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.
Variable
Adhered to IMCI guide?
Univariable analysis
Multivariate analysis
No ()
Yes ()
UOR (95% CI)
value
AOR (95% CI)
value
Number (%)
Number (%)
Age group (years)
Less than or equal to 32
111 (86.1)
18 (14.0)
1
1
More than 32
98 (95.2)
5 (4.8)
0.31 (0.11–0.88)
0.027
0.63 (0.19–2.15)
0.463
Academic qualifications
Certificate
182 (95.8)
8 (4.2)
1
1
Diploma
24 (64.9)
13 (35.1)
12.32 (4.63–32.77)
<0.001
6.97 (1.82–26.67)
0.005
Degree
3 (60.0)
2 (40.0)
15.17 (2.21–103.89)
0.006
1.02 (0.10–10.43)
0.986
Time taken to follow the IMCI steps
Long
96 (98.0)
2 (2.0)
1
1
Short
113 (84.3)
21 (15.7)
8.92 (2.04–39.02)
0.004
12 (2.73–61.66)
<0.001
IMCI support supervision
Never received
165 (92.2)
14 (7.8)
1
1
Ever received
44 (83.0)
9 (17.0)
2.41 (0.98–5.94)
0.056
0.94 (0.27–3.24)
0.921
Inadequate staffing
Yes
102 (96.2)
4 (3.8)
1
1
No
107 (84.9)
19 (15.1)
4.53 (1.49–13.76)
0.008
2.96 (0.85–10.32)
0.089
Recent shortage of IMCI drugs at health facility
Yes
158 (93.5)
11 (6.5)
1
1
No
51 (81.0)
12 (19.0)
3.38 (1.41–8.12)
0.006
7.11 (2.37–21.38)
<0.001
The IMCI guideline is difficult to use
Yes
100 (98.0)
2 (2.0)
1
1
No
109 (83.9)
21 (16.1)
9.63 (2.20–42.13)
0.003
27.7 (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.