Author:
- Introduction
- Methods
- Design and data collection.
- Definitions.
- Method 1: Probability sampling and abstraction from charts of discharged (or deceased) patients.
- Method 2: Chart abstraction plus interviews with currently admitted patients and their HWs.
- Method 3: Chart abstraction plus HW interview for recently discharged patients.
- Results
- Probability sampling and abstraction from charts of discharged (or deceased) inpatients (method 1).
- Documentation of malaria signs and classification of inpatients by disease severity and malaria test results (method 1).
- Feasibility of chart abstraction.
- Validity of documented malaria signs (method 2).
- Characterizing non-documented malaria signs as normal or abnormal (method 2).
- Feasibility of patient and HW interviews (method 2).
- Chart abstraction plus HW interviews of recently discharged patients (method 3).
- Feasibility of HW interviews (method 3).
- Quality of care.
- Discussion
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
WHO, 2012. World Health Statistics. Geneva: World Health Organization. Available at: http://apps.who.int/iris/bitstream/10665/44844/1/9789241564441_eng.pdf?ua=1&ua=1. Accessed May 16, 2013.
-
2.
Biai S, Rodrigues A, Gomes M, Ribeiro I, Sodemann M, Alves F, Aaby P, 2007. Reduced in-hospital mortality after improved management of children under 5 years admitted to hospital with malaria: randomized trial. BMJ 335: 862.
-
3.
Rowe AK, de Leon GF, Mihigo J, Santelli AC, Miller NP, Van-Dunem P, 2009. Quality of malaria case management at outpatient health facilities in Angola. Malar J 8: 275.
-
4.
Leonard K, Masatu MC, 2006. Outpatient process quality evaluation and the Hawthorne Effect. Soc Sci Med 63: 2330–2340.
-
5.
Leonard KL, Masatu MC, 2005. The use of direct clinician observation and vignettes for health services quality evaluation in developing countries. Soc Sci Med 61: 1944–1951.
-
6.
Hermida J, Nicholas DD, Blumenfeld SN, 1999. Comparative validity of three methods for assessment of the quality of primary health care. Int J Qual Health Care 11: 429–433.
-
7.
Reyburn H, Mwakasungula E, Chonya S, Mtei F, Bygbjerg I, Poulsen A, Olomi R, 2008. Clinical assessment and treatment in pediatric wards in the north-east of the United Republic of Tanzania. Bull World Health Organ 86: 132–139.
-
8.
Rowe AK, Onikpo F, Lama M, Deming MS, 2012. Evaluating health worker performance in Benin using the simulated client method with real children. Implement Sci 7: 95.
-
9.
Kahabuka C, Kvale G, Hinderaker SG, 2012. Factors associated with severe disease from malaria, pneumonia and diarrhea among children in rural Tanzania: a hospital-based cross-sectional study. BMC Infect Dis 12: 219.
-
10.
Ayieko P, Ntoburi S, Wagai J, Opondo C, Opiyo N, Migiro S, Wamae A, Mogoa W, Were F, Wasunna A, Fegan G, Irimu G, English M, 2011. A multifaceted intervention to implement guidelines and improve admission pediatric care in Kenyan district hospitals: a cluster randomized trial. PLoS Med 8: e1001018.
-
11.
Achan J, Tibenderana J, Kyabayinze D, Mawejje H, Mugizi R, Mpeka B, Talisuna A, D'Alessandro U, 2011. Case management of severe malaria–a forgotten practice: experiences from health facilities in Uganda. PLoS ONE 6: e17053.
-
12.
English M, Esamai F, Wasunna A, Were F, Ogutu B, Wamae A, Snow RW, Peshu N, 2004. Assessment of inpatient pediatric care in first referral level hospitals in 13 districts in Kenya. Lancet 363: 1948–1953.
-
13.
Nolan T, Angos P, Cunha AJ, Muhe L, Qazi S, Simoes EA, Tamburlini G, Weber M, Pierce NF, 2001. Quality of hospital care for seriously ill children in less-developed countries. Lancet 357: 106–110.
-
14.
