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Improving facility-based care for sick children in Uganda: training is not enough

Pariyo, George W. ; Gouws, Eleanor ; Bryce, Jennifer ; Burnham, Gilbert

In: Health Policy and Planning, 2005, vol. 20, p. i58-i68

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    Titel
    • Improving facility-based care for sick children in Uganda: training is not enough
    Autor
    • Pariyo, George W.. 1Department of Health Policy Planning and Management, Makerere University Institute of Public Health, Kampala, Uganda, 2Division of Child and Adolescent Health, World Health Organization, Geneva, Switzerland, 3WHO Consultant, 2081 Danby Road, Ithaca, NY, USA and 4Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
    • Gouws, Eleanor. 1Department of Health Policy Planning and Management, Makerere University Institute of Public Health, Kampala, Uganda, 2Division of Child and Adolescent Health, World Health Organization, Geneva, Switzerland, 3WHO Consultant, 2081 Danby Road, Ithaca, NY, USA and 4Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
    • Bryce, Jennifer. 1Department of Health Policy Planning and Management, Makerere University Institute of Public Health, Kampala, Uganda, 2Division of Child and Adolescent Health, World Health Organization, Geneva, Switzerland, 3WHO Consultant, 2081 Danby Road, Ithaca, NY, USA and 4Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
    • Burnham, Gilbert. 1Department of Health Policy Planning and Management, Makerere University Institute of Public Health, Kampala, Uganda, 2Division of Child and Adolescent Health, World Health Organization, Geneva, Switzerland, 3WHO Consultant, 2081 Danby Road, Ithaca, NY, USA and 4Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • Health Policy and Planning, 2005, vol. 20, p. i58-i68. Oxford University Press
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:292331
    Summary
    This study assessed the effects of scaling-up Integrated Management of Childhood Illness (IMCI) on the quality of care received by sick children in 10 districts in Uganda. Health workers trained in IMCI were found to deliver significantly better care than health workers who had not yet been trained, but absolute levels of service quality remained low. Achieving training coverage alone is not sufficient as a strategy to improve and sustain care quality. Other factors including training quality, effective supervision, availability of essential drugs, vaccines and equipment, and the policy context are also important and must be included in child survival policies and plans