Table 3. Performance of disease specific guideline recommended process indicators.

Disease	Indicator	n(%[95% CI])	Median (IQR) for hospital specific proportions
Malaria
	Malaria cases	433
	Use of guideline recommended severity classification	191 (44 [33–55])	100[86–100]
	Tested for malaria	396 (91 [87–95])	96[85–100]
	Lab confirmed malaria cases	208 (48 [33–63])	37[20–76]
	Malaria cases with Quinine loading dose	320 (74 [62–83])	72[30–86]
	Of those tested cases with slide positive results	208 (72 [57–83])	73[45–87]
	Prescribed quinine loading dose with negative result	48 (15 [8–26])	7.5[0–21]
	Malaria cases with weight and correct Quinine dose	243 (95 [92–97])	100[95–100]
Pneumonia
	Pneumonia cases	597
	Use of guideline recommended severity classification	433 (73 [63–80])	69[60–82]
	Gentamicin dose accuracy	232 (89 [82–93])	92[86–100]
	Correct antibiotic treatment as per severity	351 (59 [50–67])	62[43–72]
Dehydration
	Dehydration cases	271
	Use of guideline recommended severity classification	249 (92 [87–95])	100[86–100]
	zinc	179 (66 [57–74])	62[53–80]
	Dehydration cases with IV fluids	204 (75 [63–85])	82[69–100]
	Severe dehydration cases with IV fluids	90 (44 [33–56])	35[22–60]
	Correct fluid volume mls/kg for severe dehydration	54 (60 [43–75])	57[20–88]
	Cases with some dehydration given ORS	70 (56 [44–68])	50[33–80]
Malnutrition
	Malnutrition cases	91
	Severe wasting	56 (62 [36–82])	37[0–100]
	Edema of kwashiorkor	66 (73 [53–86])	71[33–100]
	Feeds prescribed and correct	51 (86 [69–95])	100[67–100]
	Correct feed type and volume mls/kg for all cases	25 (57 [39–73])	66[25–100]
Meningitis process indicators
	Meningitis cases	115
	Convulsions	96 (83 [71–91])	92[80–100]
	Fever	108 (94 [87–97])	100[100–100]
	AVPU	98 (85 [75–92])	100[78–100]
	Convulsions and fever	93 (81 [69–89])	92[75–100]
	LP ordered	62 (54 [39–68])	57[0–75]
	LP results available	21 (34 [21–49])	33[0–50]
HIV testing
	HIV test done	156 (12 [7–19])	8[2–16]

*Indicators are defined in Table 1.