Table 2.

Categories of facility quality based on performance scores

Performance quality	Criteria MCCD*	Criteria MSCD†	Criteria general service readiness‡
High	Performance score§ ≥7 All observed cases attended by a qualified HCW¶ All observed cases attended by an HCW trained in IMCI	Performance score ≥8 All vignettes-based scenarios answered by at least two-thirds** of qualified HCWs¶ All vignettes-based scenarios answered by at least one HCW trained in IMCI	Performance score ≥4
Intermediate	Performance score 5–6 All observed cases attended by a qualified HCW¶	Performance score 6–7 All vignettes-based scenarios answered by at least two-thirds of qualified HCWs	Performance score =3
Low	Performance score <5	Performance score <6	Performance score <3

*Maximum possible score =9.

†Maximum possible score =11.

‡Maximum possible score =5 .

§Performance score: high (≥70% of the maximum possible score); intermediate (50%–69%); low (<50%).

¶Qualified HCW: According to the national policy of quality assurance, nurse and midwife/midwife assistant are qualified to perform U5YO curative consultations.

**We used the cut-off of two-thirds because the minimum requirement staff at the CSPS level is composed of two-thirds of qualified HCWs for U5YO curative consultations (one nurse, one midwife/midwife assistant) and one AIS.

AIS, Agent Itinérant de Santé; CSPS, Centres de santé et de promotion sociale; HCW, healthcare worker; IMCI, Integrated Management of Childhood Illness; MCCD, management of common childhood diseases; MSCD, management of severe childhood diseases; U5YO, under 5-year-old.