Performance of health workers in the management of seriously sick children at a Kenyan tertiary hospital: Before and after a training intervention

PLoS ONE

Volumn 7, Issue 7, 2012, Pages

  Irimu, Grace W ^a,b   Gathara, David ^b   Zurovac, Dejan ^b,c,d   Kihara, Harrison ^e   Maina, Christopher ^e   Mwangi, Julius ^e   Mbori Ngacha, Dorothy ^a   Todd, Jim ^f   Greene, Alexandra ^g   English, Mike ^a,b,h  

^a UNIVERSITY OF NAIROBI   (Kenya)

^b KEMRI WELLCOME TRUST RESEARCH PROGRAMME   (Kenya)

^c UNIVERSITY OF OXFORD   (United Kingdom)

^d BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

^e KENYATTA NATIONAL HOSPITAL   (Kenya)

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

^g UNIVERSITY OF DUNDEE   (United Kingdom)

^h UNIVERSITY OF OXFORD   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

GENTAMICIN; HARTMANN SOLUTION; INFUSION FLUID; PENICILLIN G;

ARTICLE; CHILD; CHILD CARE; CLINICAL PRACTICE; COMPLIANCE (PHYSICAL); CRITICALLY ILL PATIENT; DEHYDRATION; DISEASE CLASSIFICATION; DISEASE SEVERITY; EMERGENCY CARE; FLUID THERAPY; FOLLOW UP; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HOSPITAL ADMISSION; HUMAN; INFORMATION DISSEMINATION; JOB PERFORMANCE; KENYA; MALNUTRITION; MEDICAL DOCUMENTATION; MORTALITY; PATIENT CARE; PATIENT MONITORING; PHYSICAL EXAMINATION; PNEUMONIA; PRACTICE GUIDELINE; PROTEIN INTAKE; QUANTITATIVE ANALYSIS; RECOMMENDED DRUG DOSE; SHOCK; TASK PERFORMANCE; TERTIARY HEALTH CARE; TRAINING;

DEHYDRATION; EDUCATION, NURSING; EMPLOYEE PERFORMANCE APPRAISAL; FEMALE; HUMANS; INFANT; KENYA; MALE; MALNUTRITION; MEDICAL STAFF, HOSPITAL; NURSES; PEDIATRICS; PNEUMONIA; PRACTICE GUIDELINES AS TOPIC; QUALITY INDICATORS, HEALTH CARE; SEVERITY OF ILLNESS INDEX; TERTIARY CARE CENTERS;

EID: 84864487227     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0039964     Document Type: Article

References (36)

