Spreadsheet: 212fac07-79fd-4593-bc6f-5ed3443000af
Sheet: Sheet1

Table S4: Changes for process indicators by hospital during each survey | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8
Process indicator | H1 | H2 | H3 | H4 | H5 | H6 | H7 | H8
 | n(%) | 95%CI | n(%) | 95%CI | n(%) | 95%CI | n(%) | 95%CI
Child's weight documented
Survey 1 | 113/246(46[40,52]) | 103/330(31[26,37]) | 247/261(95[91,97]) | 192/293(66[60,71]) | 59/121(49[40,58]) | 9/285(3[1,6]) | 86/276(31[26,37]) | 3/323(1[0,3])
Survey 2 | 181/241(75[69,80]) | 260/331(79[74,83]) | 234/247(95[91,97]) | 154/203(76[69,82]) | 70/108(65[55,74]) | 77/208(37[30,44]) | 205/279(73[68,79]) | 112/245(46[39,52])
Survey 3 | 176/231(76[70,82]) | 318/335(95[92,97]) | 263/272(97[94,98]) | 149/236(63[57,69]) | 34/138(25[18,33]) | 101/217(47[40,53]) | 193/232(83[78,88]) | 119/242(49[43,56])
Survey 4 | 201/230(87[82,91]) | 304/312(97[95,99]) | 286/309(93[89,95]) | 186/307(61[55,66]) | 123/271(45[39,52]) | 163/198(82[76,87]) | 269/341(79[74,83]) | 156/337(46[41,52])
Survey 5* | 174/229(76[70,81]) | 316/327(97[94,98]) | 259/270(96[93,98]) | 115/195(59[52,66])
Survey 6* | 174/195(89[84,93]) | 303/311(97[95,99]) | 286/297(96[93,98]) | 147/303(49[43,54])
Child's temperature documented
Survey 1 | 7/246(3[1,6]) | 37/330(11[8,15]) | 10/261(4[2,7]) | 87/293(30[25,35]) | 2/121(2[0,6]) | 251/285(88[84,92]) | 23/276(8[5,12]) | 7/323(2[1,4])
Survey 2 | 48/241(20[15,26]) | 194/331(59[53,64]) | 184/247(74[69,80]) | 142/203(70[63,76]) | 27/108(25[17,34]) | 185/208(89[84,93]) | 133/279(48[42,54]) | 72/245(29[24,36])
Survey 3 | 50/231(22[17,28]) | 275/335(82[78,86]) | 166/272(61[55,67]) | 172/236(73[67,78]) | 11/138(8[4,14]) | 195/217(90[85,94]) | 94/232(41[34,47]) | 109/242(45[39,52])
Survey 4 | 125/230(54[48,61]) | 280/312(90[86,93]) | 233/309(75[70,80]) | 209/307(68[63,73]) | 3/271(1[0,3]) | 187/198(94[90,97]) | 180/341(53[47,58]) | 128/337(38[33,43])
Survey 5* | 90/229(39[33,46]) | 285/327(87[83,91]) | 205/270(76[70,81]) | 107/195(55[48,62])
Survey 6* | 97/195(50[43,57]) | 276/311(89[85,92]) | 203/297(68[63,74]) | 156/303(51[46,57])
Average assessment score† (range, 0-1)
Survey 1 | 0.30[0.29-0.32] | 0.30[0.29-0.31] | 0.34[0.33-0.36] | 0.31[0.30-0.32] | 0.26[0.23-0.28] | 0.32[0.31-0.34] | 0.44[0.42-0.45] | 0.26[0.24-0.27]
Survey 2 | 0.85[0.82-0.88] | 0.93[0.91-0.95] | 0.97[0.96-0.99] | 0.88[0.84-0.92] | 0.74[0.68-0.81] | 0.54[0.50-0.57] | 0.71[0.67-0.74] | 0.83[0.81-0.85]
