dc.contributor.author | Mutinda, Catherine | |
dc.date.accessioned | 2013-11-20T06:14:00Z | |
dc.date.available | 2013-11-20T06:14:00Z | |
dc.date.issued | 2013 | |
dc.identifier.citation | Master of Medicine (Pediatrics and Child Health),University of Nairobi. 2013 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/59514 | |
dc.description.abstract | Background: Clinical Practice Guidelines for childhood illnesses including
pneumonia in Kenya are contained in the basic paediatric protocols. These have
been disseminated through the ETAT + course since 2007. Implementation of
guidelines into care has been shown to reduce case fatality from pneumonia by 36%.
Objectives: The study set to establish the level of and factors associated with
adherence to the National guidelines on management of pneumonia in children aged
2 – 59 months.
Design: Hospital based cross sectional study.
Setting: The paediatric department of Garissa Provincial General Hospital (PGH)
in Kenya.
Subjects: Clinical records of patients aged 2- 59 months diagnosed with
pneumonia from January to June 2012 were reviewed. Health workers who
participated in the care of these patients completed a self administered structured
questionnaire.
Results: Guideline adherence was assessed at three levels; assessment of clinical
signs and symptoms found to be 42.9% (SD ±17.3), correct classification of disease
severity was 56.6% and recommended treatment of pneumonia was 27.7%. The
presence of a co-morbidity and severe disease was associated with better
adherence to the assessment tasks (p = 0.033 and p =0.021 respectively). Disease
severity was associated with better adherence to the disease classification task (p =
<0.001) and treatment task (p = 0.02).
Health workers who participated in the study (n = 27) felt confident and equipped to
use the guidelines.
Conclusion: The levels of adherence were low. Diseases severity was
associated with better adherence at all levels. Assessment of pneumonia was
improved in the presence of co morbidity. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi, | en |
dc.title | Adherence to the national guidelines for management of children with pneumonia at Garrisa Provincial General Hospital. | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | School of Medicine, | en |