Table 4.
Number and proportion of child consultation steps correctly performed by HEW with Rad‐G after training (observation 1) and after 2 months of routine use (observation 2)
Consultation steps | Observation 1 (after training) | Observation 2 (after 2 months) | |||||
---|---|---|---|---|---|---|---|
n | % | 95% CI | n | % | 95% CI | ||
1 | Child calm before Rad‐G attempt | 224 | 84.8 | 79.9, 88.7 | 248 | 95.8 | 92.5, 97.6 |
2 | Correct mode selected | 264 | 100.0 | 98.6, 1.0 | 258 | 99.6 | 97.3, 99.9 |
3 | Correct age group | 237 | 89.8 | 85.4, 92.9 | 246 | 95.0 | 91.5, 97.1 |
4 | Correct probe position | 253 | 95.8 | 92.6, 97.7 | 258 | 99.6 | 97.3, 99.9 |
5 | Correct probe direction | 257 | 97.3 | 94.5, 98.7 | 254 | 98.1 | 95.4, 99.2 |
6 | Child not eating/feeding during Rad‐G attempt | 244 | 92.4 | 88.5, 95.1 | 257 | 99.2 | 96.9, 99.8 |
7 | Child calm during Rad‐G attempt | 249 | 94.3 | 90.8, 96.6 | 251 | 96.9 | 93.9, 98.5 |
1–7 | Cumulative assessment (steps 1–7) | 180 | 68.2 | 62.3, 73.6 | 227 | 87.6 | 83.0, 91.1 |
1–7: Denominator = Children who were assessed (assessment started) | 264 | 259 | |||||
8 | Correct classification using Rad‐G | 183 | 93.8 | 89.4, 96.5 | 229 | 96.2 | 92.9, 98.0 |
1–8 | Correct assessment and classification (steps 1–8) – primary outcome | 149 | 76.4 | 69.9, 81.9 | 203 | 85.3 | 80.2, 89.3 |
9 | Correct treatment and referral guidance using Rad‐G classification and HEW's assessment of other symptoms (yes/no?) | 185 | 94.9 | 90.7, 97.2 | 228 | 95.8 | 92.3, 97.7 |
Denominator = Children with RR and SpO2SpO2 classification (Rad‐G) | 195 | 238 | |||||
Intention to treat | |||||||
8 | Correct classification using Rad‐G | 183 | 69.3 | 63.5, 74.6 | 229 | 88.4 | 83.9, 91.8 |
1–8 | Correct assessment and classification (steps 1–8) – primary outcome | 149 | 56.4 | 50.4, 62.3 | 203 | 78.4 | 72.9, 83.0 |
Further analysis | |||||||
2, 4, 5 | Manufacturer instructions for use correctly performed (steps 2, 4, 5) | 248 | 93.9 | 90.3, 96.3 | 252 | 97.3 | 94.4, 98.7 |
1–3, 6–8 | Adherence to WHO requirements to assess fast breathing (steps 1, 3, 6, 7, 8) | 151 | 57.2 | 51.1, 63.1 | 208 | 80.3 | 75.0, 84.7 |
Denominator = Children who were assessed (assessment started) | 264 | 259 |