Instructions:  Please complete the full survey.  You will be prompted for your recommendations within the following areas, at the community, frontline facility, and hospital levels:
1. New diagnostics (tests or devices)
2. Diagnostic algorithm changes (other than tests or devices)
3. New treatments (equipment, devices, pharmaceuticals—including changes in doses, frequency, or duration)

Please also identify in all responses which child health area the innovation is targeting.

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* 1. By answering "yes" to this question you are agreeing to be listed as a key informant in the Strategic Review's final report and providing consent for publication of these survey results (should they be published).  Should these results be published in any peer reviewed publication you will be consulted and have the option of co-authorship.

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* 2. From the below choices please select the child health area(s) in which your answers will be focused (more than 1 box can be checked).

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* 3. Do you recommend including any new diagnostics (i.e., tests or devices) that can be implemented into existing WHO algorithms used at the community (iCCM guidelines)?

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* 4. If Q3 is YES please list the innovation(s).

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* 5. If Q3 is YES please describe why here.

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* 6. Do you recommend including any new diagnostics (i.e., tests or devices) that can be implemented into existing WHO algorithms used at the frontline facility (IMCI guidelines)?

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* 7. If Q6 is YES please list the innovation(s).

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* 8. If Q6 is YES please describe why here.

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* 9. Do you recommend including any new diagnostics (i.e., tests or devices) that can be implemented into existing WHO algorithms used at the hospital (Pocketbook guidelines) level?

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* 10. If Q9 is YES please list the innovation(s).

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* 11. If Q9 is YES please describe why here.

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* 12. Do you recommend any diagnostic algorithm changes (other than tests or devices) for the algorithms used at the community (iCCM guidelines)?

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* 13. If Q12 is YES please list the innovation(s).

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* 14. If Q12 is YES please describe why here.

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* 15. Do you recommend any diagnostic algorithm changes (other than tests or devices) for the algorithms used at frontline facility (IMCI guidelines) levels?

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* 16. If Q15 is YES please list the innovation(s).

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* 17. If Q15 is YES please describe why here

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* 18. Do you recommend any diagnostic algorithm changes (other than tests or devices) for the algorithms used at the hospital (Pocketbook guidelines) level?

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* 19. If Q18 is YES please list the innovation(s).

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* 20. If Q18 is YES please describe why here.

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* 21. Do you recommend any new treatments (i.e., equipment, pharmaceuticals (including changes in doses, frequency, or duration), devices) that are ready for implementation to be incorporated into the algorithms used at the community (iCCM guidelines) levels?

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* 22. If Q21 is YES please list the innovation(s).

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* 23. If Q21 is YES please describe why here.

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* 24. Do you recommend any new treatments (i.e., equipment, pharmaceuticals (including changes in doses, frequency, or duration), devices) that are ready for implementation to be incorporated into the algorithms used at the frontline facility (IMCI guidelines) levels?

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* 25. If Q24 is YES please list the innovation(s).

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* 26. If Q24 is YES please describe why here.

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* 27. Do you recommend any new treatments (i.e., equipment, pharmaceuticals (including changes in doses, frequency, or duration), devices) that are ready for implementation to be incorporated into the algorithms used at the hospital (Pocketbook guidelines) levels?

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* 28. If Q27 is YES please list the innovation(s).

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* 29. If Q27 is YES please describe why here.

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* 30. Do you recommend any treatment algorithm changes (other than equipment, pharmaceuticals, or devices) for the algorithms used at the community (iCCM guidelines) levels?

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* 31. If Q30 is YES please list the innovation(s).

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* 32. If Q30 is YES please describe why here.

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* 33. Do you recommend any treatment algorithm changes (other than equipment, pharmaceuticals, or devices) for the algorithms used at the frontline facility (IMCI guidelines) levels?

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* 34. If Q33 is YES please list the innovation(s).

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* 35. If Q33 is YES please describe why here.

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* 36. Do you recommend any treatment algorithm changes (other than equipment, pharmaceuticals, or devices) for the algorithms used at the hospital (Pocketbook guidelines) levels?

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* 37. If Q36 is YES please list the innovation(s).

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* 38. If Q36 is YES please describe why here.

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* 39. Are there any diagnostic or treatment innovations that are not yet ready for implementation that you would like to have included in a separate "future innovations" section?  If so please include below.  If you do not have a recommendation please enter "no" in the relevant text box.

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* 40. Are you willing to be contacted by phone for follow-up to the survey, if necessary?

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* 41. Please list your contact information below to be included in the report.

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* 42. Please list any additional contacts that you would recommend that we reach out to below, along with their contact information.

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* 43. Is there anything else you would like to add?

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