Impact of training across age, sex and gender to differences in responses
In stratified analysis of the impact of training on the sum score, training was consistently associated with increased identification of poor experiences in care across all subgroups apart from those aged 50 years or older and those with no education. We also observed that training had a larger impact among females compared with males, those with primary education only and among individuals presenting at smaller facilities (

Impact of training on identifying care lapses stratified by subgroups (N=3480). When all questions were collapsed into a sum score among trained exit clients, females were more likely to report lapses in care quality than males. We observed some level of interaction for care status, age category, education category and facility size. LTFU, lost to follow-up.Bubble plot showing trained exit sum score versus untrained exit sum score. Each bubble represents a single facility’s performance. Each bubble’s size indicates the number of patients at each facility with larger bubbles corresponding to larger facilities. The horizontal position notes the untrained exit sum score for all questions against the facility, and the vertical position notes the trained exit sum score at the same facility. TEC, trained exit client; UEC, untrained exit client.