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ABSTRACT: Background
In line with the Integrated Management of Childhood Illness (IMCI) guidelines, healthcare workers (HCWs) should refer all severe pneumonia among children under 5 seen in primary care in resource-limited settings. We investigated the frequency and correlates of missed opportunities for hospital referral (MOHR) of clinical severe pneumonia. Our study was embedded within the Améliorer l'Identification des détresses Respiratoires chez l'Enfant project, which involved the routine implementation of pulse oximetry (PO) within IMCI consultations at primary healthcare centres (PHCs) in West Africa: Burkina Faso, Guinea, Mali and Niger.Methods
All children aged 2-59 months attending IMCI consultations in 16 PHCs and classified as severe cases using IMCI+PO were enrolled in
SUBMITTER: Dahourou DL
PROVIDER: S-EPMC12673563 | biostudies-literature | 2025 Nov
REPOSITORIES: biostudies-literature