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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 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.

SUBMITTER: Kruk ME 

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

REPOSITORIES: biostudies-other

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

Kruk Margaret E ME   Gage Anna D AD   Mbaruku Godfrey M GM   Leslie Hannah H HH  

Health services research 20180307 4


<h4>Objective</h4>Describe content of clinical care for sick children in low-resource settings.<h4>Data sources</h4>Nationally representative health facility surveys in Haiti, Kenya, Malawi, Namibia, Nepal, Rwanda, Senegal, Tanzania, and Uganda from 2007 to 2015.<h4>Study design</h4>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 kno  ...[more]

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