|Content of Care in 15,000 Sick Child Consultations in Nine Lower-Income Countries|
||Kruk ME, Gage AD, Mbaruku GM, and Leslie HH
||Health Services Research, 53(4): 2084-2098; DOI: 10.1111/1475-6773.12842
More than one region
Describe content of clinical care for sick children in low-resource settings.
Nationally representative health facility surveys in Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Tanzania, and Uganda from 2007 to 2015.
Clinical visits by sick children under 5 years were observed and caregivers interviewed. We describe duration and content of the care in the visit and estimate associations between increased content and caregiver knowledge and satisfaction.
The median duration of 15,444 observations was 8 minutes; providers performed 8.4 of a maximum 24 clinical actions per visit. Content of care was minimally greater for severely ill children. Each additional clinical action was associated with 2 percent higher caregiver knowledge.
Consultations for children in nine lower-income countries are brief and limited. A greater number of clinical actions was associated with caregiver knowledge and satisfaction.
© 2018 Bill & Melinda Gates Foundation. Health Services Research published by Wiley Periodicals, Inc. on behalf of Health Research and Educational Trust.
Health care quality; child mortality