Primary outcomes
| | | |
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
| | | |
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
|