Survey 3 | 0.84[0.81-0.87] | 0.98[0.97-0.98] | 0.93[0.91-0.95] | 0.92[0.90-0.94] | 0.33[0.29-0.37] | 0.50[0.46-0.54] | 0.77[0.74-0.81] | 0.87[0.85-0.88]
Survey 4 | 0.88[0.85-0.91] | 0.97[0.96-0.98] | 0.97[0.96-0.98] | 0.92[0.91-0.93] | 0.38[0.35-0.40] | 0.72[0.67-0.76] | 0.65[0.62-0.68] | 0.84[0.82-0.85]
Survey 5* | 0.66[0.62-0.70] | 0.94[0.93-0.96] | 0.91[0.90-0.93] | 0.90[0.88-0.92]
Survey 6* | 0.72[0.68-0.75] | 0.94[0.93-0.95] | 0.88[0.86-0.89] | 0.82[0.79-0.85]
Proportion of malaria with a severity classification
Survey 1 | 46/214(21[16,28]) | 18/219(8[5,13]) | 9/211(4[2,8]) | 14/220(6[4,10]) | 5/103(5[2,11]) | 4/185(2[1,5]) | 2/249(1[0,3]) | 3/142(2[0,6])
Survey 2 | 161/185(87[81,92]) | 161/208(77[71,83]) | 144/151(95[91,98]) | 132/160(83[76,88]) | 57/82(70[58,79]) | 84/150(56[48,64]) | 143/212(67[61,74]) | 66/96(69[58,78])
Survey 3 | 153/175(87[82,92]) | 221/239(92[88,95]) | 179/192(93[89,96]) | 163/176(93[88,96]) | 13/61(21[12,34]) | 40/132(30[23,39]) | 115/186(62[54,69]) | 79/114(69[60,78])
Survey 4 | 176/184(96[92,98]) | 194/200(97[94,99]) | 163/196(83[77,88]) | 229/243(94[91,97]) | 22/212(10[7,15]) | 56/105(53[43,63]) | 60/273(22[17,27]) | 100/127(79[71,85])
Survey 5* | 96/140(69[60,76]) | 134/145(92[87,96]) | 25/73(34[24,46]) | 72/82(88[79,94])
Survey 6* | 95/138(69[60,76]) | 83/104(80[71,87]) | 32/96(33[24,44]) | 89/149(60[51,68])
Proportion with quinine loading dose
Survey 1 | 6/162(4[1,8]) | 5/84(6[2,13]) | 3/169(2[0,5]) | 11/205(5[3,9]) | 7/104(7[3,13]) | 55/105(52[42,62]) | 0/236(0) | 0/125(0)
Survey 2 | 149/172(87[81,91]) | 82/92(89[81,95]) | 123/131(94[88,97]) | 77/127(61[52,69]) | 58/82(71[60,80]) | 12/84(14[8,24]) | 116/193(60[53,67]) | 9/60(15[7,27])
Survey 3 | 129/148(87[81,92]) | 171/181(94[90,97]) | 57/60(95[86,99]) | 126/156(81[74,87]) | 30/94(32[23,42]) | 20/93(22[14,31]) | 102/192(53[46,60]) | 11/78(14[7,24])
Survey 4 | 149/168(89[83,93]) | 160/163(98[95,100]) | 86/88(98[92,100]) | 181/218(83[77,88]) | 112/116(97[91,99]) | 22/71(31[21,43]) | 84/89(94[87,98]) | 31/69(45[33,57])
Survey 5* | 121/132(92[86,96]) | 181/183(99[96,100]) | 48/53(91[79,97]) | 121/135(90[83,94])
Survey 6* | 134/142(94[89,98]) | 74/79(94[86,98]) | 105/116(91[84,95]) | 181/207(87[82,92])
Proportion with twice daily quinine maintenance dose
Survey 1 | 0/154(0) | 0/72(0) | 0/161(0) | 3/192(2[0,4]) | 3/94(3[1,9]) | 34/94(36[27,47]) | 1/234(0[0,2]) | 0/88(0)
