ArticleBMJ open2024
Perspectives from clinicians from different levels of care in Maputo, Mozambique: qualitative study of the barriers to and facilitators of paediatric injury care in resource-poor hospital settings.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesProviding care for injured children is challenging in resource-poor settings. While checklists can assess local capacities and guide the setting of priorities for improvement, key insights can be gained from consultation with locally practising clinicians. This study aimed to highlight barriers to and facilitators of the delivery of paediatric injury care experienced by clinicians from hospitals at different levels of care in Maputo, Mozambique.
designWe conducted semistructured individual qualitative interviews with clinical staff at four hospitals. Data were analysed using inductive content analysis.
settingThe study was conducted in four hospitals, each representing a specific level of care in Maputo, Mozambique.
participantsWe recruited clinicians (doctors, nurses and technicians) involved in paediatric injury care to be interviewed on-site (we target around 10 clinicians per hospital).
resultsFrom the 40 interviews conducted, four categories of barriers emerged: (1) prehospital care constraints, (2) shortage of child-appropriate resources, (3) inappropriate infrastructure for paediatric emergency care and (4) limited qualified staff available. By contrast, one category of facilitators stood out, namely that of cross-boundaries support and mentorship, between professionals and institutions.
conclusionFrom clinicians' perspective, barriers to paediatric injury care are often similar across hospitals and professional groups, and they include the prehospital setting. Resource and infrastructure challenges were emphasized, as expected, and clinicians expressed a clear desire for knowledge and competence sharing.
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