Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context
Summary: Background: Most childhood deaths globally are considered preventable through high-quality clinical care, which includes adherence to clinical care recommendations. Our objective was to describe adherence to World Health Organization recommendations for the management of leading causes of...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Series: | EClinicalMedicine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589537023003759 |
| _version_ | 1827853186160918528 |
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| author | Chris A. Rees Kitiezo Aggrey Igunza Zachary J. Madewell Victor Akelo Dickens Onyango Shams El Arifeen Emily S. Gurley Mohammad Zahid Hossain Afruna Rahman Muntasir Alam J. Anthony G. Scott Nega Assefa Lola Madrid Anteneh Belachew Haleluya Leulseged Karen L. Kotloff Samba O. Sow Milagritos D. Tapia Adama Mamby Keita Diakaridia Sidibe Antonio Sitoe Rosauro Varo Sara Ajanovic Quique Bassat Inácio Mandomando Beth A. Tippett Barr Ikechukwu Ogbuanu Carrie Jo Cain Ima-Abasi Bassey Ronita Luke Khadija Gassama Shabir Madhi Ziyaad Dangor Sana Mahtab Sithembiso Velaphi Jeanie du Toit Portia C. Mutevedzi Dianna M. Blau Robert F. Breiman Cynthia G. Whitney Fatima Solomon Gillian Sorour Hennie Lombaard Jeannette Wadula Karen Petersen Martin Hale Nelesh P. Govender Peter J. Swart Sanjay G. Lala Sithembiso Velaphi Richard Chawana Yasmin Adam Amy Wise Ashleigh Fritz Nellie Myburgh Pedzisai Ndagurwa Cleopas Hwinya Sanwarul Bari Shahana Parveen Mohammed Kamal A.S.M. Nawshad Uddin Ahmed Mahbubul Hoque Saria Tasnim Ferdousi Islam Farida Ariuman Mohammad Mosiur Rahman Ferdousi Begum K. Zaman Mustafizur Rahman Dilruba Ahmed Meerjady Sabrina Flora Tahmina Shirin Mahbubur Rahman Joseph Oundo Alexander M. Ibrahim Fikremelekot Temesgen Tadesse Gure Addisu Alemu Melisachew Mulatu Yeshi Mahlet Abayneh Gizaw Stian Orlien Solomon Ali Peter Otieno Peter Nyamthimba Onyango Janet Agaya Richard Oliech Joyce Akinyi Were Dickson Gethi Sammy Khagayi George Aol Thomas Misore Harun Owuor Christopher Mugah Bernard Oluoch Christine Ochola Sharon M. Tennant Carol L. Greene Ashka Mehta J. Kristie Johnson Brigitte Gaume Rima Koka Karen D. Fairchild Diakaridia Kone Sharon M. Tennant Ashka Mehta Doh Sanogo Uma U. Onwuchekwa Nana Kourouma Seydou Sissoko Cheick Bougadari Traore Jane Juma Kounandji Diarra Awa Traore Tiéman Diarra Kiranpreet Chawla Tacilta Nhampossa Zara Manhique Sibone Mocumbi Clara Menéndez Khátia Munguambe Ariel Nhacolo Maria Maixenchs Andrew Moseray Fatmata Bintu Tarawally Martin Seppeh Ronald Mash Julius Ojulong Babatunde Duduyemi James Bunn Alim Swaray-Deen Joseph Bangura Amara Jambai Margaret Mannah Okokon Ita Cornell Chukwuegbo Sulaiman Sannoh Princewill Nwajiobi Dickens Kowuor Erick Kaluma Oluseyi Balogun Solomon Samura Samuel Pratt Francis Moses Tom Sesay James Squire Joseph Kamanda Sesay Osman Kaykay Binyam Halu Hailemariam Legesse Francis Smart Sartie Kenneh Soter Ameh Sartie Kenneh Jana Ritter Tais Wilson Jonas Winchell Jakob Witherbee Navit T. Salzberg Jeffrey P. Koplan Margaret Basket Ashutosh Wadhwa Kyu Han Lee Valentine Wanga Roosecelis Martines Shamta Warang Maureen Diaz Jessica Waller Shailesh Nair Lucy Liu Courtney Bursuc Kristin LaHatte Sarah Raymer John Blevins Solveig Argeseanu Kurt Vyas Manu Bhandari |
