Table 3 Unadjusted differences in process of care indicators during the post intervention period
Prospective | Retrospective | |||||||
|---|---|---|---|---|---|---|---|---|
Indicator of quality of care | Intervention % | Control % | Difference [95% CI] | Risk ratio [95% CI] | Intervention | Control | Difference [95% CI] | Risk ratio [95% CI] |
All Children | ||||||||
Childs weight documented | 79.1 | 45 | 34.1[27.7-40.4] | 1.8[1.6-2.0] | 82.8 | 59.1 | 23.7[21.0-26.4] | 1.4[1.3-1.5] |
Child’s temperature documented | 63 | 30.5 | 32.4[25.9-39.0] | 2.1[1.7-2.4] | 64.9 | 46 | 18.9[15.9-21.8] | 1.4[1.3-1.5] |
Vitamin A Administered on Admission | 16.4 | 17.3 | −0.9[−6.1-4.3] | 0.9[0.7-1.3] | 22.2 | 11.9 | 10.3[8.0-12.5] | 1.9[1.6-2.1] |
Provider Initiated HIV testing | 18.1 | 15.8 | 2.3[−2.9-7.6] | 1.1[0.8-1.6] | 16 | 3.5 | 12.6[10.8-14.3] | 4.6[3.6-6.0] |
Vaccination status documented | 41.3 | 18.6 | 22.7[16.6-28.9] | 2.2[1.8-2.8] | 50.8 | 27.2 | 23.6[20.8-26.5] | 1.9[1.7-2.0] |
Average assessment score (range, 0–1) | 92.1 | 58.7 | 33.4[29.9-36.9] | 92.6 | 67.2 | 25.4[23.9-26.9] | ||
Children with diagnosis of malaria | ||||||||
Proportion of malaria with a severity classification | 91.9 | 43 | 48.9[42.1-55.7] | 2.1[1.9-2.5] | 89.1 | 46.8 | 42.3[39.1-45.5] | 1.9[1.8-2.0] |
Proportion with quinine loading dose | 88.5 | 59.3 | 29.2[20.5-37.9] | 1.5[1.3-1.7] | 86.9 | 58.1 | 28.8[24.8-32.8] | 1.5[1.4-1.6] |
Proportion with twice daily quinine maintenance dose | 94.1 | 74.9 | 19.2[12.2-26.2] | 1.3[1.1-1.4] | 79 | 42.5 | 36.5[32.0-41.1] | 1.9[1.7-2.0] |
Proportion with quinine daily dose > =40 mg/kg | 4 | 1 | 2.9[−0.1-6.0] | 3.8[0.8-17.6] | 2.2 | 8 | −5.8[−8.0--3.6] | 0.3[0.2-0.4] |
Children with diagnosis of pneumonia | ||||||||
Proportion of pneumonia with a severity classification | 95.8 | 63.6 | 32.2[24.0-40.4] | 1.5[1.3-1.7] | 93.3 | 70.1 | 23.2[19.9-26.6] | 1.3[1.3-1.4] |
Proportion with once daily gentamicin dose | 86.8 | 57.6 | 29.2[19.9-38.5] | 1.5[1.3-1.7] | 79.1 | 68.1 | 11.1[6.7-15.4] | 1.2[1.1-1.2] |
Proportion with gentamicin daily dose <4 mg/kg | 3.9 | 3.4 | 0.5[−3.8-4.8] | 1.1[0.4-3.7] | 3.9 | 15.3 | −11.4[−14.3--8.6] | 0.3[0.2-0.4] |
Proportion with gentamicin daily dose > =10 mg/kg | 4.7 | 6.8 | −2.1[−7.3-3.1] | 0.7[0.3-1.8] | 8.6 | 9.9 | −1.2[−4.1-1.6] | 0.9[0.6-1.2] |
Children with diagnosis of diarrhea/dehydration | ||||||||
Proportion of diarrhoea/dehydration diagnosis with a severity classification | 98.6 | 85.2 | 13.4[3.6-23.3] | 1.2[1.0-1.3] | 97.9 | 89.1 | 8.7[5.9-11.6] | 1.1[1.1-1.1] |
Correct fluid prescription | 67.3 | 11.5 | 55.8[37.8-73.8] | 5.8[2.0-17.2] | 62.2 | 32.7 | 29.5[22.9-36.1] | 1.9[1.6-2.2] |