Delivery of paediatric care at the first-referral level in Kenya
Delivery of paediatric care at the first-referral level in Kenya
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DOI：
10.1016/s0140-6736(04)17318-2
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发表时间：
2004-10-30
期刊：
影响因子：
168.9
通讯作者：
Peshu, N
中科院分区：
文献类型：
--
作者：
English, M;Esamai, F;Peshu, N
我们的目的是调查肯尼亚政府收治地区医院的儿科护理服务情况。我们首先调查了 14 个。肯尼亚八个省中的七个省的转诊级医院获得了工作量、基础设施成果、资源以及医院工作人员和收治儿童看护者的意见的数据。儿童入院率几乎相差十倍。至少 12 家医院提供基本的抗感染药物、临床用品和实验室检测，不过这些在出院时可能会收费。至少有 11 家医院很少或从未提供抗葡萄球菌药物、营养不良的适当治疗、新生儿喂养和胆红素测量。工作人员强调基础设施以及人力资源和消耗性资源是问题。然而，大家都表达了强烈的承诺感、对医院工作的支持以及改进的愿望。尽管对进行护理的物理环境普遍不满，但护理人员的看法总体上是积极的。如果当前或新的护理水平的干预措施和服务要提高儿童的生存率，则需要通过满足实际需求的综合政策来加强肯尼亚地区医院的能力。
We aimed to investigate provision of paediatric care in government admission, district hospitals in Kenya. We surveyed 14 first. referral level hospitals from seven of Kenya's eight provinces and obtained data for workload, outcome of infrastructure, and resources and the views of hospital staff and caretakers of admitted children. Paediatric admission rates varied almost ten-fold. Basic anti-infective drugs, clinical supplies, and laboratory tests were available in at least 12 hospitals, although these might be charged for on discharge. In at least 11 hospitals, antistaphylococcal drugs, appropriate treatment for malnutrition, newborn feeds, and measurement of bilirubin were rarely or never available. Staff highlighted infrastructure and human and consumable resources as problems. However, a strong sense of commitment, support for the work of the hospital, and a desire for improvement were expressed. Caretakers' views were generally positive, although dissatisfaction with the physical environment in which care took place was common. The capacity of the district hospital in Kenya needs strengthening by comprehensive policies that address real needs if current or new interventions and services at this level of care are to enhance child survival.