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Table 2 HIV algorithm adherence and associated factors

From: Barriers to implementation of the HIV guidelines in the IMCI algorithm among IMCI trained health workers in Zambia

Variable

n

%

Do you have any area of difficulty in the algorithm:

  

Yes

5

17.2

No

24

82.8

Common areas of difficulties:

  

The General danger signs

1

3.4

The main symptoms

1

3.4

Assessing for malnutrition & malaria

1

3.4

Assessing for HIV

3

10.3

Assessing for feeding

1

3.4

Received training in use of HIV algorithm

  

Yes

18

62.1

No

11

37.9

If no to above, any knowledge about HIV guidelines

  

Yes

8

27.6

No

3

10.3

Which conditions in a child would prompt you to enter the HIV box.

  

Persistent diarrhea

19

65.5

Pneumonia

19

65.5

Growth faltering or low weight for age.

24

82.8

Chronic ear infection

8

27.6

others

19

67.9

Do you find it difficult to do the HIV assessment?

  

Yes

3

10.3

No

25

86.2

If yes to above, why(reason)

  

Lack of time

0

0.0

Poor staffing

0

0.0

Not comfortable to discuss HIV issues

0

0.0

Not well trained

1

3.4

others

2

6.9

Reasons for not adhering to the HIV guidelines

  

Shortage of staff

23

79.3

oversight

14

48.3

Stigma of staff towards HIV

5

17.2

Stigma in the community

19

65.5

Inadequate training

16

55.2

Guidelines not user friendly

2

6.9

Do you think you were adequately trained in IMCI

  

Yes

18

62.1

No

9

31.0

No response

2

6.9

Trained in HIV counseling

  

yes

14

51.9

No

11

40.7

No response

2

7.4

Received training in HIV

  

Yes

14

53.8

No

10

38.5

No response

2

7.7