Indicators of case management quality | Description | N | Mean (%) |
---|---|---|---|
Primary outcomes | Â | Â | Â |
1. Recommended treatment for all potentially life-threatening illnesses (PLTIs) | Essential treatment of all PLTIs a child had (including malaria, very severe febrile illness, pneumonia, severe pneumonia, diarrhea, anemia, and severe anemia) that exactly matched IMCI guidelines†| 8,277 | 63.6 |
2. Adequate treatment for all PLTIs | Essential treatment of all PLTIs considered effectivea even if it did not exactly match IMCI guidelines | 8,277 | 77.8 |
3. Percentage of all needed tasks performed per child (index of overall guideline adherence) | Percentage of total IMCI-recommended assessment tasks (maximum of 39), disease classification tasks (maximum of six), and treatment tasks (maximum of four) done (see Box 1 for details) | 9,330 | 96.5 |
Secondary outcomes | Â | Â | Â |
4. Recommended treatment for febrile illnesses | First- or second-line antimalarial (chloroquine, sulfadoxine-pyrimethamine, respectively) for malaria or injectable quinine plus referral for very severe febrile illness, with dosages that exactly match IMCI guidelines | 6,872 | 80.1 |
5. Adequate treatment for febrile illnesses | Antimalarial and dose considered effective even if it did not exactly match IMCI guidelines | 6,872 | 87.5 |
6. Recommended treatment for anemia | Antimalarial, iron, and folate all given for anemia (with dosages that exactly match IMCI guidelines) or referral for severe anemia | 3,133 | 47.1 |
7. Adequate treatment for anemia | Anemia treatments all given with doses considered effective even if they did not exactly match IMCI guidelines | 3,133 | 75.6 |
8. Recommended treatment for pneumonia | First- or second-line antibiotics (cotrimoxazole, amoxicillin, respectively) for pneumonia or injectable ampicillin plus referral for severe pneumonia, with dosages that exactly match IMCI guidelines | 2,787 | 76.0 |
9. Adequate treatment for pneumonia | Antibiotic and dose considered effective even if it did not exactly match IMCI guidelines | 2,787 | 82.7 |
10. Recommended treatment for diarrhea | Oral rehydration solution given, plus antibiotic for bloody diarrhea, with antibiotic dosages that exactly match IMCI guidelines | 1,680 | 81.6 |