Quality of sick child management by health extension workers: role of a complex improvement intervention

Table 7 Proportion of appropriately treated sick children at baseline (December 2016 to February 2017) and end-line (December 2018 to February 2019) in intervention and comparison areas

Indicators	Baseline survey					End-line survey					Difference-in-differences^a (%)	P-value†
	Intervention		Comparison		Difference (%)	Intervention		Comparison		Difference (%)
	n	% (95% CI)	n	% (95% CI)	Difference (%)	n	% (95% CI)	n	% (95% CI)	Difference (%)
Pneumonia: proportion of sick children-
Appropriately treated for pneumonia^b	26	60(45,74)	23	92(76,99)	-32	30	53(40,65)	16	41(26,57)	12	44	0.05
Diarrhoea: proportion of sick children-
With diarrhoea classification appropriately treated with ORS and zinc^c	77	65(56,73)	43	52(42,63)	13	95	82(74,88)	77	70(61,78)	12	-1	0.74
Acute malnutrition: proportion of children-
With acute malnutrition classifications appropriately treated with RUTF^d	6	40(18,65)	7	70(38,92)	-30	6	50(23,77)	7	33(16,55)	17	47	0.44

^aDifference-in-differences: the difference in the proportion between the intervention and comparison areas at end-line subtracted by the difference in intervention and comparison area at baseline
^bDenominator: Baseline (intervention = 43, comparison = 25); End-line (intervention = 57, comparison = 39)
^cDenominator: Baseline (intervention = 118, comparison = 82); End-line (intervention = 116, comparison = 110)
^dDenominator: Baseline (intervention = 15, comparison = 10); End-line (intervention = 12, comparison = 21)
CI Confidence interval, ORS Oral rehydration solution, RUTF Ready-to-use therapeutic food
^†P-value obtained from the logistic regression model for the difference-in-difference analysis (for the difference between intervention and comparison groups over time). P-value was adjusted for clustering and age

ISSN: 1472-6963