Table 2 Adjusted differences in process of care indicators during the post intervention period
Prospective | Retrospective | |||||||
|---|---|---|---|---|---|---|---|---|
Indicator of quality of care | Intervention % | Control % | Difference [95% CI] | Risk ratio [95% CI] | Intervention % | Control % | Difference [95% CI] | Risk ratio [95% CI] |
All Children | ||||||||
Childs weight documented | 79.1 | 45 | 36.2[21.0-51.4] | 1.9[1.4-2.6] | 82.8 | 59.1 | 26.8[12.8-40.8] | 1.5[1.2-1.9] |
Child’s temperature documented | 63 | 30.5 | 30.2[−10.3-70.7] | 3.7[0.6-22.4] | 64.9 | 46 | 19.4[−14.8-53.7] | 1.9[0.6-5.8] |
Vitamin A Administered on Admission | 16.4 | 17.3 | −0.3[−8.5-7.9] | 1.2[0.7-2.0] | 22.2 | 11.9 | 10.5[−5.3-26.3] | 2.1[0.5-9.9] |
Provider Initiated HIV testing | 18.1 | 15.8 | 3.3[−10.3-16.9] | 1.3[0.5-3.2] | 16 | 3.5 | 13.0[10.1-15.9] | 5.8[2.6-12.7] |
Vaccination status documented | 41.3 | 18.6 | 23.9[6.0-41.7] | 3.1[0.9-10.0] | 50.8 | 27.2 | 26.9[9.9-44.0] | 2.6[1.2-5.6] |
Average assessment score (range, 0–1) | 92.1 | 58.7 | 50.1[23.9-76.3] | 92.6 | 67.2 | 49.9[30.5-69.2] | ||
Children with diagnosis of malaria | ||||||||
Proportion of malaria with a severity classification | 91.9 | 43 | 50.9[23.7-78.0] | 2.4[1.3-4.4] | 89.1 | 46.8 | 41.4[14.3-68.5] | 2.0[1.1-3.5] |
Proportion with quinine loading dose | 88.5 | 59.3 | 46.4[5.9-86.8] | 2.5[0.9-7.1] | 86.9 | 58.1 | 37.6[9.0-66.2] | 2.0[1.0-3.8] |
Proportion with twice daily quinine maintenance dose | 94.1 | 74.9 | 24.7[11.4-38.1] | 1.4[1.1-1.7] | 79 | 42.5 | 37.5[14.2-60.7] | 1.9[1.3-2.8] |
Proportion with quinine daily dose > =40 mg/kg | 4 | 1 | 3.0[−1.4-7.4] | 2.2 | 8 | −7.0[−13.4--0.5] | 0.2[0.1-0.6] | |
Children with diagnosis of pneumonia | ||||||||
Proportion of pneumonia with a severity classification | 95.8 | 63.6 | 46.8[−1.2-94.8] | 1.5[1.1-2.0] | 93.3 | 70.1 | 33.5[−2.7-69.7] | 1.7[0.9-3.1] |
Proportion with once daily gentamicin dose | 86.8 | 57.6 | 27.6[11.6-43.5] | 1.5[1.1-2.1] | 79.1 | 68.1 | 14.9[9.7-20.1] | 1.2[1.1-1.4] |
Proportion with gentamicin daily dose <4 mg/kg | 3.9 | 3.4 | 2.3[−3.3-7.9] | 1.9[0.8-4.3] | 3.9 | 15.3 | −10.2[−12.3--8.1] | 0.3[0.2-0.4] |
Proportion with gentamicin daily dose > =10 mg/kg | 4.7 | 6.8 | −0.4[−6.0-5.2] | 1.0[0.5-2.2] | 8.6 | 9.9 | −0.3[−3.1-2.5] | 1.0[0.7-1.4] |
Children with diagnosis of diarrhea/dehydration | ||||||||
Proportion of diarrhoea/dehydration diagnosis with a severity classification | 98.6 | 85.2 | 8.2[−16.3-32.8] | 1.1[0.8-1.5] | 97.9 | 89.1 | 14.7[2.9-26.5] | 1.2[1.0-1.4] |
Correct fluid prescription | 67.3 | 11.5 | 60.2[23.5-96.9] | 2.7[1.4-5.3] | 62.2 | 32.7 | 33.0[22.8-43.2] | 2.1[1.6-2.9] |