| author_facet | Chris A. Rees Kitiezo Aggrey Igunza Zachary J. Madewell Victor Akelo Dickens Onyango Shams El Arifeen Emily S. Gurley Mohammad Zahid Hossain Afruna Rahman Muntasir Alam J. Anthony G. Scott Nega Assefa Lola Madrid Anteneh Belachew Haleluya Leulseged Karen L. Kotloff Samba O. Sow Milagritos D. Tapia Adama Mamby Keita Diakaridia Sidibe Antonio Sitoe Rosauro Varo Sara Ajanovic Quique Bassat Inácio Mandomando Beth A. Tippett Barr Ikechukwu Ogbuanu Carrie Jo Cain Ima-Abasi Bassey Ronita Luke Khadija Gassama Shabir Madhi Ziyaad Dangor Sana Mahtab Sithembiso Velaphi Jeanie du Toit Portia C. Mutevedzi Dianna M. Blau Robert F. Breiman Cynthia G. Whitney Fatima Solomon Gillian Sorour Hennie Lombaard Jeannette Wadula Karen Petersen Martin Hale Nelesh P. Govender Peter J. Swart Sanjay G. Lala Sithembiso Velaphi Richard Chawana Yasmin Adam Amy Wise Ashleigh Fritz Nellie Myburgh Pedzisai Ndagurwa Cleopas Hwinya Sanwarul Bari Shahana Parveen Mohammed Kamal A.S.M. Nawshad Uddin Ahmed Mahbubul Hoque Saria Tasnim Ferdousi Islam Farida Ariuman Mohammad Mosiur Rahman Ferdousi Begum K. Zaman Mustafizur Rahman Dilruba Ahmed Meerjady Sabrina Flora Tahmina Shirin Mahbubur Rahman Joseph Oundo Alexander M. Ibrahim Fikremelekot Temesgen Tadesse Gure Addisu Alemu Melisachew Mulatu Yeshi Mahlet Abayneh Gizaw Stian Orlien Solomon Ali Peter Otieno Peter Nyamthimba Onyango Janet Agaya Richard Oliech Joyce Akinyi Were Dickson Gethi Sammy Khagayi George Aol Thomas Misore Harun Owuor Christopher Mugah Bernard Oluoch Christine Ochola Sharon M. Tennant Carol L. Greene Ashka Mehta J. Kristie Johnson Brigitte Gaume Rima Koka Karen D. Fairchild Diakaridia Kone Sharon M. Tennant Ashka Mehta Doh Sanogo Uma U. Onwuchekwa Nana Kourouma Seydou Sissoko Cheick Bougadari Traore Jane Juma Kounandji Diarra Awa Traore Tiéman Diarra Kiranpreet Chawla Tacilta Nhampossa Zara Manhique Sibone Mocumbi Clara Menéndez Khátia Munguambe Ariel Nhacolo Maria Maixenchs Andrew Moseray Fatmata Bintu Tarawally Martin Seppeh Ronald Mash Julius Ojulong Babatunde Duduyemi James Bunn Alim Swaray-Deen Joseph Bangura Amara Jambai Margaret Mannah Okokon Ita Cornell Chukwuegbo Sulaiman Sannoh Princewill Nwajiobi Dickens Kowuor Erick Kaluma Oluseyi Balogun Solomon Samura Samuel Pratt Francis Moses Tom Sesay James Squire Joseph Kamanda Sesay Osman Kaykay Binyam Halu Hailemariam Legesse Francis Smart Sartie Kenneh Soter Ameh Sartie Kenneh Jana Ritter Tais Wilson Jonas Winchell Jakob Witherbee Navit T. Salzberg Jeffrey P. Koplan Margaret Basket Ashutosh Wadhwa Kyu Han Lee Valentine Wanga Roosecelis Martines Shamta Warang Maureen Diaz Jessica Waller Shailesh Nair Lucy Liu Courtney Bursuc Kristin LaHatte Sarah Raymer John Blevins Solveig Argeseanu Kurt Vyas Manu Bhandari |
| author_sort | Chris A. Rees |
| collection | DOAJ |
| description | Summary: Background: Most childhood deaths globally are considered preventable through high-quality clinical care, which includes adherence to clinical care recommendations. Our objective was to describe adherence to World Health Organization recommendations for the management of leading causes of death among children. Methods: We conducted a retrospective, descriptive study examining clinical data for children aged 1–59 months who were hospitalized and died in a Child Health and Mortality Prevention Surveillance (CHAMPS) catchment, December 2016–June 2021. Catchment areas included: Baliakandi and Faridpur, Bangladesh; Kersa, Haramaya, and Harar, Ethiopia; Kisumu and Siaya, Kenya; Bamako, Mali; Manhiça and Quelimane, Mozambique; Makeni, Sierra Leone; Soweto, South Africa. We reviewed medical records of those who died from lower respiratory tract infections, sepsis, malnutrition, malaria, and diarrheal diseases to determine the proportion who received recommended treatments and compared adherence by hospitalization duration. Findings: CHAMPS enrolled 460 hospitalized children who died from the leading causes (median age 12 months, 53.0% male). Median hospital admission was 31 h. There were 51.0% (n = 127/249) of children