Research Article

Adherence to Integrated Management of Childhood Illnesses Guideline in Treating South Sudanese Children with Cough or Difficulty in Breathing

Table 3

Unadjusted and adjusted analysis of factors associated with adherence to the IMCI guideline when treating children with cough or difficulty in breathing in Aweil East County, Northern Bahr El Ghazal State, South Sudan.

VariableAdhered to IMCI guide?Univariable analysisMultivariate analysis
No ()Yes ()UOR (95% CI) valueAOR (95% CI) value
Number (%)Number (%)

Age group (years)
 Less than or equal to 32111 (86.1)18 (14.0)11
 More than 3298 (95.2)5 (4.8)0.31 (0.11–0.88)0.0270.63 (0.19–2.15)0.463
Academic qualifications
 Certificate182 (95.8)8 (4.2)11
 Diploma24 (64.9)13 (35.1)12.32 (4.63–32.77)<0.0016.97 (1.82–26.67)0.005
 Degree3 (60.0)2 (40.0)15.17 (2.21–103.89)0.0061.02 (0.10–10.43)0.986
Time taken to follow the IMCI steps
 Long96 (98.0)2 (2.0)11
 Short113 (84.3)21 (15.7)8.92 (2.04–39.02)0.00412 (2.73–61.66)<0.001
IMCI support supervision
 Never received165 (92.2)14 (7.8)11
 Ever received44 (83.0)9 (17.0)2.41 (0.98–5.94)0.0560.94 (0.27–3.24)0.921
Inadequate staffing
 Yes102 (96.2)4 (3.8)11
 No107 (84.9)19 (15.1)4.53 (1.49–13.76)0.0082.96 (0.85–10.32)0.089
Recent shortage of IMCI drugs at health facility
 Yes158 (93.5)11 (6.5)11
 No51 (81.0)12 (19.0)3.38 (1.41–8.12)0.0067.11 (2.37–21.38)<0.001
The IMCI guideline is difficult to use
 Yes100 (98.0)2 (2.0)11
 No109 (83.9)21 (16.1)9.63 (2.20–42.13)0.00327.7 (5.40–142.25)<0.001

Note. Percentages were calculated as for each row; level of statistical significance was set less than 5%; AOR: adjusted odds ratio; UOR: unadjusted odds ratio.