Evidence map›Paper›PMID 33408280›Full record

ArticleIndian pediatrics2021

Situational Analysis of Management of Childhood Diarrhea and Pneumonia in 13 District Hospitals in India.

Harish Kumar, Ashfaq Ahmed Bhat, Varun Alwadhi, Rajat Khanna, Sutapa B Neogi, Ajay Khera, Sila Deb

Open access · bronzeAbstract read
In one paragraph

Article in Indian pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Harish KumarVriddhi, IPE Global Ltd., New Delhi, India.
Ashfaq Ahmed BhatNorway India Partnership Initiative, New Delhi, India. Correspondence to: Dr Ashfaq Ahmed Bhat, Norway India Partnership Initiative, New Delhi, India. bhatashfaq@gmail.com.
Varun AlwadhiKalawati Saran Children Hospital, New Delhi, India. Correspondence to: Dr Ashfaq Ahmed Bhat, Norway India Partnership Initiative, New Delhi, India. bhatashfaq@gmail.com.
Rajat KhannaNorway India Partnership Initiative, New Delhi, India.
Sutapa B NeogiInternational Institute of Health Management Research, New Delhi, India.
Ajay KheraMinistry of Health and Family Welfare, Government of India, New Delhi, India.
Sila DebMinistry of Health and Family Welfare, Government of India, New Delhi, India.
Government of India · INInternational Management Institute · INKalawati Saran Children's Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo generate evidence on the current situation of hospital care (emergency, inpatient and outpatient), for managing children presenting with diarrhea and pneumonia at 13 district hospitals in India.

designFacility-based assessment of district hospitals. SETTINGS: 13 district hospitals in four states of Bihar, Madhya Pradesh, Odisha and Rajasthan.

participantsStaff nurses and doctors.

interventionNone.

methodsAn assessment was done across 13 district hospitals in four states by a group or trained assessors using an adapted quality assurance tool developed by Government of India where each aspect of care was scored (maximum score 5). Emergency services and triage, case management practices, laboratory support, and record maintenance for diarrhea and pneumonia were assessed.

resultsSeparate diarrhea treatment unit was not earmarked in any of the DHs surveyed. Overall score obtained for adequate management of diarrhea and pneumonia was 2 and 2.2 which were poor. Pediatric beds were 6.8% of the total bed strength against the recommended 8-10%. There was a 65 percent short-fall in the numbers of medical officers in position and 48 percent shortfall of nurses. There were issues with availability and utilization of drugs and equipment at appropriate places with cumulative score of 2.8. Triage for sick children was absent in all the facilities.

conclusionsThe standards of pediatric care for management of diarrhea and pneumonia were far from satisfactory. This calls for improvement of pediatric care units and implementation of operational guidelines for improving management of diarrhea and pneumonia.

Indexed as

Hospitals, DistrictPneumoniaChildDiarrheaHumansIndiaTriage

Identifiers

PMID33408280
PMCPMC8079854
OpenAlexW3119562005

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.