作者
Hema Magge, Manzi Anatole, Felix Rwabukwisi Cyamatare, Catherine Mezzacappa, Fulgence Nkikabahizi, Saleh Niyonzima, Peter C Drobac, Fidele Ngabo, Lisa R Hirschhorn
发表日期
2015/6/1
期刊
Archives of disease in childhood
卷号
100
期号
6
页码范围
565-570
出版商
BMJ Publishing Group Ltd
简介
Objective
Integrated Management of Childhood Illness (IMCI) is the leading clinical protocol designed to decrease under-five mortality globally. However, impact is threatened by gaps in IMCI quality of care (QOC). In 2010, Partners In Health and the Rwanda Ministry of Health implemented a nurse mentorship intervention Mentoring and Enhanced Supervision at Health Centres (MESH) in two rural districts. This study measures change in QOC following the addition of MESH to didactic training.
Design
Prepost intervention study of change in QOC after 12 months of MESH support measured by case observation using a standardised checklist. Study sample was children age 2 months to 5 years presenting on the days of data collection (292 baseline, 413 endpoint).
Setting
21 rural health centres in Rwanda.
Outcomes
Primary outcome was a validated index of key IMCI assessments. Secondary outcomes …
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H Magge, M Anatole, FR Cyamatare, C Mezzacappa… - Archives of disease in childhood, 2015