An assessment of the quality of care for children in eighteen randomly selected district and sub-district hospitals in BangladeshReport as inadecuate




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BMC Pediatrics

, 12:197

Global and public health and healthcare

Abstract

BackgroundQuality hospital care is important in ensuring that the needs of severely ill children are met to avert child mortality. However, the quality of hospital care for children in developing countries has often been found poor. As the first step of a country road map for improving hospital care for children, we assessed the baseline situation with respect to the quality of care provided to children under-five years age in district and sub-district level hospitals in Bangladesh.

MethodsUsing adapted World Health Organization WHO hospital assessment tools and standards, an assessment of 18 randomly selected district n=6 and sub-district n=12 hospitals was undertaken. Teams of trained assessors used direct case observation, record review, interviews, and Management Information System MIS data to assess the quality of clinical case management and monitoring; infrastructure, processes and hospital administration; essential hospital and laboratory supports, drugs and equipment.

ResultsFindings demonstrate that the overall quality of care provided in these hospitals was poor. No hospital had a functioning triage system to prioritise those children most in need of immediate care. Laboratory supports and essential equipment were deficient. Only one hospital had all of the essential drugs for paediatric care. Less than a third of hospitals had a back-up power supply, and just under half had functioning arrangements for safe-drinking water. Clinical case management was found to be sub-optimal for prevalent illnesses, as was the quality of neonatal care.

ConclusionAction is needed to improve the quality of paediatric care in hospital settings in Bangladesh, with a particular need to invest in improving newborn care.

KeywordsQuality of care Hospitals Child health Bangladesh Electronic supplementary materialThe online version of this article doi:10.1186-1471-2431-12-197 contains supplementary material, which is available to authorized users.

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Author: Dewan ME Hoque - Muntasirur Rahman - Sk Masum Billah - Michael Savic - AQM Rezaul Karim - Enayet K Chowdhury - Altaf Ho

Source: https://link.springer.com/



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