| Content of Care in 15,000 Sick Child Consultations in Nine Lower-Income Countries |
| Authors: |
Kruk ME, Gage AD, Mbaruku GM, and Leslie HH |
| Source: |
Health Services Research, 53(4): 2084-2098; DOI: 10.1111/1475-6773.12842 |
| Topic(s): |
Child health
Childhood mortality
Health equity
|
| Country: |
Africa
Kenya
Malawi
Namibia
Tanzania
Uganda
Rwanda
Senegal
Asia
Nepal
Latin American/Caribbean
Haiti
More than one region
Multiple Regions
|
| Published: |
AUG 2018 |
| Abstract: |
OBJECTIVE:
Describe content of clinical care for sick children in low-resource settings.
DATA SOURCES:
Nationally representative health facility surveys in Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Tanzania, and Uganda from 2007 to 2015.
STUDY DESIGN:
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.
PRINCIPAL FINDINGS:
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.
CONCLUSIONS:
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.
KEYWORDS:
Health care quality; child mortality |
| Web: |
https://onlinelibrary.wiley.com/doi/full/10.1111/1475-6773.12842 |
|