Show simple item record

dc.contributor.authorGiugliani, Camilapt_BR
dc.contributor.authorDuncan, Bruce Bartholowpt_BR
dc.contributor.authorHarzheim, Ernopt_BR
dc.contributor.authorBreysse, Sergept_BR
dc.contributor.authorJarrige, Lucpt_BR
dc.date.accessioned2016-05-06T02:21:58Zpt_BR
dc.date.issued2010pt_BR
dc.identifier.issn0003-9888pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/140368pt_BR
dc.description.abstractObjective To measure the impact of practice review and in-service supervision based on WHO guidelines on outcomes of severely malnourished children in a rural facility with minimal resources staffed only by nurses. Design Intervention (January to August 2006) with historical comparison of outcomes (January to August 2005). Setting Therapeutic feeding centre in rural Angola. Patients All children admitted to the feeding centre during the study period. Intervention Médecins Du Monde implemented an intervention that consisted of weekly physician supervision of staff activities and establishment of a study group composed of nurses in the centre. Main outcome measures Routine practices in the centre and measured indicators for outcomes of admitted children, which were compared to indicators before the intervention. Results During the intervention the authors observed improved delivery of important tasks such as frequent feeding and avoidance of intravenous rehydration. Among the 379 children admitted during the intervention, compared to the 358 children admitted previously, successful treatment increased from 73.2% to 82.6% (RR 1.13; 95% CI 1.04 to 1.22) and fatalities decreased from 15.6% to 8.7% (RR 0.56; 95% CI 0.37 to 0.83). Conclusion This short-term intervention with in-service supervision based on the WHO guidelines in a setting of limited resources apparently contributed to a reduction in fatality rates. These fi ndings support the view that such guidelines can be effectively implemented in under-resourced facilities in Angola and similar settings if they are introduced using an interactive approach and if in-service supervision continues to be provided.en
dc.format.mimetypeapplication/pdfpt_BR
dc.language.isoengpt_BR
dc.relation.ispartofArchives of disease in childhood. Vol. 95, no. 3 (Mar. 2010), p. 198-202pt_BR
dc.rightsOpen Accessen
dc.subjectDesnutriçãopt_BR
dc.subjectPaíses em desenvolvimentopt_BR
dc.subjectGuia de prática clínicapt_BR
dc.subjectSaúde da população ruralpt_BR
dc.subjectServiços de saúde ruralpt_BR
dc.subjectAngolapt_BR
dc.titleThe impact of a short-term intervention using the WHO guidelines for the management of severe malnutrition at a rural facility in Angolapt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000837712pt_BR
dc.description.originTelemedicinapt_BR
dc.type.originEstrangeiropt_BR


Files in this item

Thumbnail
   

This item is licensed under a Creative Commons License

Show simple item record