1. Reyburn H, Mwakasungula E, Chonya S, Mtei F, Bygbjerg I, et al. ((2008)) Clinical assessment and treatment in paediatric wards in the north-east of the United Republic of Tanzania. Bulletin of World Health Organization 86:: 132--139.
2. Puoane T, Cuming K, Sanders D, Ashworth A, ((2008)) Why do some hospitals achieve better care of severely malnourished children than others? Five-year follow-up of rural hospitals in Eastern Cape, South Africa. Health Policy and Planning 23:: 428--437.
3. English M, Esamai F, Wassuna A, Were F, Ogutu B, et al. ((2004)) Assessment of inpatient paediatric care in the first referral level hospitals in 13 districts in Kenya. The Lancet 363:: 1948--1953.
4. Mwakyusa S, Wamae A, Wassuna A, Were F, Esamai F, et al. ((2006)) Implementation of a structured paediatric admission record form for district hospitals in Kenya - results of a pilot study BMC International Health and Human Rights. 6:: 9.
5. Nolan T, Angos P, Cunha AJ, Muhe L, Qazi S, et al. ((2001)) Quality of hospital care for seriously ill children in less-developed countries. The Lancet 357:: 106--110.
6. Ashworth A, Chopra M, McCoy D, Sanders D, Jackson D, et al. ((2004)) WHO guidelines for management of severe malnutrition in rural South African hospitals: effect on case fatality and the influence of operational factors. The Lancet 363:: 1110--1115.
7. Schofield C, Ashworth A, ((1996)) Why have mortality rates for severe malnutrition remained so high? Bulletin World Health Organization 74:: 223--229.
8. Irimu G, Wamae A, Wasunna A, Were F, Ntoburi S, et al. ((2008)) Developing and introducing evidence based clinical practice guidelines for serious illness in Kenya. Archives of Disease in Childhood 93:: 799--804.
9. Idoc-africa website: Available ≤http://www.idoc-africa.org≥; Accessed 2012 May 5.
10. WHO editor (2005) Hospital Care for Children: Guidelines for the management of common illnessses with limited resources. Geneva.
11. Ministry of Health, Kenya (2004) Guidelines for HIV Testing in Clinical Settings.
12. English M, Wamae A, Nyamai R, Bevins B, Irimu G, ((2011)) 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). Archives of Disease in Childhood 96:: 285--290.
13. Ministry of Health, Kenya (2006) Basic Paediatric Protocols.
14. WHO (2001) Interventions and strategies to improve the use of antimicrobials in developing countries: a review.
15. Rowe AK, Hamel MJ, Flanders WD, Doutizanga R, Ndoyo J, et al. ((2000)) Predicators of correct treatment of children with fever seen at outpatient health facilities in the Central Africa Republic. Am J Epidemiol 151:: 1029--1035.
16. Ayieko P, Ntoburi S, Waigai J, Opondo C, Opiyo N, et al. ((2011)) A Multifaceted intervention to implement guidelines and improve admission care in Kenya District hospitals: a cluster randomized trial PLoS Medicine. 8:: e1001018.
17. Gathara D, Opiyo N, Wagai J, Ntoburi S, Ayieko P, et al. ((2011)) Quality of hospital care for sick newborns and severely malnourished children in Kenya: A twoyear descriptive study in 8 hospitals. BMC Health Services Research 11:: 307.
18. Nzioki C, Irimu G, Musoke R, English M, ((2009)) Audit of care for children aged 6 to 59 months admitted with severe malnutrition at Kenyatta National Hospital, Kenya. International Health 1:: 91--96.
19. Finn R, Currie G, Martin G, ((2010)) Team Work in Context: Institutional Mediation in the Public-service Professional. Organization Studies 31:: 1069--1097.
20. Paxton LA, Redd SC, Steketee RW, Otieno JO, Nahlen B, ((1996)) An evaluation of clinical indicators for severe paediatric illness. Bulletin of the World Health Organization 74:: 613--618.
21. Rogers EM (2003) editor (2003) Diffusion of innovations New York: The Free Press.
22. Ferrer R, Artigas A, Levy MM, ((2008)) Improvement in process of care and outcomes after a multicenter severe sepsis educational programme in Spain. JAMA 299:: 2294--2303.
23. Bradley J, Igras S, ((2005)) Improving the quality of child health services: participatory action by providers. Int J Qual Health Care 17:: 391--399.
24. Gustafson DH, Sainfort F, Adams EM, ((2003)) Developing and testing a model to predict outcomes of organizational change. Health Serv Res 38:: 751--776.
25. Stacey R, ((1995)) The science of complexity: An alternative perspective for strategic change processes. Strategic Management Journal 16:: 477--495.
26. Burnes B, ((2005)) Complexity theories and organizational change. International Journal of Management Reviews 7:: 73--90.
27. Theodoratou E, Al-Jilaihawi S, Woodward F, Ferguson J, Jhass A, et al. ((2010)) The effect of case management on childhood pneumonia mortality in developing countries. International Journal of Epidemiology 39:: i155--i171.
28. Abbott A (1988) editor (1988) The system of professions: An essay on the division of expert labor. Chicago: University of Chicago Press.
29. Mercer SL, DeVinney BJ, Fine LJ, Green LW, Dougherty D, ((2007)) Study designs for effectiveness and translation research:identifying trade-offs. Am J Prev Med 33:: 139--154.
30. O'Cathain A, Murphy E, Nicholl J, ((2007)) Integration and Publications as Indicators of "Yield" From Mixed Methods Studies. Journal of Mixed Methods Research 1:: 147--163.
31. Victora CG, Habicht JP, Bryce J, ((2004)) Evidence-based public health: moving beyond randomized trials. Am J Public Health 94:: 400--405.
32. Teddlie C, Tashakkori A (2003) Major issues and controversies in the use of mixed methods in social and behavioural sciences. In: Tashakkori A, Teddlie C, editors. Handbook of Mixed Method in Social and Behavioural Sciences. London: Sage Publications Ltd. 4-50.
33. Lewin S, Glenton C, Oxman AD, ((2009)) Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: methodological study. BMJ 339:: b3496.
34. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I,et al. (2007) Developing and evaluating complex interventions: new guidance. In: MRC, editor. London.
35. Osterholt DM, Onikpo F, Lama M, Deming MS, Rowe AK, ((2009)) Improving pneumonia case-management in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood Illness guidelines. Human Resour Health 7:: 77.
36. English M, Nzinga J, Mbindyo P, Ayieko P, Irimu G, et al. ((2001)) Explaining the effects of a multifaceted intervention to improve inpatient care in rural Kenyan hospitals - interpretation based on retrospective examination of data from participant observation, quantitative and qualitative studies. Implement Science 6:: 124.