Survey 2 | 89/146(61[53,69]) | 58/77(75[64,84]) | 116/120(97[92,99]) | 57/120(48[38,57]) | 41/67(61[49,73]) | 45/78(58[46,69]) | 36/166(22[16,29]) | 22/52(42[29,57])
Survey 3 | 94/132(71[63,79]) | 159/173(92[87,96]) | 53/55(96[87,100]) | 63/144(44[36,52]) | 14/46(30[18,46]) | 38/87(44[33,55]) | 19/175(11[7,16]) | 7/66(11[4,21])
Survey 4 | 117/152(77[69,83]) | 149/154(97[93,99]) | 72/77(94[85,98]) | 175/208(84[78,89]) | 43/76(57[45,68]) | 31/64(48[36,61]) | 35/81(43[32,55]) | 20/58(34[22,48])
Survey 5* | 78/94(83[74,90]) | 126/128(98[94,100]) | 32/35(91[77,98]) | 67/71(94[86,98])
Survey 6* | 101/118(86[78,91]) | 57/63(90[80,96]) | 37/59(63[49,75]) | 110/132(83[76,89])
Proportion with quinine daily dose >=40mg/kg
Survey 1 | 25/161(16[10,22]) | 4/79(5[1,12]) | 4/168(2[1,6]) | 13/205(6[3,11]) | 11/102(11[6,18]) | 14/101(14[8,22]) | 11/236(5[2,8]) | 34/125(27[20,36])
Survey 2 | 10/162(6[3,11]) | 1/85(1[0,6]) | 1/129(1[0,4]) | 6/127(5[2,10]) | 5/76(7[2,15]) | 7/83(8[3,17]) | 13/192(7[4,11]) | 11/59(19[10,31])
Survey 3 | 4/144(3[1,7]) | 1/180(1[0,3]) | 0/59(0) | 12/156(8[4,13]) | 12/88(14[7,23]) | 14/93(15[8,24]) | 2/191(1[0,4]) | 6/77(8[3,16])
Survey 4 | 0/159(0) | 1/163(1[0,3]) | 1/85(1[0,6]) | 5/218(2[1,5]) | 6/84(7[3,15]) | 4/71(6[2,14]) | 1/89(1[0,6]) | 11/69(16[8,27])
Survey 5* | 0/113(0) | 0/182(0) | 0/52(0) | 2/133(2[0,5])
Survey 6* | 0/138(0) | 1/79(1[0,7]) | 1/115(1[0,5]) | 3/204(1[0,4])
Proportion of pneumonia with a severity classification
Survey 1 | 15/97(15[9,24]) | 19/189(10[6,15]) | 8/100(8[4,15]) | 5/137(4[1,8]) | 5/18(28[10,53]) | 7/140(5[2,10]) | 15/78(19[11,30]) | 10/146(7[3,12])
Survey 2 | 98/112(88[80,93]) | 179/199(90[85,94]) | 105/105(100[97,100]) | 88/100(88[80,94]) | 21/30(70[51,85]) | 91/137(66[58,74]) | 63/77(82[71,90]) | 125/134(93[88,97])
Survey 3 | 109/117(93[87,97]) | 208/220(95[91,97]) | 144/153(94[89,97]) | 138/150(92[86,96]) | 4/25(16[5,36]) | 63/111(57[47,66]) | 80/123(65[56,73]) | 92/112(82[74,89])
Survey 4 | 76/81(94[86,98]) | 204/211(97[93,99]) | 106/111(95[90,99]) | 151/160(94[90,97]) | 14/85(16[9,26]) | 77/111(69[60,78]) | 70/145(48[40,57]) | 170/181(94[89,97])
Survey 5 | 59/59(100[94,100]) | 114/116(98[94,100]) | 84/85(99[94,100]) | 73/78(94[86,98])
Survey 6 | 36/38(95[82,99]) | 110/114(96[91,99]) | 82/82(100[96,100]) | 75/88(85[76,92])
Proportion with once daily gentamicin dose
