International Health
Volume 1, Issue 1 , Pages 91-96 , September 2009

Audit of care for children aged 6 to 59 months admitted with severe malnutrition at Kenyatta National Hospital, Kenya

  • Charles Nzioki

      Affiliations

    • Ministry of Health, Republic of Kenya
    • ,
  • Grace Irimu

      Affiliations

    • Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya
    • Centre for Geographic Medicine Research–Coast, KEMRI/Wellcome Trust Research Programme, P.O. Box 230 Kilifi and P.O. Box 43640, Nairobi, Kenya
    • Corresponding Author InformationCorresponding author. Tel.: +254 20 272 0163; fax: +254 20 271 1673.
    • ,
  • Rachel Musoke

      Affiliations

    • Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya
    • ,
  • Mike English

      Affiliations

    • Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya
    • Centre for Geographic Medicine Research–Coast, KEMRI/Wellcome Trust Research Programme, P.O. Box 230 Kilifi and P.O. Box 43640, Nairobi, Kenya
    • Department of Paediatrics, University of Oxford, Oxford, UK

Received 8 June 2009 ,Revised 9 June 2009 ,Accepted 24 June 2009.

References 

  1. World Health Organization. Management of severe malnutrition: a manual for physicians and other health workers. Geneva: WHO, 1999.
  2. Black RE, Morris SS, Bryce J. Where and why are 10 million children dying every year?. Lancet. 2003;361:2226–2234
  3. Scholfield C, Ashworth A. Why have mortality rates for severe protein energy malnutrition remained high?. Bull. WHO. 1996;74:223–229
  4. Rice AL, Sacco L, Hyder A, Black RE. Malnutrition as an underlying cause of childhood deaths associated with infectious diseases in developing countries. Bull WHO. 2000;78:1207–1221
  5. Central Bureau of Statistics. Kenya Demographic and Health Survey 2003: 155-167.
  6. Berkley J, Mwangi I, Griffiths K, Ahmed I, Mithwani S, English M, et al. Assessment of severe malnutrition among hospitalized children in rural Kenya: Comparison of weight for height and mid upper arm circumference. JAMA. 2005;294:591–597
  7. Allen SJ, Hammer C. Improving quality of care for severe malnutrition. Lancet. 2004;363:2089–2090
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  11. World Health Organization. Strategies for assisting health workers to modify and improve their skills: Developing quality health care, a process of change. WHO/EIP/OSD/00.1.2000.00. Geneva WHO
  12. Bhan MK, Bhandra M, Batil R. Management of the severely malnourished child; perspective from developing countries. BMJ. 2003;326:146–151
  13. Ashworth A, Chopra M, McCoy D, Sanders D, Jackson D, Karaolis N, et al. WHO guidelines for management of severe malnutrition in rural South African hospitals; effect on case fatality and influence of operational factors. Lancet. 2004;363:1110–1115
  14. Ministry of Health. Basic Pediatric Protocols (2006). Management of severe malnutrition.: page 20-22
  15. Morris J, Molyneux E. Reduced mortality from severe PEM following introduction of WHO protocol in children in Malawi. Arch. Dis. Child. 2003;88(suppl):A28
  16. Puoane T, Sanders D, Chopra M, Ashworth A, Strasser S, McCoy D, et al. Evaluating the clinical management of severely malnourished children: A study of two rural hospitals. S Africa. Med. J. 2001;91:137–141
  17. Cavalcante AA, Pinheiro LM, Monte C, Guimarães AR, Ashworth A. Treatment of malnutrition in Brazil; simple solutions to common problems. Tropical Doctor. 1998;28:95–97
  18. Bernal C, Velásquez C, Alcaraz G, Botero J. Treatment of severe malnutrition in children: experience in implementing the WHO guidelines in Turbo. Colombia. J Pediatr Gastroenterol Nutr. 2008;46(3):322–328
  19. Irimu G Wamae, Wasunna A, Fred Were, Ntoburi S, Opiyo N, et al. Developing and introducing evidence based clinical practice guidelines for serious illness in Kenya. Arch Dis Child. 2008;93:799–804
  20. Puoane T, Sanders D, Ashworth A, Chopra M, Strasser S, McCoy D. Improving the hospital management of malnourished children by participatory research. International journal for quality in health care. 2004;16(1):31–40
  21. Karaolis N, Jackson D, Ashworth A, Sanders D, Sogaula N, McCoy D, et al. WHO guidelines for severe malnutrition: are they feasible in rural African hospitals?. Arch Dis Child. 2007;92:198–204
  22. Falbo AR, Alves JG, Batista Filho M, Cabral-Filho JE. Implementation of World Health Organization guidelines for management of severe malnutrition in a hospital in north east Brazil.. Cad. Saude. Publica, Rio de Jeneiro. 2006;22:561–570
  23. English M, Esamai F, Wasunna A, Were F, Ogutu B, Wamae A, et al. Delivery of paediatric care at the first-referral level in Kenya. Lancet. 2004;364:1622–1629

PII: S1876-3413(09)00016-3

doi: 10.1016/j.inhe.2009.06.008

International Health
Volume 1, Issue 1 , Pages 91-96 , September 2009

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