TY - JOUR T1 - Factors associated with adherence to the Integrated Management of Childhood Illness (IMCI) guidelines for under-five years’ old care in Burkina Faso primary health care facilities JF - bioRxiv DO - 10.1101/510099 SP - 510099 AU - Sabere Anselme Traoré AU - Serge M.A. Somda AU - Joël Arthur Kiendrébéogo AU - Jean-Louis Kouldiati AU - Paul Jacob Robyn AU - Hervé Hien AU - Nicolas Méda Y1 - 2019/01/01 UR - http://biorxiv.org/content/early/2019/01/04/510099.abstract N2 - Objective To assess the adherence to Integrated Management of Childhood Illness (IMCI) guidelines in primary health care facilities in Burkina Faso and to determine the factors associated.Materials and Methods We used data from a large survey on health facilities, held from October 2013 to April 2014. Primary health facilities were evaluated, health workers interviewed and consultations observed. The standard guideline for an under five year’s old child consultation was the Integrated Management of Childhood Illness (IMCI).Results 1,571 consultations were observed, carried out by 522 different practitioners. The danger signs were usually not checked (13.9% only checking for at least three general danger signs). The adherence for cough (74.8%), diarrhoea (64.9%), fever (83.8%) and anaemia (70.3%) was higher. The principal factors found to be associated with poorer adherence to guidelines of consultation were female sex (Rate Ratio (RR) = 0.91; 95% CI 0.86 – 0.95), non-nurse practitioner (RR=0.93; 95% CI 0.88 – 0.97), IMCI training (RR=1.06; 95% CI 1.01 – 1.11), non-satisfaction of the salary (RR=0.95 95% CI 0.91 – 0.99).Conclusion This study highlights a poor adherence to the IMCI guidelines and by then, revealing a poor quality of under-five care. Indeed, many characteristics of health workers including gender, type of profession, training satisfaction with salary were found to be associated with this adherence. Therefore, more initiatives aiming at improving the quality of care should be developed and implemented for improving the child health care.Authors’ contributionsRegarding contribution to authorship, SAT participated in the conceptualization, methodology, data curation, formal analysis, and writing of the manuscript. SMAS participated in the methodology, investigation, software, data curation, formal analysis, and the writing of the manuscript. JAK participated in the conceptualization, methodology, supervision and the writing of the manuscript. JLK contributed in the investigation, and reviewed the manuscript. PJR contributed in the investigation, the funding acquisition and reviewed the manuscript. HH was involved in the investigation, the funding acquisition, project administration, and in the review of the manuscript. NM conceptualized the study, contributed in the funding acquisition, reviewed and edited the manuscript.All authors read and approved the final manuscript. ER -