Survey 1 | 1/99(1[0,5]) | 2/191(1[0,4]) | 2/125(2[0,6]) | 5/133(4[1,9]) | 0/21(0) | 20/183(11[7,16]) | 1/51(2[0,10]) | 3/236(1[0,4])
Survey 2 | 44/57(77[64,87]) | 117/175(67[59,74]) | 47/47(100[92,100]) | 47/97(48[38,59]) | 21/29(72[53,87]) | 42/118(36[27,45]) | 47/56(84[72,92]) | 108/149(72[65,79])
Survey 3 | 61/78(78[67,87]) | 148/155(95[91,98]) | 35/35(100[90,100]) | 82/99(83[74,90]) | 36/56(64[50,77]) | 52/126(41[33,50]) | 41/51(80[67,90]) | 100/143(70[62,77])
Survey 4 | 62/75(83[72,90]) | 134/138(97[93,99]) | 41/46(89[76,96]) | 103/117(88[81,93]) | 68/90(76[65,84]) | 78/114(68[59,77]) | 72/84(86[76,92]) | 129/190(68[61,74])
Survey 5* | 63/74(85[75,92]) | 149/152(98[94,100]) | 58/60(97[88,100]) | 55/58(95[86,99])
Survey 6* | 23/30(77[58,90]) | 140/145(97[92,99]) | 66/66(100[95,100]) | 71/93(76[66,85])
Proportion with gentamicin daily dose <4mg/kg
Survey 1 | 46/99(46[36,57]) | 41/191(21[16,28]) | 21/125(17[11,25]) | 20/133(15[9,22]) | 13/21(62[38,82]) | 19/183(10[6,16]) | 7/51(14[6,26]) | 18/236(8[5,12])
Survey 2 | 7/57(12[5,24]) | 5/175(3[1,7]) | 2/47(4[1,15]) | 5/97(5[2,12]) | 2/29(7[1,23]) | 31/118(26[19,35]) | 12/56(21[12,34]) | 42/149(28[21,36])
Survey 3 | 7/78(9[4,18]) | 3/155(2[0,6]) | 1/35(3[0,15]) | 2/99(2[0,7]) | 4/56(7[2,17]) | 32/126(25[18,34]) | 1/51(2[0,10]) | 17/143(12[7,18])
Survey 4 | 1/75(1[0,7]) | 3/138(2[0,6]) | 0/46(0) | 6/117(5[2,11]) | 15/90(17[10,26]) | 8/114(7[3,13]) | 5/84(6[2,13]) | 12/190(6[3,11])
Survey 5 | 11/74(15[8,25]) | 0/152(0) | 1/60(2[0,9]) | 2/58(3[0,12])
Survey 6 | 2/30(7[1,22]) | 1/145(1[0,4]) | 0/66(0) | 12/93(13[7,21])
Proportion with gentamicin daily dose >=10mg/kg
Survey 1 | 3/99(3[1,9]) | 1/191(1[0,3]) | 6/125(5[2,10]) | 9/133(7[3,12]) | 1/21(5[0,24]) | 13/183(7[4,12]) | 4/51(8[2,19]) | 21/236(9[6,13])
Survey 2 | 10/57(18[9,30]) | 21/175(12[8,18]) | 2/47(4[1,15]) | 11/97(11[6,19]) | 2/29(7[1,23]) | 15/118(13[7,20]) | 4/56(7[2,17]) | 8/149(5[2,10])
Survey 3 | 9/78(12[5,21]) | 6/155(4[1,8]) | 0/35(0) | 7/99(7[3,14]) | 5/56(9[3,20]) | 7/126(6[2,11]) | 6/51(12[4,24]) | 21/143(15[9,22])
Survey 4 | 7/75(9[4,18]) | 2/138(1[0,5]) | 3/46(7[1,18]) | 9/117(8[4,14]) | 13/90(14[8,23]) | 7/114(6[3,12]) | 2/84(2[0,8]) | 31/190(16[11,22])
Survey 5* | 3/74(4[1,11]) | 2/152(1[0,5]) | 4/60(7[2,16]) | 8/58(14[6,25])
Survey 6* | 6/30(20[8,39]) | 3/145(2[0,6]) | 0/66(0) | 9/93(10[5,18])
Adequate Oxygen Prescriptions