who died from lower respiratory tract infections received supplemental oxygen. Administration of intravenous fluids for sepsis (15.9%, n = 36/226) and supplemental feeds for malnutrition (14.0%, n = 18/129) were uncommon. There were 51.4% (n = 55/107) of those who died from malaria received antimalarials. Of the 80 children who died from diarrheal diseases, 76.2% received intravenous fluids. Those admitted for ≥24 h more commonly received antibiotics for lower respiratory tract infections and sepsis, supplemental feeds for malnutrition, and intravenous fluids for sepsis than those admitted <24 h. Interpretation: Provision of recommended clinical care for leading causes of death among young children was suboptimal. Further studies are needed to understand the reasons for deficits in clinical care recommendation adherence. Funding: Bill & Melinda Gates Foundation. |
| first_indexed | 2024-03-12T11:02:33Z |
| format | Article |
| id | doaj.art-7bbde38ed56a44c89b6d96f1be3aa920 |
| institution | Directory Open Access Journal |
| issn | 2589-5370 |
| language | English |
| last_indexed | 2024-03-12T11:02:33Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EClinicalMedicine |
| spelling | doaj.art-7bbde38ed56a44c89b6d96f1be3aa9202023-09-02T04:32:13ZengElsevierEClinicalMedicine2589-53702023-09-0163102198Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in contextChris A. Rees0Kitiezo Aggrey Igunza1Zachary J. Madewell2Victor Akelo3Dickens Onyango4Shams El Arifeen5Emily S. Gurley6Mohammad Zahid Hossain7Afruna Rahman8Muntasir Alam9J. Anthony G. Scott10Nega Assefa11Lola Madrid12Anteneh Belachew13Haleluya Leulseged14Karen L. Kotloff15Samba O. Sow16Milagritos D. Tapia17Adama Mamby Keita18Diakaridia Sidibe19Antonio Sitoe20Rosauro Varo21Sara Ajanovic22Quique Bassat23Inácio Mandomando24Beth A. Tippett Barr25Ikechukwu Ogbuanu26Carrie Jo Cain27Ima-Abasi Bassey28Ronita Luke29Khadija Gassama30Shabir Madhi31Ziyaad Dangor32Sana Mahtab33Sithembiso Velaphi34Jeanie du Toit35Portia C. Mutevedzi36Dianna M. Blau37Robert F. Breiman38Cynthia G. Whitney39Fatima SolomonGillian SorourHennie LombaardJeannette WadulaKaren PetersenMartin HaleNelesh P. GovenderPeter J. SwartSanjay G. LalaSithembiso VelaphiRichard ChawanaYasmin AdamAmy WiseAshleigh FritzNellie MyburghPedzisai NdagurwaCleopas HwinyaSanwarul BariShahana ParveenMohammed KamalA.S.M. Nawshad Uddin AhmedMahbubul HoqueSaria TasnimFerdousi IslamFarida AriumanMohammad Mosiur RahmanFerdousi BegumK. ZamanMustafizur RahmanDilruba AhmedMeerjady Sabrina FloraTahmina ShirinMahbubur RahmanJoseph OundoAlexander M. IbrahimFikremelekot TemesgenTadesse GureAddisu AlemuMelisachew Mulatu YeshiMahlet Abayneh GizawStian OrlienSolomon AliPeter OtienoPeter Nyamthimba OnyangoJanet AgayaRichard OliechJoyce Akinyi WereDickson GethiSammy KhagayiGeorge AolThomas MisoreHarun OwuorChristopher MugahBernard OluochChristine OcholaSharon M. TennantCarol L. GreeneAshka MehtaJ. Kristie JohnsonBrigitte GaumeRima KokaKaren D. FairchildDiakaridia KoneSharon M. TennantAshka MehtaDoh SanogoUma U. OnwuchekwaNana KouroumaSeydou SissokoCheick Bougadari TraoreJane JumaKounandji DiarraAwa TraoreTiéman DiarraKiranpreet ChawlaTacilta NhampossaZara ManhiqueSibone MocumbiClara MenéndezKhátia MunguambeAriel NhacoloMaria MaixenchsAndrew MoserayFatmata Bintu TarawallyMartin SeppehRonald MashJulius OjulongBabatunde DuduyemiJames BunnAlim Swaray-DeenJoseph BanguraAmara JambaiMargaret MannahOkokon ItaCornell ChukwuegboSulaiman SannohPrincewill NwajiobiDickens KowuorErick KalumaOluseyi BalogunSolomon SamuraSamuel PrattFrancis MosesTom SesayJames SquireJoseph Kamanda SesayOsman KaykayBinyam HaluHailemariam LegesseFrancis SmartSartie KennehSoter AmehSartie KennehJana