Intervention
The intervention consisted of providing ePOCT+ with the supporting IT infrastructure, C-reactive protein (CRP) semiquantitative lateral flow test, hemoglobin point-of-care tests (and hemoglobinometer if not already available), pulse oximeter, training and supportive mentorship (Extended Data Fig. All participating health facilities were provided with IT infrastructure to support the tablet-based ePOCT+ CDSA or in the case of control health facilities, to support the use of tablet-based eCRFs. The IT infrastructure included a tablet for each outpatient consultation room, router, local server (Rasberry Pi), internet and, if needed, back up power (battery) or solar power. In addition, weighing scales, mid-upper arm circumference bands and thermometers were provided to health facilities for both study arms if not already available. Health-care providers from both intervention and control health facilities received equivalent clinical refresher training based on the IMCI chartbook. In addition, specific training was provided on the use of the ePOCT+ CDSA in intervention facilities and the use of the eCRF in control facilities.