Integrated community case management quality of care measures
| Measure | First cohort VHWs n (%) | Second cohort VHWs n (%) | Overall n (%) |
| RDT performed for patient presenting with fever | 8278 (98) | 2258 (94) | 10 536 (97) |
| Malaria patients receiving correct management | 6864 (94) | 1617 (88) | 8841 (93) |
| Patients with negative RDT receiving correct management | 323 (21) | 172 (26) | 495 (23) |
| Respiratory rate recorded for patient presenting with cough or subjective fast breathing | 5693 (97) | 2305 (94) | 7998 (96) |
| Patients with elevated respiratory rate receiving correct treatment | 5625 (92) | 2200 (86) | 7825 (90) |
| Patients with diarrhoea receiving ORS and zinc | 3699 (92) | 1281 (90) | 4980 (92) |
| Patients inappropriately treated with ACT (out of total patients) | 182 (1) | 100 (2) | 282 (2) |
| Inappropriate ACT prescriptions (out of total ACT prescriptions) | 182 (3) | 100 (6) | 282 (3) |
| Patients inappropriately treated with amoxicillin (out of total patients) | 343 (3) | 256 (5) | 599 (3) |
| Inappropriate amoxicillin prescriptions (out of total amoxicillin prescriptions) | 343 (6) | 256 (10) | 599 (7) |
| Patients inappropriately treated with ORS, zinc or both (out of total patients) | 188 (1) | 73 (2) | 261 (1) |
| Inappropriate ORS or zinc prescriptions (out of total ORS and zinc prescriptions) | 188 (5) | 73 (5) | 261 (5) |
| Patients with danger signs appropriately referred to health facility | 137 (80) | 40 (69) | 177 (77) |
| Patients with danger signs receiving appropriate prereferral treatment | 96 (56) | 42 (72) | 138 (60) |
| Patients receiving overall correct management (all months)* | 10 455 (77) | 3244 (68) | 13 699 (74) |
| Patients receiving overall correct management (July 2016–December 2018) | 5560 (75) | 3244 (68) | 8804 (72) |
| Patients receiving overall correct management, excluding referral of patients with negative RDT (all months)* | 11 486 (84) | 3654 (76) | 15 140 (82) |
*April 2014–December 2018 for original VHWs, July 2016–December 2018 for expansion VHWs.
ACT, artemisinin combination therapy; ORS, oral rehydration solution; RDT, rapid diagnostic test; VHW, village health worker.