Healthcare Worker Adherence to the Algorithm
Adherence to the clinical algorithm by prescribers showed that there were 52 participants who were not supposed to receive antibiotics but were prescribed antibiotics, and a similar number were prescribed antibiotics even though the algorithm suggested otherwise. The number of patients who were prescribed antibiotics was proportionally higher at Shai-Osudoku District Hospital (41 of 120, 34.2%) compared with St. Andrew's Hospital (11 of 78, 14.1%). There was a comparable proportion across the 2 sites for those who were supposed to receive an antibiotic but were not prescribed (28 of 83, 33.7% vs 24 of 65, 36.9%; Adherence to Algorithm by Healthcare WorkersAdherence to Antibiotic Prescription at Day 0 in Patients Managed in Intervention and Control ArmsA*: Accounting for the following: “Completed treatment as reported through qualitative in-depth interviews or directly to the healthcare worker.”B*: Accounting for the following: “Pill count criterion (≥90%).”C*: Accounting for the following: “Completed treatment” and “Pill count criterion (≥90%).”D**: Accounting for the following: “No other antibiotic (in participants without prescription on day 0).”* “Patient bought antibiotic” and “Other antibiotic” were common criteria for A, B, and C.** The nonadherent cases directly reflect cases being referred to as “antibiotic taken.”