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Factors influencing performance of health workers in the management of seriously sick children at a Kenyan tertiary hospital - participatory action research
(University of Nairobi, 2014-02-07)
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 ...
Implementing locally appropriate guidelines and training to improve care of serious illness in Kenyan hospitals: a story of scaling-up (and down and left and right)
(2011)
Inadequate health systems are now widely recognised as major barriers to improved newborn and child survival and achieving Millennium Development Goal 4 that calls for a two-thirds reduction in under 5 mortality in low-income ...
A Multifaceted Intervention to Implement Guidelines and Improve Admission Paediatric Care in Kenyan District Hospitals: A Cluster Randomised Trial
(2011)
In developing countries referral of severely ill children from primary care to district hospitals is common, but hospital care is often of poor quality. However, strategies to change multiple paediatric care practices in ...
Hospital outcomes for paediatric pneumonia and diarrhoea patients admitted in a tertiary hospital on weekdays versus weekends: a retrospective study
(2013)
Background:
Quality of patient care in hospitals has been shown to be inconsistent during weekends and night-
time hours, and is often associated with reduced patient monitoring, poor antibiotic prescription practices ...
Bacteremia among Children Admitted to a Rural Hospital in Kenya
(Universty of Nairobi, 2005-01)
There are few epidemiologic data on invasive bacterial infections among children in sub-Saharan Africa. We studied every acute pediatric admission to a rural district hospital in Kenya to examine the prevalence, incidence, ...
Computer aided learning to link evidence to paediatric learning and practice: a pilot in a medical school in a low income setting
(2010)
Bridging the gap between research evidence and practice is problematic in low income settings. Wereport medical students' experience with a pilot computer aided learning (CAL) program developed to enable students to explore ...
Are hospitals prepared to support newborn survival?–an evaluation of eight first‐referral level hospitals in Kenya
(2009-10)
To assess the availability of resources that support the provision of basic neonatal care in eight first-referral level (district) hospitals in Kenya.
We selected two hospitals each from four of Kenya’s eight provinces ...
The clinical profile of severe paediatric malaria in an area targeted for routine RTS,S/AS01 malaria vaccination in Western Kenya.`
(University of Nairobi, 2019)
Introduction:
There were almost 1 million deaths in children aged between 5 and 14 years in 2017, and pneumonia accounted for 11%. However, there are no validated guidelines for pneumonia management in older children ...
Exploring Variability in Care Between Hospitals Using Malaria Process Indicators Using Data From a Cross-Sectional Survey of 22 Hospitals
(University of Nairobi, 2014-08)
INTRODUCTION: Great efforts have been undertaken to develop and distribute clinical guidelines in Kenya to support provision of standardized, evidence based care. Supervision reports however suggest great variability in ...