ArticleBMJ open2019
Exploring healthcare providers' perspectives of the paediatric discharge process in Uganda: a qualitative exploratory study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Assessing the validity of post-discharge readmission and mortality as a composite outcome among newborns in Uganda.PloS one · 2026Article
- Article
- Discharge policies and care practices for children with suspected sepsis: A health facility scan at a nationally representative sample of hospitals and health centres in Uganda.PLOS global public health · 2025Article
- Transition from Hospital to Home-Based Care for Older Adults in Southwestern Uganda: Informal Caregiver's Experiences.Journal of multidisciplinary healthcare · 2025Article
- Hospital readmission following acute illness among children 2-23 months old in sub-Saharan Africa and South Asia: a secondary analysis of CHAIN cohort.EClinicalMedicine · 2024Article
- Morbidity and unplanned healthcare encounters after hospital discharge among young children in Dar es Salaam, Tanzania and Monrovia, Liberia.BMJ paediatrics open · 2024Observational
- Prediction models for post-discharge mortality among under-five children with suspected sepsis in Uganda: A multicohort analysis.PLOS global public health · 2024Article
- Transitions from hospital to home: A mixed methods study to evaluate pediatric discharges in Uganda.PLOS global public health · 2023Article
- Transitional care experiences of caregivers of preterm infants hospitalized in a neonatal intensive care unit: A qualitative descriptive study.Nursing open · 2021Article
- Challenges in pediatric post-sepsis care in resource limited settings: a narrative review.Translational pediatrics · 2021Review
- Knowledge, attitudes, and perceptions of Kenyan healthcare workers regarding pediatric discharge from hospital.PloS one · 2021Article
- Factors Motivating Traditional Healer versus Biomedical Facility Use for Treatment of Pediatric Febrile Illness: Results from a Qualitative Study in Southwestern Uganda.The American journal of tropical medicine and hygiene · 2020Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe burden of childhood mortality continues to be born largely by low-income and middle-income countries. The critical postdischarge period has been largely neglected despite evidence that mortality rates during this period can exceed inpatient mortality rates. However, there is a paucity of data on the paediatric discharge process from the perspective of the healthcare provider. Provider perspectives may be important in the development of an improved understanding of the barriers and facilitators to improving the transition from hospital to home.
objectivesTo explore healthcare providers' and facility administrators' perspectives of the paediatric discharge process with respect to: (1) current procedures, (2) barriers and challenges, (3) ideas for change, (4) facilitators for change and (5) the importance of discharge planning.
designA qualitative exploratory approach using focus groups (14) and in-depth interviews (7).
settingThis study was conducted at seven hospitals providing paediatric care in Uganda.
resultsCurrent discharge procedures are largely based on hospital-specific protocols or clinician opinion, as opposed to national guidelines. Some key barriers to an improved discharge process included caregiver resources and education, critical communication gaps, traditional practices, and a lack of human and physical resources. Teamwork and motivation to see improved paediatric transitions to home were identified as facilitators to implementing the ideas for change proposed by participants. The need for a standardised national policy guiding paediatric discharges, implemented through education at many levels and coupled with appropriate community referral and follow-up, was broadly perceived as essential to improving outcomes for children.
conclusionsAlthough significant challenges and gaps were identified within the current health system, participants' ideas and the identified facilitators provide a significant basis from which change may occur. This work can facilitate the development of sustainable and effective interventions to improve postdischarge outcomes in Uganda and other similar settings.
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