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Table 1 Items used in defining the structure and process indicators for quality in sick child services in Ethiopia. Ethiopian Service Provision Assessment Plus Survey 2014

From: Assessing the quality of care in sick child services at health facilities in Ethiopia

 DefinitionVariable type
CategoricalContinuous
STRUCTURE
 Routine management meetingsWhether there are monthly meeting to discuss management issuesYes/No
 System to collect client opinionWhether the facility has a system to obtain clients’ opinions regarding servicesYes/No
 Quality assurance systemWhether the facility has a routine quality assurance systemYes/No
 SupervisionWhether the facility reported that the last supervision visit was in the last 6 monthsYes/No
 Basic amenitiesNumber of amenities at facility: water, electricity, generator, telephone, internet, ambulance0–6
 Health workers always available24 h staff availabilityYes/No
 Infection prevention precautionsNumber of infection prevention measures at facility: sharps containers, gloves, disinfectant, disposable needles or autodestruct syringes with disposable syringes, waste bin, hand disinfectant0–5
 Equipment availableNumber of pieces of sick child equipment available at facility: Infant scale, child scale, thermometer, stethoscope, timer/watch or clock0–5
 IMCI guide followedWhether the facility always follows guide for integrated management of childhood illness (IMCI) when assessing/treating sick childYes/No 
Malaria diagnosis and treatmentWhether the facility always has malaria blood tests available for children under age 5Yes/No 
 IMCI mother’s cardWhether IMCI mother’s card are available at facilityYes/No 
PROCESS
 Number of symptoms checkedNumber of symptoms that the provider asked for or that the caregiver mentioned: Cough or difficult breathing, diarrhea, fever or body hotness, ear problems, unable to drink or breastfeed, vomiting everything, convulsions0–7
 Physical examination of sick childNumber of types of sick child exams performed: Took child’s temperature by thermometer, Felt the child for fever or body hotness, Counted respiration (breaths) for 60 s, Auscultated child (listen to chest with stethoscope) or count pulse, Checked skin turgor for dehydration (e.g., pinch abdominal skin), Checked for pallor by looking at palms, Checked for pallor by looking at conjunctiva, Looked into child’s mouth, Checked for neck stiffness, Looked in child’s ear, Felt behind child’s ear, Undressed child to examine (up to shoulders/down to ankles), Pressed both feet to check for edema, Weighed the child, Plotted weight on growth chart, Checked for enlarged lymph nodes in 2 or more of the following sites: neck, axillae, groin0–16
 Information provided to caregiverNumber of pieces of information given to caregiver during consultation: provide general information about feeding/breastfeeding, advise extra fluids during this sickness, advise continued feeding during sickness, name the illness for the caretaker, describe symptoms requiring immediate return for care0–5
 Provider used visual aidsWhether provided used visual aids during consultationYes/No
 Provider discussed follow-up visitWhether the provider discussed follow-up visit during consultationYes/No