Survey 1 | 0/8(0) | 0/36(0) | 0/17(0) | 0/30(0) | 0/1(0) | 0/17(0) | 0/8(0) | 0/52(0)
Survey 2 | 2/22(9[1,29]) | 15/46(33[20,48]) | 2/17(12[1,36]) | 0/42(0) | 2/5(40[5,85]) | 0/46(0[0,8]) | 10/20(50[27,73]) | 1/77(1[0,7])
Survey 3 | 0/34(0) | 33/51(65[50,78]) | 2/19(11[1,33]) | 5/62(8[3,18]) | 1/12(8[0,38]) | 0/36(0) | 4/19(21[6,46]) | 0/72(0)
Survey 4 | 3/33(9[2,24]) | 38/49(78[63,88]) | 6/25(24[9,45]) | 19/51(37[24,52]) | 0/15(0) | 1/18(6[0,27]) | 1/27(4[0,19]) | 0/60(0)
Survey 5 | 19/39(49[32,65]) | 52/70(74[62,84]) | 8/30(27[12,46]) | 2/27(7[1,24])
Survey 6 | 16/25(64[43,82]) | 24/41(59[42,74]) | 1/26(4[0,20]) | 0/29(0)
Proportion od diarrhoea/ dehydration diagnosis with a severity classification
Survey 1 | 27/57(47[34,61]) | 25/42(60[43,74]) | 21/57(37[24,51]) | 27/41(66[49,80]) | 7/10(70[35,93]) | 17/35(49[31,66]) | 33/48(69[54,81]) | 40/73(55[43,66])
Survey 2 | 87/90(97[91,99]) | 45/47(96[85,99]) | 85/85(100[96,100]) | 45/47(96[85,99]) | 19/21(90[70,99]) | 50/59(85[73,93]) | 49/54(91[80,97]) | 84/88(95[89,99])
Survey 3 | 63/66(95[87,99]) | 79/82(96[90,99]) | 60/60(100[94,100]) | 67/67(100[95,100]) | 10/17(59[33,82]) | 45/63(71[59,82]) | 32/40(80[64,91]) | 73/79(92[84,97])
Survey 4 | 57/58(98[91,100]) | 115/119(97[92,99]) | 109/110(99[95,100]) | 101/102(99[95,100]) | 28/41(68[52,82]) | 58/62(94[84,98]) | 58/68(85[75,93]) | 130/141(92[86,96])
Survey 5* | 29/29(100[88,100]) | 40/40(100[91,100]) | 46/46(100[92,100]) | 40/40(100[91,100])
Survey 6* | 18/18(100[81,100]) | 29/29(100[88,100]) | 70/70(100[95,100]) | 62/62(100[94,100])
Correct fluid prescription
Survey 1 | 2/33(6[1,20]) | 2/16(13[2,38]) | 0/85(0) | 3/28(11[2,28]) | 0/9(0) | 3/25(12[3,31]) | 11/27(41[22,61]) | 1/14(7[0,34])
Survey 2 | 43/77(56[44,67]) | 9/27(33[17,54]) | 45/58(78[65,87]) | 7/29(24[10,44]) | 5/14(36[13,65]) | 0/15(0) | 12/43(28[15,44]) | 7/61(11[5,22])
Survey 3 | 29/47(62[46,75]) | 20/49(41[27,56]) | 11/24(46[26,67]) | 15/37(41[25,58]) | 3/15(20[4,48]) | 7/40(18[7,33]) | 16/40(40[25,57]) | 23/60(38[26,52])
Survey 4 | 28/53(53[39,67]) | 57/69(83[72,91]) | 50/65(77[65,86]) | 39/69(57[44,68]) | 8/25(32[15,54]) | 16/47(34[21,49]) | 45/66(68[56,79]) | 27/96(28[19,38])
Survey 5* | 20/65(31[20,43]) | 41/54(76[62,87]) | 17/29(59[39,76]) | 9/34(26[13,44])
Survey 6* | 18/29(62[42,79]) | 44/59(75[62,85]) | 41/52(79[65,89]) | 33/68(49[36,61])
*Survey conducted in intervention group only
† average score[95% CI]