Content of Care in 15,000 Sick Child Consultations in Nine Lower-Income Countries.

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 perc

SUBMITTER: Kruk ME 

PROVIDER: S-EPMC6052007 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature