Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya

M English, G Irimu, S Akech, J Aluvaala, M Ogero… - BMJ Global …, 2021 - gh.bmj.com
We have worked to develop a Clinical Information Network (CIN) in Kenya as an early form
of learning health systems (LHS) focused on paediatric and neonatal care that now spans …

Quality of inpatient paediatric and newborn care in district hospitals: WHO indicators, measurement, and improvement

M English, J Aluvaala, M Maina, T Duke… - The Lancet Global …, 2023 - thelancet.com
Poor-quality paediatric and neonatal care in district hospitals in low-income and middle-
income countries (LMICs) was first highlighted more than 20 years ago. WHO recently …

[HTML][HTML] Antibiotic use in Kenyan public hospitals: Prevalence, appropriateness and link to guideline availability

M Maina, P Mwaniki, E Odira, N Kiko, J McKnight… - International Journal of …, 2020 - Elsevier
Objective To examine prescription patterns and explore to what extent guidelines are
available and how they might influence treatment appropriateness among hospitalised …

Dissemination routes of carbapenem and pan-aminoglycoside resistance mechanisms in hospital and urban wastewater canalizations of Ghana

JF Delgado-Blas, C Valenzuela Agüi… - Msystems, 2022 - Am Soc Microbiol
Wastewater has a major role in antimicrobial resistance (AMR) dynamics and public health.
The impact on AMR of wastewater flux at the community-hospital interface in low-and middle …

Improving facility-based care: eliciting tacit knowledge to advance intervention design

M English, J Nzinga, J Oliwa, M Maina, D Oluoch… - BMJ Global …, 2022 - gh.bmj.com
Attention has turned to improving the quality and safety of healthcare within health facilities
to reduce avoidable mortality and morbidity. Interventions should be tested in health system …

[HTML][HTML] Infection prevention and control during the COVID-19 pandemic: challenges and opportunities for Kenyan public hospitals

M Maina, O Tosas-Auguet, M English… - Wellcome open …, 2020 - ncbi.nlm.nih.gov
Background: Infection prevention and control, and water sanitation and hygiene have an
essential role in ensuring the quality of care and patient outcomes in hospitals. Using a …

Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations

DO Shomuyiwa, DE Lucero‐Prisno III… - Health science …, 2022 - Wiley Online Library
Background Antimicrobial self‐medication and use have significantly increased in the
COVID‐19 era—increasing antibiotic consumption and resulting in a high prevalence of …

Analysis of water, sanitation, and hygiene facilities using the WASH-FIT approach and its relation to patient satisfaction and maternal mortality at hospitals in Indonesia

R Purwandari, D Daniel, F Hafidz - Frontiers in Public Health, 2024 - frontiersin.org
Introduction The provision of Water, Sanitation, and Hygiene (WASH) is critical to reducing
infection and enhancing the quality of health care services. The study aims to assess WASH …

The Clean pilot study: evaluation of an environmental hygiene intervention bundle in three Tanzanian hospitals

G Gon, AM Kabanywanyi, P Blinkhoff… - … Resistance & Infection …, 2021 - Springer
Background Healthcare associated infections (HAI) are estimated to affect up to 15% of
hospital inpatients in low-income countries (LICs). A critical but often neglected aspect of …

Extending the use of the World Health Organisations' water sanitation and hygiene assessment tool for surveys in hospitals–from WASH-FIT to WASH-FAST

M Maina, O Tosas-Auguet, J McKnight, M Zosi… - PLoS …, 2019 - journals.plos.org
Background Poor water sanitation and hygiene (WASH) in health care facilities increases
hospital-associated infections, and the resulting greater use of second-line antibiotics drives …