Djadou KE, Komlangan A, Balaka B, Dokounor D, Gbadoe AD, Atakouma D, Agbere AD, Kessie K, Assimadi K, 2006. Management of children severe malaria in Tsevie's (Togo) hospital regional center. Arch Pediatr 13: 1555–1556.
-
15.
Zeidan Z, Kojal H, Habour A, Nowary K, Hashim F, Awadelkarim M, 2006. Clinical and epidemiological features of severe malaria in children in four hospitals in Sudan. East Mediterr Health J 12: 783–791.
-
16.
Walter ND, Lyimo T, Skarbinski J, Metta E, Kahigwa E, Flannery B, Dowell SF, Abdulla S, Kachur SP, 2009. Why first-level health workers fail to follow guidelines for managing severe disease in children in the Coast Region, the United Republic of Tanzania. Bull World Health Organ 87: 99–107.
-
17.
Ibeh CC, Ele PU, Ukpabi OJ, 2004. Assessment of doctors' management of severe malaria in urban centres in Eastern Nigeria. Afr J Med Med Sci 33: 149–153.
-
18.
Meningitis Weekly Bulletin, Inter-Country Support Team - West Africa, May 30–July 31, 2010. World Health Organization, Regional Office for Africa. Available at: http://www.meningvax.org/epidemic-updates.php. Accessed June 24, 2013.
-
19.
Politique Nationale De Lutte Contre Le Paludisme et Cadre Strategique de Mise En Oeuvre, Benin, 2005. Benin: Programme National de Lutte Contre le Paludisme, Direction Nationale de la Protection Sanitaire, Republique Du Benin, Ministere De La Sante Publique.
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20.
Roethlisberger FJ, Dickson WJ, 1939. Management and the Worker: An Account of a Research Program Conducted by Western Electric Company, Hawthorne Works, Chicago. Cambridge, MA: Harvard University Press.
-
21.
WHO, 2000. Improving Quality of Paediatric Care in Small Hospitals in Developing Countries. Report of a meeting, Geneva, 19–21 June 2000, World Health Organization. Available at: http://whqlibdoc.who.int/hq/2001/WHO_FCH_CAH_01.25.pdf. Accessed May 15, 2013.
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22.
Taylor TE, 2009. Caring for children with cerebral malaria: insights gleaned from 20 years on a research ward in Malawi. Trans R Soc Trop Med Hyg 103 (Suppl 1): S6–S10.
-
23.
Mwakyusa S, Wamae A, Wasunna A, Were F, Esamai F, Ogutu B, Muriithi A, Peshu N, English M, 2006. Implementation of a structured pediatric admission record for district hospitals in Kenya–results of a pilot study. BMC Int Health Hum Rights 6: 9.
-
24.
WHO, 2010. Guidelines for the Treatment of Malaria. Second edition. Geneva: World Health Organization, 194. Available at: http://whqlibdoc.who.int/publications/2010/9789241547925_eng.pdf. Accessed November 11, 2010.
| Past two years | Past Year | Past 30 Days | |
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| Abstract Views | 21 | 21 | 8 |
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An Evaluation of Methods for Assessing the Quality of Case Management for Inpatients with Malaria in Benin
Kimberly E. Mace
Kimberly E. Mace
Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Population Services International, Cotonou, Benin
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Abdou Salam Gueye
Abdou Salam Gueye
Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Population Services International, Cotonou, Benin
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Michael F. Lynch
Michael F. Lynch
Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Population Services International, Cotonou, Benin
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Esther M. Tassiba
Esther M. Tassiba
Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Population Services International, Cotonou, Benin
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Alexander K. Rowe
Alexander K. Rowe
Malaria Branch, Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia; Population Services International, Cotonou, Benin
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To improve healthcare quality for hospitalized patients with malaria in Benin, a feasible and valid evaluation method is needed. Because observation of inpatients is challenging, chart abstraction is an attractive option. However, the quality of inpatient charts is unknown. We employed three methods in five hospitals to assess 11 signs of malaria and severe disease: 1) chart abstraction (probability sample of inpatients), 2) chart abstraction compared to interviews of inpatients and health workers (HWs), and 3) abstraction from charts of recently discharged inpatients compared to interviews with HWs. Method 1 showed that of 473 malaria signs (from 43 charts), 178 (38%, 95% confidence interval 24–51%) were documented. Method 2 showed that 96% (45 of 47) of documented signs were valid. Method 3 suggests that 65% (36 of 55) of non-documented signs were assessed (but not documented) by HWs. Chart abstraction was feasible and documented data were valid, but results should be interpreted cautiously in consideration of low levels of documentation.
