Table 2.

Steps of the child consultation that community health workers using the Children’s Automated Respiration Monitor were observed completing.

Consultation step	Definition	Category
Correct child position	Back fully supported, either in the arms of the caregiver (younger child), sitting on caregiver’s lap with their back against the caregiver’s front (older child), or lying on their back on a flat surface (older child)	Device manufacturer instructions for use
Correct device position	Device on the belly line in line with the nipple	Device manufacturer instructions for use
Correct belt attachment	ChARMa touching skin/clothing and belt not tangled	Device manufacturer instructions for use
Correct age group	Age group selected by HEWb on ChARM matches screening checklist	WHOc requirements to assess fast breathing
Correct child behavior immediately before ChARM attempt	Calm: not actively crying or moving	WHO requirements to assess fast breathing
Correct child eating/breastfeeding status during successful ChARM attempt	No eating/breastfeeding	WHO requirements to assess fast breathing
Correct child behavior during successful ChARM attempt	Calm: not actively crying or moving	WHO requirements to assess fast breathing
Correct classification	According to CB-IMNCId guidelines, based on screening age group and breathing status of the child	WHO requirements to assess fast breathing

^aChARM: Children’s Automated Respiration Monitor.

^bHEW: health extension worker.

^cWHO: World Health Organization.

^dCB-IMNCI: community-based integrated management of neonatal and childhood illness.