Table 1. Summary of the situational analysis carried out prior to the implementation of the child lung health programme (CLHP), intended interventions, output indicators and outputs achieved following the CLHP intervention.

Situation Analysis findings	intervention activity	Output indicator	achieved through intervention
No hospital was implementing standard case management guidelines	All children presenting with signs of pneumonia will be managed following the CLHP technical guidelines	Children diagnosed and treated correctly as per standard categories and treatment regimens	Technical guidelines adhered to in >90% of children presenting with respiratory symptoms
Less than 10% of health workers trained in SCM of pneumonia	Health care workers from all district hospitals trained in standard case management of pneumonia	Number of health workers trained in SCM	More than 300 health care workers trained (The target exceeded by 25%
Frequent interruption of supply of antibiotics required for SCM regimens	A material management system introduced at all levels calculated on number of cases. Antibiotic reserve stock supplied	Regular uninterrupted supply of antibiotics at central, regional and district levels	No stock outs of antibiotics experienced at all levels.
No regular supply of oxygen available on paediatric wards	One designated oxygen concentrator be provided for each paediatric ward implementing CLHP	All infants <2 months admitted with severe/very severe pneumonia, all children 2–59 months admitted with very severe pneumonia or a RR≥70 received oxygen therapy	All hospitals provided with an oxygen concentrator and personnel trained at central and district level in use and maintenance.
No regular reporting system in place	Each district hospital CLHP Coordinator to fill Monthly Reports on cases and treatment outcomes and submit to central level management unit	Monthly reports on Cases of Pneumonia and on Treatment Results	99.4% achievement as of December 2005 i.e. of 2274 reports expected 2260 were received
No regular standardized supervisory/support visits being carried out by Central Level Unit	Implementation of regular standardized supervisory/support visits to implementing hospitals by Central Level Unit	Regular standardized supervisory/support visits to implementing hospitals carried out by Central Level Unit	Standardized supervision tool developed and implemented. Monthly visits carried out for 6 months then quarterly
No evaluation of ARI control activities regularly carried out	A report on external evaluation/technical support visits to the CLHP sent to the MOH every 6 months	Evaluation reports	Eight external evaluation/technical support visits plus 1 independent external review visit to the CLHP carried out and a report on each visit sent to MOH.