Table 2. Definition of the composite indicators of processes of care for each of the diseases.

Domain of care	Criteria for considering the composite indicator	Pneumonia	Dehydration	Malaria	Severe malnutrition	Meningitis
Documentation	All signs and symptoms required to make and appropriately classify disease severity	Cough, cyanosis, lower chest wall in-drawing respiratory rate, AVPU, ability to drink	Diarrhea, vomiting, capillary refill, sunken eyes and skin turgor, skin warm up to and AVPU	Fever, acidotic breathing, pallor, AVPU, unable to drink	Edema, visual assessment of degree of severe wasting	Convulsions, fever; level of consciousness
Assessment	Patient adequately assessed if all the following signs are assessed	Cough, cyanosis, lower chest wall in-drawing and respiratory rate	Sunken eyes and skin turgor (and duration of skin fold to return)	Level of consciousness, fever, acidotic breathing, pallor	Edema, visual assessment of degree of severe wasting	Convulsions, fever; level of consciousness (AVPU)
Treatment	Consistent with CPGs if the following key treatment was prescribed at the correct dose and frequency (and duration for rehydration therapy)	Crystalline penicillin 50,000units/kg/dose X 4 per day (+/−20%) and /or Gentamicin 7.5 mg/kg/day X 1 per day (+/−20%); correct treatment for disease severity	Severe dehydration cases prescribed fluids, Ringers lactate at 80–120 mls per kg or 56–120 mls per kg if bolus for shock management given; ORS prescribed for cases with some dehydration	Quinine loading dose prescribed; Quinine prescribed at 10mg/kg/dose (+/- 20%)	Feeds prescribed and of correct type; feed volume of 100–130 mls/kg/day (+/-20%) of F75

AVPU- consciousness level documented as Alert, Verbal response, Pain response, Unresponsive; ORS-Oral rehydration solution