Evidence map›Paper›PMID 37983210›Full record

ArticlePLOS global public health2023

Healthcare provider perspective on barriers and facilitators in the care of pediatric injury patients at a tertiary hospital in Northern Tanzania: A qualitative study.

Elizabeth M Keating, Francis Sakita, Kajsa Vlasic, Ismail Amiri, Getrude Nkini, Mugisha Nkoronko, Bryan Young, Jenna Birchall, Melissa H Watt, Catherine A Staton and 1 more

Open access · goldAbstract read
In one paragraph

Article in PLOS global public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 68% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Review
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

11 authors at 3 institutions in 2 countries.

Elizabeth M KeatingDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah, United States of America.ORCID https://orcid.org/0000-0002-5263-6612
Francis SakitaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Kajsa VlasicDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah, United States of America.ORCID https://orcid.org/0009-0000-3259-266X
Ismail AmiriKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Getrude NkiniKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Mugisha NkoronkoKilimanjaro Christian Medical Centre, Moshi, Tanzania.
Bryan YoungDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah, United States of America.
Jenna BirchallDivision of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah, Salt Lake City, Utah, United States of America.
Melissa H WattDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, United States of America.
Catherine A StatonDepartment of Emergency Medicine, Duke University Medical Center, Durham, North Carolina, United States of America.
Blandina T MmbagaKilimanjaro Christian Medical Centre, Moshi, Tanzania.
University of Utah · USKilimanjaro Christian Medical Centre · TZDuke University · US

Funding

Vanderbilt-Emory-Cornell-Duke Global Health Fellowship Consortium-Expanding Diversity for Global Equity (EDGE)D43TW009337 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALIYU, MUKTAR HASSAN, HEIMBURGER, DOUGLAS CORBETT · 2017 to 2021
$6.3M
P-KIDs CARE: An Intervention to Address Health Systems Delays to Care for Injured Children in TanzaniaK23HD112548 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Elizabeth Marie Keating · 2023 to 2026
$695k
FIC NIH HHS D43 TW009337NICHD NIH HHS K23 HD112548
6 · The paper itself

Abstract

Pediatric injuries are a leading cause of morbidity and mortality in low- and middle-income countries (LMICs). The recovery of injured children in LMICs is often impeded by barriers in accessing and receiving timely and quality care at healthcare facilities. The purpose of this study was to identify the barriers and the facilitators in pediatric injury care at Kilimanjaro Christian Medical Center (KCMC), a tertiary zonal referral hospital in Northern Tanzania. In this study, focus group discussions (FGDs) were conducted by trained interviewers who were fluent in English and Swahili in order to examine the barriers and facilitators in pediatric injury care. Five FGDs were completed from February 2021 to July 2021. Participants (n = 30) were healthcare providers from the emergency department, burn ward, surgical ward, and pediatric ward. De-identified transcripts were analyzed with team-based, applied thematic analysis using qualitative memo writing and consensus discussions. Our study found barriers that impeded pediatric injury care were: lack of pediatric-specific injury training and care guidelines, lack of appropriate pediatric-specific equipment, staffing shortages, lack of specialist care, and complexity of cases due to pre-hospital delays in patients presenting for care due to cultural and financial barriers. Facilitators that improved pediatric injury care were: team cooperation and commitment, strong priority and triage processes, benefits of a tertiary care facility, and flexibility of healthcare providers to provide specialized care if needed. The data highlights barriers and facilitators that could inform interventions to improve the care of pediatric injury patients in Northern Tanzania such as: increasing specialized provider training in pediatric injury management, the development of pediatric injury care guidelines, and improving access to pediatric-specific technologies and equipment.

Identifiers

PMID37983210
PMCPMC10659160
OpenAlexW4388823093

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.