ArticleHealth services research2018
Content of Care in 15,000 Sick Child Consultations in Nine Lower-Income Countries.
Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Protocol for a stepped wedge randomized controlled trial to optimize antibiotics prescription in Nepal.Contemporary clinical trials communications · 2026Article
- Global health worker visit time variation: A systematic review.Health policy OPEN · 2026Article
- Know-do gaps in the clinical management of childhood illness: evidence from three countries in sub-Saharan Africa.BMC public health · 2025Observational
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- Digitalizing Clinical Guidelines: Experiences in the Development of Clinical Decision Support Algorithms for Management of Childhood Illness in Resource-Constrained Settings.Global health, science and practice · 2023Article
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- Health care provider decision-making and the quality of maternity care: An analysis of postpartum care in Kenyan hospitals.Social science & medicine (1982) · 2023Article
- Observational
- Health care seeking in modern urban LMIC settings: evidence from Lusaka, Zambia.BMC public health · 2022Article
- Improving health and social systems for all children in LMICs: structural innovations to deliver high-quality services.Lancet (London, England) · 2022Review
- Does high workload reduce the quality of healthcare? Evidence from rural Senegal.Journal of health economics · 2022Article
- Content of antenatal care and perception about services provided by primary hospitals in Nepal: a convergent mixed methods study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Article
- Monitoring Quality of Care in the WHO Africa Region-A study design for measurement and tracking, towards UHC attainment.Global health action · 2021Article
- Quality of care for children with severe disease in the Democratic Republic of the Congo.BMC public health · 2019Article
- Assessing trends in the content of maternal and child care following a health system strengthening initiative in rural Madagascar: A longitudinal cohort study.PLoS medicine · 2019Article
- Exploring the association between sick child healthcare utilisation and health facility quality in Malawi: a cross-sectional study.BMJ open · 2019Article
- Does health worker performance affect clients' health behaviors? A multilevel analysis from Bangladesh.BMC health services research · 2019Article
- Clinical performance among recent graduates in nine low- and middle-income countries.Tropical medicine & international health : TM & IH · 2019Article
- Effect of Supportive Supervision on Competency of Febrile Clinical Case Management in Sub-Saharan Africa.The American journal of tropical medicine and hygiene · 2019Article
- The know-do gap in sick child care in Ethiopia.PloS one · 2018Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveDescribe 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
designClinical 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
findingsThe 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.
conclusionsConsultations for children in nine lower-income countries are brief and limited. A greater number of clinical actions was associated with caregiver knowledge and satisfaction.
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Registered trials
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