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Developing and introducing evidence based clinical practice guidelines for serious illness in Kenya
(University of Nairobi, 2003-09)
The under-5 mortality rate in most developing countries remains high yet many deaths could be averted if available knowledge was put into practice. For seriously ill children in hospital investigations in low-income countries ...
Evaluation of assessment instruments used on children presenting with altered level of consciousness.
(2008)
To compare current care with a proposed gold standard (formal coma scale use) for assessment of children presenting with altered consciousness.
A prospective study.
Kenyatta National Hospital, Nairobi, Kenya.
One hundred ...
Health systems research in a low-income country: easier said than done
(University of Nairobi, 2008-06)
Small hospitals sit at the apex of the pyramid of primary care in the health systems of many low-income countries. If the Millennium Development Goal for child survival is to be achieved, hospital care for referred severely ...
Factors influencing performance of health workers in the management of seriously sick children at a Kenyan tertiary hospital - participatory action research.
(Univeristy of Nairobi, 2014-02)
Background: Implementation of World Health Organization case management guidelines for serious childhood illnesses remains a challenge in hospitals in low-income countries. Facilitators of and barriers to implementation ...
Effect Of Newborn Resuscitation Training On Health Worker Practices In Pumwani Hospital, Kenya.
(University of Nairobi, 2008)
Background Birth asphyxia kills 0.7 to 1.6 million newborns a year globally with 99% of deaths in developing countries. Effective newborn resuscitation could reduce this burden of disease but the training of health-care ...
Delivery of paediatric care at the first-referral level in Kenya.
(University of Nairobi, 2004-11-30)
We aimed to investigate provision of paediatric care in government district hospitals in Kenya. We surveyed 14 first-referral level hospitals from seven of Kenya's eight provinces and obtained data for workload, outcome ...
Delivery outcomes and patterns of morbidity and mortality for neonatal admissions in five Kenyan hospitals.
(University of Nairobi, 2015)
A cross-sectional survey was conducted in neonatal and maternity units of five Kenyan district public hospitals. Data for 1 year were obtained: 3999 maternal and 1836 neonatal records plus tallies of maternal deaths, ...
Oral Amoxicillin versus Benzyl Penicillin for Severe Pneumonia among Kenyan Children: A Pragmatic Randomized Controlled Non-inferiority Trial.
(University of Nairobi, 2014-12-30)
BACKGROUND:
There are concerns that the evidence from studies showing non-inferiority of oral amoxicillin to benzyl penicillin for severe pneumonia may not be generalizable to high mortality settings.
METHODS:
An ...
A randomised, controlled trial of once daily and multi-dose daily gentamicin in young Kenyan infants
(University of Nairobi, 2004-07)
AIMS: To test the suitability of a simple once daily (OD) gentamicin regimen for use in young infants where routine therapeutic drug monitoring is not possible. METHODS: In an open, randomised, controlled trial, infants ...
Topical Umbilical Cord Care for Prevention of Infection and Neonatal Mortality
(University of Nairobi, 2013)
Umbilical cord care varies often reflecting community or health-worker beliefs. We undertook a review of current evidence on topical umbilical cord care. Study quality was assessed using the Grading of Recommendations, ...