RitterTais WilsonJonas WinchellJakob WitherbeeNavit T. SalzbergJeffrey P. KoplanMargaret BasketAshutosh WadhwaKyu Han LeeValentine WangaRoosecelis MartinesShamta WarangMaureen DiazJessica WallerShailesh NairLucy LiuCourtney BursucKristin LaHatteSarah RaymerJohn BlevinsSolveig ArgeseanuKurt VyasManu BhandariDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, United States of America; Children's Healthcare of Atlanta, Atlanta, GA, United States of America; Corresponding author. Division of Pediatric Emergency Medicine, Emory University School of Medicine, 1405 Clifton Road NE, Atlanta, GA, 30322, United States of America.Kenya Medical Research Institute-Center for Global Health Research, Kisumu, KenyaCenter for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, United States of AmericaCenters for Disease Control and Prevention-Kenya, Kisumu, KenyaKisumu County Department of Health, Kisumu, KenyaInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, BangladeshInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of AmericaInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, BangladeshInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, BangladeshInternational Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, BangladeshLondon School of Hygiene and Tropical Medicine, Keppel Street, London, UKLondon School of Hygiene and Tropical Medicine, Keppel Street, London, UK; College of Health and Medical Sciences, Haramaya University, Harar, EthiopiaLondon School of Hygiene and Tropical Medicine, Keppel Street, London, UKCollege of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; Hararghe Health Research, Haramaya University, EthiopiaCollege of Health and Medical Sciences, Haramaya University, Harar, Ethiopia; Hararghe Health Research, Haramaya University, EthiopiaDepartment of Pediatrics, Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of AmericaCentre pour le Développement des Vaccins-Mali, Bamako, MaliDepartment of Pediatrics, Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD, United States of AmericaCentre pour le Développement des Vaccins-Mali, Bamako, MaliCentre pour le Développement des Vaccins-Mali, Bamako, MaliCentro de Investigação em Saúde de Manhiça [CISM], Maputo, MozambiqueCentro de Investigação em Saúde de Manhiça [CISM], Maputo, Mozambique; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, SpainCentro de Investigação em Saúde de Manhiça [CISM], Maputo, Mozambique; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, SpainCentro de Investigação em Saúde de Manhiça [CISM], Maputo, Mozambique; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; ICREA, Pg. Lluís Companys 23, 08010, Barcelona, Spain; Pediatrics Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Esplugues, Barcelona, Spain; Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, SpainCentro de Investigação em Saúde de Manhiça [CISM], Maputo, Mozambique; ISGlobal - Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Instituto Nacional de Saúde, Ministério de Saúde, Maputo, MoçambiqueNyanja Health, Salima, MalawiCrown Agents, Freetown, Sierra LeoneWorld Hope International, Freetown, Sierra LeoneCrown Agents, Freetown, Sierra LeoneMinistry of Health and Sanitation, Freetown, Sierra LeoneCrown Agents, Freetown, Sierra LeoneSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South AfricaSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South AfricaSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Paediatrics and Child Health, Chris Hani Baragwanath Academic Hospital, University of the Witwatersrand, Johannesburg, South AfricaSouth African Medical Research Council Vaccines and Infectious Diseases Analytics Research Unit, University of the