Introduction
Methods
Programme implementation
Study procedures and participants
Data collection and analysis
Ethics
Results
Characteristics of implementing facilities
Characteristic | Mean (range) |
---|---|
Age (years) | 44 (29—62) |
Duration of IMCI experience (years) | 4 (0—17) |
Pre-implementation computer literacy test score (%) | 69 (0—100) |
Improvement in computer literacy test scores during training (%) | 32 (-6—97) |
Pre-implementation IMCI knowledge test score (%) | 54 (29—83) |
Mean score during 4 skills assessments/mentor-observed consultations (%) | 88 (65—98) |
Mean duration of 4 mentor-observed consultations (minutes) | 23 (10—45) |
The ongoing use of eIMCI
Barriers to eIMCI use
Regression Statistics | ||||||
Multiple R | 0.6179 | |||||
R Square | 0.3818 | |||||
Adjusted R Square | 0.3419 | |||||
Standard Error | 11.4785 | |||||
Observations | 100 | |||||
ANOVA | df | SS | MS | F | Significance F | |
Regression | 6 | 7567.44 | 1261.24 | 9.57 | < 0.001 | |
Residual | 93 | 12,253.30 | 131.76 | |||
Total | 99 | 19,820.75 | ||||
Coefficients | Standard Error | t Stat | P-value | Lower 95% | Upper 95% | |
Intercept | 10.7567 | 17.0004 | 0.6327 | 0.5285 | -23.0026 | 44.5161 |
% service time last 7 days eIMCI trained nurse available | 23.8693 | 3.7592 | 6.3495 | < 0.001 | 16.4042 | 31.3344 |
% service time last 7 days computer available | 2.0234 | 5.0501 | 0.4007 | 0.6896 | -8.0052 | 12.0519 |
% service time last 7 days functional computer | 2.8627 | 3.7174 | 0.7701 | 0.4432 | -4.5194 | 10.2448 |
% service time last 7 days electricity available | -19.4261 | 15.7732 | -1.2316 | 0.2212 | -50.7486 | 11.8963 |
eIMCI training saturation (%)a | 1.6060 | 5.9839 | 0.2684 | 0.7881 | -10.2769 | 13.4889 |
Daily child under-5 workload (n) | 0.3636 | 0.1677 | 2.1679 | 0.0327 | 0.0305 | 0.6967 |
eIMCI use categorya | Good use | Intermediate use | Poor use |
---|---|---|---|
Number of facilities | 5 | 8 | 7 |
Service platform indicatorsb | |||
Mean proportion of service time electricity was available | 95% | 95% | 96% |
Mean proportion of service time computer was available | 92% | 93% | 89% |
Mean proportion of service time the computer was functional (when available) | 95% | 93% | 83% |
Mean proportion of service time the trained nurse was allocated | 46% | 32% | 12% |
Mean daily child under-5 workload | 16 | 19 | 17 |
Use indicators | |||
Mean number of eIMCI records completed | 21 | 11 | 3 |
Mean proportion eIMCI of total child consultations | 39% | 16% | 6% |