Quality of paediatric inpatient care Not Applicable Paediatric inpatient care
Conditions
Interventions
Intervention arms:
Baseline survey followed by training, provision of guidelines and job aides (guideline booklets, standard admission record forms), external supervision and feedback after surveys a
Sponsors
The Wellcome Trust (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Hospitals purposefully selected to represent diversity of Kenyan context and fulfilling minimum size requirements of 1,000 paediatric admissions per annum. 2. Random selection of all childhood admissions: 2.1. Aged 0 - 59 months, either sex 2.2. In participating hospitals with a diagnosis covered by inpatient IMCI guidelines (malaria, pneumonia, meningitis, malnutrition, diarrhoea/dehydration, neonatal sepsis, prematurity/low birthweight)
Exclusion criteria
Exclusion criteria: Children aged 0 - 59 months in participating hospitals with non-IMCI diagnoses
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of children with admission assessment, classification and treatment that is adherent to guidelines provided for pneumonia, diarrhoea/dehydration and malaria. Measurements will be available at 6, 12 and 18 months post-baseline with the primary endpoint being 18 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of key clinical signs documented for pneumonia, diarrhoea/dehydration and malaria admissions at 6, 12 and 18 months post-baseline with the primary endpoint being 18 months and will use a facility inventory to describe the proportion of items on a pre-specified checklist that are available at the time of the survey also at 6, 12 and 18 months post-baseline with the primary endpoint being 18 months. | — |
Countries
Kenya
Outcome results
None listed