WHO guidelines for management of severe malnutrition in rural South African hospitals: Effect on case fatality and the influence of operational factors

Lancet

Volumn 363, Issue 9415, 2004, Pages 1110-1115

  Ashworth, Ann ^a   Chopra, Mickey ^b   McCoy, David ^c   Sanders, David ^b   Jackson, Debra ^b   Karaolis, Nadina ^a   Sogaula, Nonzwakazi ^b   Schofield, Claire ^a  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b UNIVERSITY OF THE WESTERN CAPE   (South Africa)

^c Health Systems Trust   (South Africa)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; POTASSIUM; RETINOL;

DISEASE SEVERITY; EXPERIENCE; FATALITY; GRAM NEGATIVE INFECTION; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HOSPITAL CARE; HUMAN; INFANT; INTERVIEW; MALNUTRITION; MEDICAL AUDIT; MEDICAL EDUCATION; MEDICAL ERROR; MEDICAL PRACTICE; MEDICAL RECORD; MEDICAL STAFF; MORTALITY; NURSE PRACTITIONER; NURSING; PHYSICIAN ATTITUDE; PRACTICE GUIDELINE; PRESCHOOL CHILD; PRESCRIPTION; PRIORITY JOURNAL; REVIEW; RURAL HEALTH CARE; SEPSIS; SOUTH AFRICA; WORLD HEALTH ORGANIZATION;

EID: 1842424594     PISSN: 01406736     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0140-6736(04)15894-7     Document Type: Article

References (29)

1. WHO. Improving child health in the community. WHO/FCH/ CAH/02.12. Geneva: WHO; 2002.
2. Schofield C., Ashworth A. Why have mortality rates for severe malnutrition remained so high? Bull World Health Organ. 74:1996;223-229.
3. Nolan T., Angos P., Cunha AJLA, et al. Quality of hospital care for seriously ill children in less-developed countries. Lancet. 357:2001;106-110.
4. WHO. Management of severe malnutrition: a manual for physicians and other senior health workers. 1999;WHO, Geneva.
5. WHO. Management of the child with a serious infection or malnutrition. Guidelines for care at the first-referral level in developing countries. 2000;WHO, Geneva.
6. Puoane T., Sanders D., Chopra M., et al. Evaluating the clinical management of severely malnourished children - a study of two rural district hospitals. S Afr Med J. 91:2001;137-141.
7. South African Demographic and Health Survey. Preliminary report. National Department of Health, Medical Research Council, Macro International. Pretoria: National Department of Health; 1999.
8. South African Department of Health. National HIV and syphilis sero-prevalence survey in South Africa. Pretoria: National Department of Health; 2001.
9. Puoane T., Sanders D., Ashworth A., Chopra M., Strasser S., McCoy D. Improving the hospital management of malnourished children by participatory research. Int J Qual Health Care. 16:2003;31-40.
10. South African Department of Health. Saving babies 2001: second perinatal care survey of South Africa. Medical Research Council, University of Pretoria. Pretoria: National Department of Health; 2002.
11. South African Department of Health. Saving mothers: report on confidential enquiries into maternal deaths in South Africa 1998. National Committee on Confidential Enquiries into Maternal Deaths (NCCEMD). Pretoria: National Department of Health; 1999.
12. Chopra M., Wilkinson D. Treatment of malnutrition (letter). Lancet. 345:1995;788-789.
13. Ahmed T., Ali M., Ullah M.M., et al. Mortality in severely malnourished children with diarrhoea and use of a standardised management protocol. Lancet. 353:1999;1919-1922.
14. Khanum S., Ashworth A., Huttly SRA. Controlled trial of three approaches to the treatment of severe malnutrition. Lancet. 344:1994;1728-1732.
15. Schofield E.C., Ashworth A., Golden M.H.N., Grellety Y. Revised MSF nutrition guidelines (letter). Field Exchange. 14:2001;21.
16. Collins S., Sadler K. Outpatient care for severely malnourished children in emergency relief programmes: a retrospective cohort study. Lancet. 360:2002;1824-1830.
17. Brown K.H., Gilman R.H., Gaffar A., et al. Infections associated with severe protein-calorie malnutrition in hospitalized infants and children. Nutr Res. 1:1981;33-46.
18. Firth-Cozens J. Healthy promotion: changing behaviour towards evidence-based health care. Qual Health Care. 6:1997;205-211.
19. Alleyne G.A.O., Hay R.W., Picou D.I., Stanfield J.P., Whitehead R.G. Protein-energy malnutrition. 1977;Edward Arnold, London.
20. Tamburlini G., Di Mario S., Maggi R.S., Vilarim J.N., Gove S. Evaluation of guidelines for emergency triage assessment in developing countries. Arch Dis Child. 81:1999;478-482.
21. Deen J.L., Funk M., Guevara V.C., et al. Implementation of WHO guidelines on management of severe malnutrition in hospitals in Africa. Bull World Health Organ. 81:2003;237-243.
22. Waterston T., Sanders D. Primary health care teaching: some lessons from Zimbabwe. Med Ed. 21:1987;4-9.
23. Davis D.A., Taylor-Vaisey A. Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. Can Med Assoc J. 157:1997;408-416.
24. Lomas J. Words without action? The production, dissemination, and impact of consensus recommendations. Annu Rev Public Health. 12:1991;41-65.
25. Grol R. Beliefs and evidence in changing clinical practice. BMJ. 315:1997;418-421.
26. Shortell S.M., Bennett C.L., Byck G.R. Assessing the impact of continuous quality improvement on clinical practice: what it will take to accelerate progress. Milbank Q. 76:1998;593-624.
27. Duke T., Bailey R., Weber M.W. Improving the quality of care for children. Indian Pediatr. 39:2002;523-528.
28. Thomson O'Brien MA, Oxman AD, Davis DA, Haynes RB, Freemantle N, Harvey EL. Audit and feedback: effects on professional practice and health care outcomes. The Cochrane Database Syst Rev, Issue 1: Oxford; 2003.
29. Padarath A, Chamberlain C, McCoy D, Ntuli A, Rowson M, Loewenson R. Health Personnel in Southern Africa: confronting maldistribution and brain drain. Equinet Discussion Paper Number 4. www.equinetafrica.org/policy (accessed September, 2003).