Use of Facility Ratings to Improve Satisfaction With Heath Care for Children

The primary outcome of this study is the proportion of mothers that changed their preferred health care facility for non-urgent child care services between baseline and endline surveys. Non-urgent care is defined as children with mild fever of 38 degrees along with cough. During the baseline and endline surveys, participants will be asked to specify their preferred location for non-urgent child care as follows: "If your child is sick tomorrow with mild fever of 38 degrees Celsius and cough, which hospital, clinic or health center will you take your child to?" The primary outcome will be a binary indicator for participants changing their preferred location between baseline and endline.

The secondary outcome measure will be satisfaction with the health care facility visited most recently for care for their child under age 2. This measure will only be available for mothers seeking care for their child during the study period. This will be a binary variable and satisfaction will be defined as answering "Excellent" or "Very good" (instead of "Good", "Fair", or "Poor") to the question, "How would you rate the overall quality of care you received?", referring to the most recent visit for their child under age 2 within the past 3 months.

This secondary outcome is the number and types of providers (government health centers, government hospitals, private clinics and private hospitals) visited by mothers for health care for their children during the study period. Every 2 weeks, all enrolled participants will be asked: "Did you visit a health center, hospital or clinic for child in the last two weeks?" using a mobile application. Ones that respond "Yes," will be requested to complete an online survey about the visit, which will ask them to specify the health facility visited.

This secondary outcome is the proportion of mothers that changed the most recently visited health care facility for child care services between baseline and endline surveys. This measure will be a binary variable and will only be available for caregivers using care both within the three months periods preceding the baseline and endline survey.

This secondary outcome is the proportion of mothers that used online or digital information sources reasons for choosing providers for non-urgent care. During the baseline and endline surveys, participants will be asked to specify their preferred location for non-urgent child care as follows: "If your child is sick tomorrow with mild fever of 38 degrees Celsius and cough, which hospital, clinic or health center will you take your child to?" After this question, participants will be asked, "Was this choice informed by online or digital information services?" This outcome will be a binary variable.

This secondary outcome is the proportion of mothers that changed their preferred health care facility for urgent child care services between baseline and endline surveys. Urgent care is defined as children with high fever and a red rash covering their body. During the baseline and endline surveys, participants will be asked to specify their preferred location for urgent child care as follows: "If your child is sick tomorrow with a very high fever of 39-40 degrees and a red rash covering their body, which hospital, clinic or health center will you take your child to?" This outcome will be a binary indicator for participants changing their preferred location for urgent care between baseline and endline.

This secondary outcome is the proportion of mothers can identify the best place for getting care for sick children based on his/her health problems. During the baseline and endline surveys, all participants will be asked to respond with "Strongly agree," "Agree," "Unsure," "Disagree" or "Strongly disagree" to the following question: "I am able to identify the best place to get care for my child when he/she is sick." This outcome will be a binary variable. Participants responding with "Strongly Agree" or "Agree" will be defined as being confident that they can identify the best place for getting care for sick children and participants responding with "Unsure," "Disagree," or "Strongly Disagree" will be defined as not being confident where to seek care.