Quality of Integrated Management of Newborn and Childhood Illness Services at Health Centers in Jimma, Southwest Ethiopia

Figures & data

Table 1 Socio-Demographic Characteristics of Caretakers and Sick Children at Health Centers of Jimma Town, 2014

Socio-Demographic Variables	Response Category	Frequency (n=411)	%
Sex of caretaker	Male	82	20.0
	Female	329	80.0
Age of caretaker	15–24	106	25.8
	25–34	320	56.0
	≥35	75	18.2
Relationship of caretakers to the child	Mothers	317	77.1
	Others*	74	22.9
Ethnic group	Oromo	213	51.8
	Amhara	89	21.7
	Keffa	21	5.1
	Dawro	27	6.6
	Gurage	21	5.1
	Yemi	25	6.1
	Others**	15	3.6
Marital status	Married	370	90.0
	Single	15	3.6
	Divorced	18	4.4
	Widowed	8	2.0
Religion	Muslim	217	52.8
	Orthodox	127	30.9
	Protestant	57	13.9
	Catholic	10	2.4
Educational status	Illiterate	94	22.9
	Read and write only	41	10.0
	Primary(1–8)	150	36.5
	Secondary(9–12)	80	19.4
	College and above	46	11.2
Occupational status	Housewife	197	47.9
	Farmer	36	8.8
	Government employee	38	9.2
	Private employee	43	10.5
	Private business	23	5.6
	Daily laborer	13	3.2
	Merchant	61	14.8
Sex of the Child	Male	216	52.6
	Female	195	47.4
Age of the child (in months)	< 12	151	36.7
	12- ≤24	140	34.1
	24 - ≤36	74	18.0
	>36	46	11.2

Notes: Mean (SD) age in months=19.7 (SD of 1.5). Others* (siblings, grandmother/father), others** (Tigre, Siltie, Woleyta).

Table 2 Availability of Equipment for IMNCI Service at Sick Baby Clinic in Health Centers of Jimma Town, 2014

Equipment	Jimma Health Center	Higher Two Health Center	Kochi Mandera Health Center
Child weighing scale (250gram gradation)	1*	1	1
Infant weighing scale(100 gram gradation)	0	0	0
Thermometer	1	1	0
Stethoscope	1	1	1
Timer or watch with seconds hand	1	1	1
Calibrated 1/2 or 1-liter measuring jar for ORS	0*	1	1
Cup and spoon	0	1	1
Examination bed	0	0	1
Height or length board	1	1	1
Tape for measuring circumference	1	1	1

Notes: 1* – available and observed, 0* – not available and observed.

Table 3 Symptoms of Children Seeking Medical Advice at the Survey Time in Health Centers of Jimma Town, 2014 (n=411)

Symptoms/Complaints	Response Category	Frequency	%
Fever	Yes	247	60.1
	No	164	39.9
Cough or difficulty breathing	Yes	181	44.0
	No	230	56.0
Diarrhea	Yes	160	38.9
	No	251	61.1
Ear problem	Yes	46	9.7
	No	365	90.3
Skin problems	Yes	35	3.4
	No	376	96.6
Eye symptoms	Yes	19	4.6
	No	392	95.4
Others*		16	3.9
Duration of symptoms	One day	44	10.7
	Two days	54	13.1
	Three days	104	25.3
	Four and more days	209	50.9

Note: Others* (injury, throat problem, dog bite).

Table 4 Information on the Treatment and Caretaker Comfort Level at Health Centers of Jimma Town, 2014

Variables	Response Category	Frequency	%
Medicines prescribed	Yes	376	91.5
	No	35	8.5
Information on the availability of prescribed medications	Received all medications	265	70.5
	Received Some medication and or prescription	111	29.5
Explanation on how to give the medications	Yes	300	97.7
	No	7	2.3
Caretakers correctly knew all the dose and frequency of each medication	Yes	296	96.4
	No	11	3.6
A dose of any medications given to the child at the facility	Yes	53	17.3
	No	254	82.7
Child weighed	Yes	157	38.2
	No	254	61.8

Table 5 Caretaker’s Satisfaction on the IMNCI Service Provision at Health Centers of Jimma Town, 2014

Statements	Very Dissatisfied (n/%)	Dissatisfied (n/%)	Neutral (n/%)	Satisfied (n/%)	Very Satisfied (n/%)
Time you waited to see a provider	58(14.0)	96(23.4)	9(2.2)	166(40.4)	82(20)
Ability to discuss problems or concerns about illness	27(6.6)	132(32.1)	44(10.7)	160(38.9)	48(11.7)
Amount of explanation you received about the problem or treatment	28(6.8)	138(33.6)	42(10.2)	152(37.0)	51(12.4)
Privacy from having others see the examination	9(2.2)	52(12.6)	87(21.2)	228(55.5)	35(8.5)
Privacy from having others hear your consultation discussion	11(2.7)	50(12.2)	88(21.4)	220(53.5)	42(10.2)
Availability of medicines at this facility	37(9.0)	19(19.2)	21(5.1)	149(35.3)	129(31.4)
The hours of service at this facility	10(2.4)	73(17.8)	76(18.5)	198(48.2)	54(13.1)
The number of days services are available to you	9(2.2)	64(15.6)	63(15.3)	226(55.0)	49(11.9)
The cleanliness of the facility	15(3.6)	80(19.5)	32(7.8)	208(50.6)	76(18.5)
How the staff treated you	9(2.2)	86(20.9)	30(7.3)	171(41.6)	115(28.0)
Price for services or treatments	8(1.9)	31(7.5)	12(2.9)	214(52.2)	146(35.5)

Table 6 Final Model Predicting Perceived Caretaker’s Satisfaction with the IMNCI Service Provision at Health Centers of Jimma Town, 2014

Variables	No (%)	Unstandardized Coefficients (B)	Standardized Coefficients (Beta)	Sig.	95% Confidence Interval for B
(Constant)		−0.766		0.092	(−1.659, 1.127)
Sex of caretaker
Male*	216(52.6)
Female	195(47.4)	−0.044	−0.020	0.714	(−0.281, 0.193)
Educational status
Illiterate*	135(32.9)
Primary (1–8)	150(36.5)	−0.175	−0.094	0.110	(−0.389, 0.040)
Secondary (9–12)	80(19.4)	−0.034	−0.015	0.785	(−0.275, 0.208)
Above secondary	46(11.2)	−0.207	−0.076	0.178	(−0.508, 0.095)
Telling the name of child illness
Yes	245(59.6)	0.223	0.123	0.017 **	(0. 041, 0.406)
No*	166(40.4)
Receiving first dose of medications at facility
Yes	53(17.3)	0.320	0.137	0.007**	0.087,0.552
No*	254(82.7)
Receiving laboratory services
Yes	105(25.5)	0.256	0.126	0.012**	(0.455,0.056)
No*	306(74.5)
Recommending health facility for relatives
Yes	352(85.6)	0.670	0.239	0.000**	(0.387, 0.952)
No*	59(14.4)
Availability of prescribed medications
- Receiving all medications*	265(70.5)
-Receiving some medication  and prescription	111(29.5)	−0.312	−0.121	0.021**	(0.577, 0.047)

Notes: Model Summary (R=0.649, R Square=0 0.421, Adjusted R Square=0.409). *References category (categories with highest frequency taken as reference categories). **Significant at P-value <0.05.