Table 3.
Classification of observed sick children seen by HSAs in districts using the iCCM Mobile Application and Paper Tools, Based on Gold Standard Re-examination
| Characteristics |
iCCM mobile application (N = 535) |
Paper tools (N = 452) |
P-value |
||||
|---|---|---|---|---|---|---|---|
|
N |
Weighted % |
95% CI |
N |
Weighted
% |
95% CI |
||
| Cough with fast breathing |
99 |
21.5 |
15.7, 28.8 |
73 |
21.7 |
15.3, 29.7 |
0.980 |
| Fever: | |||||||
| -Less than 7 days |
330 |
67.1 |
61.6, 72.1 |
309 |
70.8 |
64.6, 76.3 |
0.356 |
| -7 days or more |
5 |
1.3 |
0.3, 5.3 |
10 |
3.0 |
1.3, 6.9 |
0.319 |
| Diarrhoea: | |||||||
| -Less than 14 days and no blood in stool |
127 |
21.0 |
16.2, 26.7 |
96 |
28.1 |
21.7, 35.5 |
0.108 |
| -14 days or more |
7 |
0.7 |
0.3, 1.5 |
1 |
0.1 |
0.0, 0.8 |
0.081 |
| -Blood in stool |
13 |
2.1 |
0.8, 5.3 |
8 |
2.8 |
0.9, 8.2 |
0.694 |
| Red eyes: |
|||||||
| -Less than 4 days |
26 |
5.1 |
2.6, 9.6 |
18 |
5.9 |
2.9, 11.4 |
0.764 |
| -4 days or more |
3 |
2.3 |
1.0, 5.3 |
5 |
0.5 |
0.2, 1.2 |
0.015 |
| -Visual problem |
0 |
0.0 |
0.0, 0.0 |
1 |
0.1 |
0.0, 0.8 |
0.318 |
| Chest indrawing |
11 |
1.9 |
0.7, 5.2 |
7 |
1.7 |
0.5, 6.0 |
0.900 |
| Vomits everything |
3 |
1.1 |
0.2, 5.7 |
3 |
0.3 |
0.1, 1.0 |
0.219 |
| Palmar pallor |
3 |
0.3 |
0.1, 0.9 |
2 |
0.2 |
0.1, 0.9 |
0.722 |
| MUAC tape: |
|||||||
| -Red |
0 |
0.3 |
0.1, 0.9 |
3 |
0.3 |
0.1, 1.0 |
0.921 |
| -Yellow |
3 |
0.3 |
0.1, 0.9 |
10 |
3.0 |
1.1, 8.2 |
0.003 |
| Convulsions |
1 |
0.1 |
0.0, 0.7 |
4 |
0.4 |
0.2, 1.2 |
0.190 |
| Not able to drink or feed anything |
1 |
0.1 |
0.0, 0.7 |
3 |
0.3 |
0.1, 1.0 |
0.307 |
| Very sleepy or unconscious |
3 |
0.0 |
0.0, 0.0 |
1 |
0.1 |
0.0, 0.8 |
0.318 |
| Swelling of both feet |
0 |
0.0 |
0.0, 0.0 |
2 |
1.2 |
0.2, 7.0 |
0.275 |
| Other problems, refer | 57 | 12.3 | 7.9, 18.7 | 60 | 11.4 | 7.3, 17.4 | 0.800 |
CI – confidence interval iCCM – integrated community case management, HSA – health surveillance assistant, MUAC – mid-upper arm circumference