Low | 28 (61) | 18 (39) | 0.889 | 152 (56) | 158 4) | 0.661 |
High | 38 (59) | 26 (41) | 245 (53) | 218 (47) | ||