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Table 7 Quality of case management by illness

From: An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in Bangladesh

 

Number of hospitals where item was adequate

Number of hospitals where some improvement was needed

Number of hospitals where substantial improvement was needed

DH

SDH

DH

SDH

DH

SDH

Pneumonia

Correct assessment and diagnosis of the severity of pneumonia

2

3

2

4

2

5

Appropriate administration of antibiotics for pneumonia and other respiratory diagnoses

0

0

3

2

3

10

Correct administration of oxygen when necessary

1

0

3

8

2

4

Appropriate diagnosis and management of tuberculosis

4

1

2

8

0

3

Diarrhoea

Correct assessment of dehydration

1

1

3

6

2

5

Administration and monitoring of rehydration plans appropriate to the severity of dehydration

0

0

4

4

2

8

Appropriate antibiotics administered only when necessary

0

0

5

2

1

10

Continued feeding given during diarrhoea

2

2

2

4

2

6

Severe malnutrition

Nutritional status assessed by weight for height correctly, including differential diagnosis

0

0

1

1

5

11

Appropriate management of infection

0

0

3

6

3

6

Appropriate management of electrolyte imbalance and micronutrients

0

0

2

3

4

9

Correct management of dehydration

0

0

2

1

4

11

Hypoglycaemia and hypothermia correctly checked and managed

0

0

1

2

5

10

Correct feeding of severely malnourished children

0

0

1

2

5

10