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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Warfa, Osman Njai, Daniel Ahmed, Laving Admani, Bashir Were, Fred Wamalwa, Dalton Osano, Boniface Mburugu, Patrick Mohamed, Musa |
| Spatial Coverage | Kenya |
| Description | Country affiliation: Kenya Author Affiliation: Warfa O ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Njai D ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Ahmed L ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Admani B ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Were F ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Wamalwa D ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Osano B ( Department of Paediatrics and Child Health, College of Health Sciences, University of Nairobi, Kenya.); Mburugu P ( Garissa Provincial General Hospital, Garissa, Kenya.); Mohamed M ( Garissa Provincial General Hospital, Garissa, Kenya.) |
| Abstract | INTRODUCTION: Half of Kenya's high infant and under five mortality rates is due to malnutrition. Proper implementation of World Health Organization's (WHO) Evidence Based Guidelines (EBG) in management of severe acute malnutrition can reduce mortality rates to less than 5%. The objectives were to establish the level of adherence to WHO guideline and the proportion of children appropriately managed for severe acute malnutrition (steps 1-8) as per the WHO protocol in the management of severe acute malnutrition. This was a short longitudinal study of 96 children, aged 6-59 months admitted to the pediatric ward with diagnosis of severe acute malnutrition. METHODS: Data was extracted from patients' medical files and recorded into an audit tool to compare care provided in this hospital with WHO guidelines. RESULTS: Non-edematous malnutrition was the commonest presentation (93.8%). A higher proportion (63.5%) of patients was male. Most (85.4%) of patients were younger than 2 years. Patients with non-edematous malnutrition were younger (mean age for non-edematous malnutrition was 16 (± 10.6) months versus 25 (± 13.7) months in edematous malnutrition). The commonest co- morbid condition was diarrhea (52.1%). Overall, 13 children died giving an inpatient case fatality rate of 13.5%. Appropriate management was documented in only 14.6% for hypoglycemia (step1), 5.2% for hypothermia (step 2) and 31.3% for dehydration (step 3). CONCLUSION: The level of adherence to MOH guidelines was documented in 5 out of the 8 steps. Appropriate management of children with severe acute malnutrition was inadequate at Garissa hospital. |
| File Format | HTM / HTML |
| e-ISSN | 19378688 |
| DOI | 10.11604/pamj.2014.17.214.3821 |
| Journal | Pan African Medical Journal |
| Volume Number | 17 |
| Language | English |
| Publisher | African Field Epidemiology Network |
| Publisher Date | 2014-01-01 |
| Publisher Place | Uganda |
| Access Restriction | Open |
| Subject Keyword | Discipline Medicine Guideline Adherence Malnutrition Therapy Practice Guidelines As Topic Acute Disease Child, Preschool Infant Kenya Longitudinal Studies Physiopathology Severity Of Illness Index Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
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