Skip to main content

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

From: A mixed-methods study exploring adherence to the referral of severely sick children in primary health care in Southern 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)