Author Notes
Financial support: Funding for the survey was provided by the United States President's Malaria Initiative and the Government of Benin.
Authors' addresses: Kimberly E. Mace, Abdou Salam Gueye, Michael F. Lynch, and Alexander K. Rowe, Centers for Disease Control and Prevention, Center for Global Health, Malaria Branch, Division of Parasitic Diseases and Malaria, Atlanta, GA, E-mails: igd3@cdc.gov, for6@cdc.gov, wzl4@cdc.gov, and axr9@cdc.gov. Esther M. Tassiba, Population Services International, Cotonou, Benin, E-mail: mtassiba@psi.org.
- Introduction
- Methods
- Design and data collection.
- Definitions.
- Method 1: Probability sampling and abstraction from charts of discharged (or deceased) patients.
- Method 2: Chart abstraction plus interviews with currently admitted patients and their HWs.
- Method 3: Chart abstraction plus HW interview for recently discharged patients.
- Results
- Probability sampling and abstraction from charts of discharged (or deceased) inpatients (method 1).
- Documentation of malaria signs and classification of inpatients by disease severity and malaria test results (method 1).
- Feasibility of chart abstraction.
- Validity of documented malaria signs (method 2).
- Characterizing non-documented malaria signs as normal or abnormal (method 2).
- Feasibility of patient and HW interviews (method 2).
- Chart abstraction plus HW interviews of recently discharged patients (method 3).
- Feasibility of HW interviews (method 3).
- Quality of care.
- Discussion
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
WHO, 2012. World Health Statistics. Geneva: World Health Organization. Available at: http://apps.who.int/iris/bitstream/10665/44844/1/9789241564441_eng.pdf?ua=1&ua=1. Accessed May 16, 2013.
-
2.
Biai S, Rodrigues A, Gomes M, Ribeiro I, Sodemann M, Alves F, Aaby P, 2007. Reduced in-hospital mortality after improved management of children under 5 years admitted to hospital with malaria: randomized trial. BMJ 335: 862.
-
3.
Rowe AK, de Leon GF, Mihigo J, Santelli AC, Miller NP, Van-Dunem P, 2009. Quality of malaria case management at outpatient health facilities in Angola. Malar J 8: 275.
-
4.
Leonard K, Masatu MC, 2006. Outpatient process quality evaluation and the Hawthorne Effect. Soc Sci Med 63: 2330–2340.
-
5.
Leonard KL, Masatu MC, 2005. The use of direct clinician observation and vignettes for health services quality evaluation in developing countries. Soc Sci Med 61: 1944–1951.
-
6.
Hermida J, Nicholas DD, Blumenfeld SN, 1999. Comparative validity of three methods for assessment of the quality of primary health care. Int J Qual Health Care 11: 429–433.
-
7.
Reyburn H, Mwakasungula E, Chonya S, Mtei F, Bygbjerg I, Poulsen A, Olomi R, 2008. Clinical assessment and treatment in pediatric wards in the north-east of the United Republic of Tanzania. Bull World Health Organ 86: 132–139.
-
8.
Rowe AK, Onikpo F, Lama M, Deming MS, 2012. Evaluating health worker performance in Benin using the simulated client method with real children. Implement Sci 7: 95.
-
9.
Kahabuka C, Kvale G, Hinderaker SG, 2012. Factors associated with severe disease from malaria, pneumonia and diarrhea among children in rural Tanzania: a hospital-based cross-sectional study. BMC Infect Dis 12: 219.
-
10.
Ayieko P, Ntoburi S, Wagai J, Opondo C, Opiyo N, Migiro S, Wamae A, Mogoa W, Were F, Wasunna A, Fegan G, Irimu G, English M, 2011. A multifaceted intervention to implement guidelines and improve admission pediatric care in Kenyan district hospitals: a cluster randomized trial. PLoS Med 8: e1001018.
