Table 4

Multivariable regressions on sensitivity of pneumonia diagnosis among symptomatic children (n=573)

Model 1Model 2Model 3Model 4Model 5
ARR (95% CI)ARR (95% CI)ARR (95% CI)AIRR (95% CI)ARR (95% CI)
Urban0.63 (0.39 to 1.04)0.63 (0.38 to 1.04) 0.59 (0.36 to 0.97) 0.73 (0.44 to 1.19) 0.59 (0.36 to 0.99)
Private1.19 (0.85 to 1.67)1.16 (0.81 to 1.66)1.33 (0.92 to 1.92)1.18 (0.81 to 1.73)1.34 (0.92 to 1.96)
Hospital1.00 (0.61 to 1.66)0.87 (0.47 to 1.62)0.80 (0.44 to 1.46)0.80 (0.46 to 1.38)0.92 (0.48 to 1.77)
General service readiness1.42 (0.28 to 7.16)1.16 (0.24 to 5.64)0.86 (0.17 to 4.33)0.97 (0.18 to 5.20)
Child service readiness1.33 (0.34 to 5.15)1.39 (0.37 to 5.16)1.57 (0.41 to 5.99)1.32 (0.33 to 5.12)
Clinician (vs nurse/other) 2.00 (1.21 to 3.29) 1.91 (1.15 to 3.18) 2.00 (1.21 to 3.31)
Technical quality 18.05 (5.48 to 59.46)
IMCI training1.03 (0.63 to 1.68)
Supportive supervision1.13 (0.80 to 1.60)
Child age ≥1 year0.80 (0.57 to 1.13)0.79 (0.56 to 1.12)0.80 (0.57 to 1.12)0.78 (0.56 to 1.08)0.76 (0.55 to 1.06)
Severe case: fever and/or tachypnoea 1.59 (1.17 to 2.17) 1.60 (1.17 to 2.17) 1.58 (1.17 to 2.15) 1.55 (1.16 to 2.09) 1.61 (1.19 to 2.19)

  • Boldface type used for associations found to be significant at P <0.05. Clinician includes clinical officers, assistant medical officers and medical officers; other includes counsellors and social workers. Service readiness is an index from 0 to 1 comprising basic amenities, equipment, infection prevention, diagnostics and medications. Child service readiness is an index from 0 to 1 comprising staff and training, guidelines, and child-specific equipment and medication. Technical quality is the adherence to IMCI guidelines for clinical visits expressed as a proportion from 0 to 1.

  • AIRR, adjusted incidence rate ratio; ARR, adjusted relative risk; IMCI, Integrated Management of Childhood Illness.