Table 3. Differences in estimates of indicators of quality of care from register review for children observed by the survey team and children not observed.
Indicator | Observed by survey team | Not observed by survey team | Difference | p-value | ||
---|---|---|---|---|---|---|
n | % (95% CI) | n | % (95% CI) | (95% CI) | ||
Correct classification of major iCCM illnesses | 246 | 67.9 (60.9, 74.2) | 298 | 73.2 (66.4, 79.0) | -5.3 (-13.0, 2.4) | 0.18 |
Correct treatment of pneumonia | 42 | 78.6 (58.1, 90.7) | 52 | 84.6 (71.4, 92.4) | -6.0 (-21.8, 9.8) | 0.45 |
Correct treatment of diarrhea | 160 | 73.8 (64.4, 81.4) | 155 | 68.4 (59.0, 76.5) | 5.4 (-4.6, 15.4) | 0.29 |
Correct treatment of malnutrition | 32 | 71.9 (51.2, 86.2) | 51 | 62.8 (43.5, 78.6) | 9.1 (-11.4, 29.6) | 0.39 |
Correct management of major iCCM illnesses | 246 | 65.9 (58.4, 72.6) | 298 | 67.8 (60.9, 74.0) | -1.9 (-9.9, 6.1) | 0.64 |
Correct management of severe illness | 40 | 32.5 (17.5, 52.3) | 26 | 23.1 (10.9, 42.4) | 9.4 (-12.4, 31.2) | 0.41 |
Correct dose, schedule, and duration for all treatments | 167 | 91.6 (85.5, 95.3) | 210 | 89.5 (85.0, 92.8) | 2.1 (-3.8, 8.0) | 0.49 |
Unnecessary antibiotic or antimalarial prescribed | 246 | 3.7 (1.6, 8.2) | 298 | 5.0 (2.9, 8.6) | -1.3 (-4.7, 2.1) | 0.46 |
Immunization status checked 1 | 88 | 95.5 (88.5, 98.3) | 89 | 97.8 (91.0, 99.5) | -2.3 (-7.6, 3.0) | 0.4 |
Vitamin A supplement given when needed | 49 | 20.4 (9.5, 38.5) | 59 | 15.3 (5.9, 34.2) | 5.1 (-9.4, 19.6) | 0.49 |
Mebendazole given when needed | 23 | 17.4 (6.2, 40.3) | 36 | 2.8 (0.3, 19.6) | 14.6 (-1.8, 31.0) | 0.05 |
Correct referral when needed | 50 | 66.0 (48.2, 80.2) | 32 | 56.3 (38.9, 72.2) | 9.7 (-11.9, 31.3) | 0.38 |
1 Children under 12 months of age.