-
11.
Achan J, Tibenderana J, Kyabayinze D, Mawejje H, Mugizi R, Mpeka B, Talisuna A, D'Alessandro U, 2011. Case management of severe malaria–a forgotten practice: experiences from health facilities in Uganda. PLoS ONE 6: e17053.
-
12.
English M, Esamai F, Wasunna A, Were F, Ogutu B, Wamae A, Snow RW, Peshu N, 2004. Assessment of inpatient pediatric care in first referral level hospitals in 13 districts in Kenya. Lancet 363: 1948–1953.
-
13.
Nolan T, Angos P, Cunha AJ, Muhe L, Qazi S, Simoes EA, Tamburlini G, Weber M, Pierce NF, 2001. Quality of hospital care for seriously ill children in less-developed countries. Lancet 357: 106–110.
-
14.
Djadou KE, Komlangan A, Balaka B, Dokounor D, Gbadoe AD, Atakouma D, Agbere AD, Kessie K, Assimadi K, 2006. Management of children severe malaria in Tsevie's (Togo) hospital regional center. Arch Pediatr 13: 1555–1556.
-
15.
Zeidan Z, Kojal H, Habour A, Nowary K, Hashim F, Awadelkarim M, 2006. Clinical and epidemiological features of severe malaria in children in four hospitals in Sudan. East Mediterr Health J 12: 783–791.
-
16.
Walter ND, Lyimo T, Skarbinski J, Metta E, Kahigwa E, Flannery B, Dowell SF, Abdulla S, Kachur SP, 2009. Why first-level health workers fail to follow guidelines for managing severe disease in children in the Coast Region, the United Republic of Tanzania. Bull World Health Organ 87: 99–107.
-
17.
Ibeh CC, Ele PU, Ukpabi OJ, 2004. Assessment of doctors' management of severe malaria in urban centres in Eastern Nigeria. Afr J Med Med Sci 33: 149–153.
-
18.
Meningitis Weekly Bulletin, Inter-Country Support Team - West Africa, May 30–July 31, 2010. World Health Organization, Regional Office for Africa. Available at: http://www.meningvax.org/epidemic-updates.php. Accessed June 24, 2013.
-
19.
Politique Nationale De Lutte Contre Le Paludisme et Cadre Strategique de Mise En Oeuvre, Benin, 2005. Benin: Programme National de Lutte Contre le Paludisme, Direction Nationale de la Protection Sanitaire, Republique Du Benin, Ministere De La Sante Publique.
-
20.
Roethlisberger FJ, Dickson WJ, 1939. Management and the Worker: An Account of a Research Program Conducted by Western Electric Company, Hawthorne Works, Chicago. Cambridge, MA: Harvard University Press.
-
21.
WHO, 2000. Improving Quality of Paediatric Care in Small Hospitals in Developing Countries. Report of a meeting, Geneva, 19–21 June 2000, World Health Organization. Available at: http://whqlibdoc.who.int/hq/2001/WHO_FCH_CAH_01.25.pdf. Accessed May 15, 2013.
-
22.
Taylor TE, 2009. Caring for children with cerebral malaria: insights gleaned from 20 years on a research ward in Malawi. Trans R Soc Trop Med Hyg 103 (Suppl 1): S6–S10.
-
23.
Mwakyusa S, Wamae A, Wasunna A, Were F, Esamai F, Ogutu B, Muriithi A, Peshu N, English M, 2006. Implementation of a structured pediatric admission record for district hospitals in Kenya–results of a pilot study. BMC Int Health Hum Rights 6: 9.
-
24.
WHO, 2010. Guidelines for the Treatment of Malaria. Second edition. Geneva: World Health Organization, 194. Available at: http://whqlibdoc.who.int/publications/2010/9789241547925_eng.pdf. Accessed November 11, 2010.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 21 | 21 | 8 |
| Full Text Views | 394 | 87 | 0 |
| PDF Downloads | 45 | 13 | 0 |