Table 4 Included Evaluations of Reliability of IMCI/IMNCI
Type of Reliability Evaluation | Author[ref] Year Country (Income level) | Comparison Groups | IMCI Variable Being Assessed | Volume Patient and Setting Characteristics (Age restrictions) | Results (kappa (k), percent agreement (Pa), Sensitivity (Sn), Specificity (Sp)) by triage level |
|---|---|---|---|---|---|
Inter-Ratera | Shewade [24] 2013 India (Lower-Middle Income) | 1. Health Care Worker 2. Study Investigator | IMCI category | N = 128 Community health center (0mos-5 yrs) | Overall k = 0.43 <2mos k = 0.31 >2mos k = 0.44 |
Battarachaya [21] 2012 India (Lower-Middle Income) | 1. Health Care Worker 2. Physician (IMCI Red/Yellow) | IMCI Red/Yellow categorization | n = 131 Inpatient pediatric hospital (2mos-5 yrs) | Pa = 36% Simple k = 0.16 Weighted k = 0.29 | |
Battarchaya [20] 2013 India (Lower-Middle Income) | 1. Health Care Worker 2. Physician (Diagnosis) | Diagnostic category | n = 117 Inpatient pediatric hospital (0-2mos) | Serious Bacterial Infection k = 0.38 Local Bacterial Infection k = 0.20 Jaundice k = 0.73 Dehydration k = 0.19 Unable to Feed k = 0.29 | |
Battarchaya [19] 2011 India (Lower-Middle Income) | 1. Health Care Worker 2. Physician (IMCI Red/Yellow) | IMCI Red/Yellow categorization | n = 117 Inpatient pediatric hospital (0-2mos) | Pa = 56% Simple k = 0.32 Weighted k = 0.41 | |
Gupta [23] 2000 India (Lower-Middle Income) | 1. Health Care Worker 2. Physician | IMCI Categorization | n = 129 ED and Outpatient clinics (0-2mos) | Pa = 60% | |
Gold Standard Comparisonb | Mazzi [26] 2010 Bolivia (Lower-Middle Income) | 1. Triage Nurse 2. ED Physiciana | IMNCI Red within Diagnostic categories | n = 1082 2 pediatric hospital ED (0mos-2mos) | Sn <35% for each sign Sp >85% for all signs |
Battarachaya [20] 2013 India (Lower-Middle Income) | 1. ED Nurse 2. Inpatient Physiciana | IMNCI Red within Diagnostic categories | n = 117 Inpatient pediatric hospital (0-2mos) | Serious bacterial infection: 89% Sn, 72% Sp Local Bacterial Infection: 14% Sn, 99% Sp Jaundice: 67% Sn, 99% Sp Dehydration: 25% Sn, 95% Sp Poor feeding: 44% Sn, 87% Sp | |
Mittal [27] 2013 India (Lower-Middle Income) | 1. Health Care Worker 2. ED Physiciana | IMCI Red categorization | n = 1043 Outpatient and pediatric ED in tertiary care center (0mos-5 yr) | 38.7% diagnostic mismatch in 0-7d age group 24.3% diagnostic mismatch in 7d-2mos age group 19.9% mismatch in 2mos-5 yr | |
Cao [22] 2004 Vietnam (Upper-Middle Income) | 1. Health Care Worker 2. Physiciana | IMCI Red categorization | n = 859 Inpatient pediatric hospital (2mos-5 yrs) | Severe Illness (IMCI Red) Sn 94.7% Sp 96.1% |