Table 2.
List and definition of HWs' performance outcomes indicators
| Performance indicator | Definition |
|---|---|
| Completeness of assessment | |
| Assessment tasks requested for all children | |
| Danger signs | Proportion of children asked for all of the three following danger signs: “difficulty to drink,” “vomits everything,” and “history of convulsion” |
| Main symptoms | Proportion of children asked for all of the three following main symptoms: “fever,” “cough,” and “diarrhea” |
| Palmar pallor | Proportion of children checked for palmar pallor |
| Index of integrated assessment | Proportion of the 11 assessment tasks required for each child actually performed (three danger signs, three main symptoms, other problem, weight, temperature, vaccination card, palmar pallor; total = 11 tasks) |
| Assessment tasks requested for a subset of children | |
| Respiratory rate | Proportion of children with fever and cough who had their respiratory rate counted |
| Malaria test | Proportion of febrile children who had a malaria rapid test ordered for |
| Classifications appropriateness | |
| Children appropriately classified | Proportion of children with all classifications of HWs matching the expert classifications |
| Bacterial classifications identified | Proportion of children with at least one expert classification potentially due to a bacteria (pneumonia, dysentery, ear infection) identified by the HW |
| Viral infection identified | Proportion of children with expert classifications likely due to a virus (cough or cold, likely viral) identified by the HW |
| Treatment appropriateness | |
| Children appropriately managed | Proportion of children who were prescribed antimalarial, antibiotics, oral rehydration solution, and zinc when needed and no antibiotic nor antimalarial when not needed. |
| Children in need of antibiotic for whom it was prescribed | Proportion of children in need of an antibiotic as per expert classifications for whom at least one antibiotic was prescribed by the HW |
| Children not in need of antibiotic for whom it was not prescribed | Proportion of children not in need of an antibiotic as per expert classification for whom no antibiotic was prescribed by the HW |
| Children in need of antimalarial for whom it was prescribed | Proportion of children in need of an antimalarial as per expert classification for whom an antimalarial was prescribed by the HW |
| Children not in need of antimalarial for whom it was not prescribed | Proportion of children not in need of an antimalarial as per expert classification for whom no antimalarial was prescribed by the HW |
HW = health worker.