B B Ngoy1, R Zachariah2, S G Hinderaker3, M Khogali2, M Manzi2, J van Griensven4, L Ayada1, J P Jemmy5, A Maalim1, H Amin1. 1. Médecins Sans Frontières, Belgium, Somalia Mission Coordination, Nairobi, Kenya. 2. Médecins Sans Frontières, Brussels Operational Centre-Luxembourg, Luxembourg. 3. Centre for Internal Health, University of Bergen, Bergen, Norway. 4. Institute of Tropical Medi-cine, Antwerp, Belgium. 5. Médecins Sans Frontières, Brussels Operational Centre, Brussels, Belgium.
Abstract
SETTING: A district hospital in conflict-torn Somalia. OBJECTIVE: To report on in-patient paediatric morbidity, case fatality and exit outcomes as indicators of quality of care. DESIGN: Cross-sectional study. RESULTS: Of 6211 children, lower respiratory tract infections (48%) and severe acute malnutrition (16%) were the leading reasons for admission. The highest case-fatality rate was for meningitis (20%). Adverse outcomes occurred in 378 (6%) children, including 205 (3.3%) deaths; 173 (2.8%) absconded. CONCLUSION: Hospital exit outcomes are good even in conflict-torn Somalia, and should boost efforts to ensure that such populations are not left out in the quest to achieve universal health coverage.
SETTING: A district hospital in conflict-torn Somalia. OBJECTIVE: To report on in-patient paediatric morbidity, case fatality and exit outcomes as indicators of quality of care. DESIGN: Cross-sectional study. RESULTS: Of 6211 children, lower respiratory tract infections (48%) and severe acute malnutrition (16%) were the leading reasons for admission. The highest case-fatality rate was for meningitis (20%). Adverse outcomes occurred in 378 (6%) children, including 205 (3.3%) deaths; 173 (2.8%) absconded. CONCLUSION: Hospital exit outcomes are good even in conflict-torn Somalia, and should boost efforts to ensure that such populations are not left out in the quest to achieve universal health coverage.
Authors: R Zachariah; B Bienvenue; L Ayada; M Manzi; A Maalim; E Engy; J P Jemmy; A Ibrahim Said; A Hassan; F Abdulrahaman; O Abdulrahman; J Bseiso; H Amin; D Michalski; J Oberreit; B Draguez; C Stokes; T Reid; A D Harries Journal: Trop Med Int Health Date: 2012-07-29 Impact factor: 2.622
Authors: Michael K Mwaniki; Hellen W Gatakaa; Florence N Mturi; Charles R Chesaro; Jane M Chuma; Norbert M Peshu; Linda Mason; Piet Kager; Kevin Marsh; Mike English; James A Berkley; Charles R Newton Journal: BMC Public Health Date: 2010-10-06 Impact factor: 3.295