Table 4.

Clinical officer care of patients meeting IMCI pneumonia criteria

	Ranking	Total	Individual clinical officers (COs)
			CO 1	CO 2	CO 3	CO 4	CO 5	CO 6	CO 7	CO 8	CO 9	CO 10
Level of training*	–	–	CO locum	Full-time CO	CO locum	CO intern	CO locum	Full-time CO	Full-time CO	Full-time CO	CO locum	CO intern
No. of patient encounters	–	274	24	26	22	19	38	24	37	32	27	25
Correct diagnosis	Poor	83 (30.3)	4 (16.7)	13 (50.0)	3 (13.6)	2 (10.5)	14 (36.8)	6 (25.0)	24 (64.9)	5 (15.6)	8 (29.6)	4 (16.0)
Correct antibiotics	Poor	53/254 (20.9)	4/24 (16.7)	4/26 (15.4)	4/22 (18.2)	2/18 (11.1)	6/32 (18.8)	4/24 (16.7)	18/31 (58.1)	4/32 (12.5)	6/20 (30.0)	1/25 (4.0)
Correct oxygen supplementation (if criteria met) †	Poor	5/22 (22.7)	0/1 (0.0)	0/1 (0.0)	0/3 (0.0)	0/3 (0.0)	0/2 (0.0)	1/1 (100.0)	2/6 (33.3)	1/1 (100.0)	0/2 (0.0)	1/2 (50.0)
Correctly admitted patients with severe and very severe pneumonia	Poor	61/103 (59.2)	5/7 (71.4)	4/8 (50.0)	5/7 (71.4)	2/6 (33.3)	7/17 (41.2)	5/5 (100.0)	15/20 (75.0)	2/10 (20.0)	12/15 (80.0)	4/8 (50.0)
100% of pneumonia assessment correct‡	Poor	61 (22.3)	4 (16.7)	4 (15.4)	3 (13.6)	2 (10.5)	7 (18.4)	4 (16.7)	24 (64.9)	4 (12.5)	8 (29.6)	1 (4.0)

Excellent, elements completed and/or correct for ≥80% of patient encounters; Average, elements completed and/or correct for ≥60% but <80% of patient encounters; Poor, elements completed and/or correct for <60% of patient encounters;

^*Level of training: full-time CO vs CO intern vs CO locum;

^†IMCI criteria for supplemental oxygen: pulse oximetry <90%, respiratory rate ≥70 breaths per minute, grunting in a young infant, head nodding, inability to drink, or severe chest indrawing.

^‡CO correctly diagnosed and treated patient (antibiotics, oxygen, hospitalization) based on IMCI guidelines for pneumonia.