Witwatersrand, Johannesburg, South AfricaGlobal Health Institute, Emory University, Atlanta, GA, United States of AmericaCenter for Global Health, Centers for Disease Control and Prevention, Atlanta, GA, United States of AmericaHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States of AmericaGlobal Health Institute, Emory University, Atlanta, GA, United States of AmericaSummary: Background: Most childhood deaths globally are considered preventable through high-quality clinical care, which includes adherence to clinical care recommendations. Our objective was to describe adherence to World Health Organization recommendations for the management of leading causes of death among children. Methods: We conducted a retrospective, descriptive study examining clinical data for children aged 1–59 months who were hospitalized and died in a Child Health and Mortality Prevention Surveillance (CHAMPS) catchment, December 2016–June 2021. Catchment areas included: Baliakandi and Faridpur, Bangladesh; Kersa, Haramaya, and Harar, Ethiopia; Kisumu and Siaya, Kenya; Bamako, Mali; Manhiça and Quelimane, Mozambique; Makeni, Sierra Leone; Soweto, South Africa. We reviewed medical records of those who died from lower respiratory tract infections, sepsis, malnutrition, malaria, and diarrheal diseases to determine the proportion who received recommended treatments and compared adherence by hospitalization duration. Findings: CHAMPS enrolled 460 hospitalized children who died from the leading causes (median age 12 months, 53.0% male). Median hospital admission was 31 h. There were 51.0% (n = 127/249) of children who died from lower respiratory tract infections received supplemental oxygen. Administration of intravenous fluids for sepsis (15.9%, n = 36/226) and supplemental feeds for malnutrition (14.0%, n = 18/129) were uncommon. There were 51.4% (n = 55/107) of those who died from malaria received antimalarials. Of the 80 children who died from diarrheal diseases, 76.2% received intravenous fluids. Those admitted for ≥24 h more commonly received antibiotics for lower respiratory tract infections and sepsis, supplemental feeds for malnutrition, and intravenous fluids for sepsis than those admitted <24 h. Interpretation: Provision of recommended clinical care for leading causes of death among young children was suboptimal. Further studies are needed to understand the reasons for deficits in clinical care recommendation adherence. Funding: Bill & Melinda Gates Foundation.http://www.sciencedirect.com/science/article/pii/S2589537023003759ChildhoodMortalityClinical careGuideline adherence |
| spellingShingle | Chris A. Rees Kitiezo Aggrey Igunza Zachary J. Madewell Victor Akelo Dickens Onyango Shams El Arifeen Emily S. Gurley Mohammad Zahid Hossain Afruna Rahman Muntasir Alam J. Anthony G. Scott Nega Assefa Lola Madrid Anteneh Belachew Haleluya Leulseged Karen L. Kotloff Samba O. Sow Milagritos D. Tapia Adama Mamby Keita Diakaridia Sidibe Antonio Sitoe Rosauro Varo Sara Ajanovic Quique Bassat Inácio Mandomando Beth A. Tippett Barr Ikechukwu Ogbuanu Carrie Jo Cain Ima-Abasi Bassey Ronita Luke Khadija Gassama Shabir Madhi Ziyaad Dangor Sana Mahtab Sithembiso Velaphi Jeanie du Toit Portia C. Mutevedzi Dianna M. Blau Robert F. Breiman Cynthia G. Whitney Fatima Solomon Gillian Sorour Hennie Lombaard Jeannette Wadula Karen Petersen Martin Hale Nelesh P. Govender Peter J. Swart Sanjay G. Lala Sithembiso Velaphi Richard Chawana Yasmin Adam Amy Wise Ashleigh Fritz Nellie Myburgh Pedzisai Ndagurwa Cleopas Hwinya Sanwarul Bari Shahana Parveen Mohammed Kamal A.S.M. Nawshad Uddin Ahmed Mahbubul Hoque Saria Tasnim Ferdousi Islam Farida Ariuman Mohammad Mosiur Rahman Ferdousi Begum K. Zaman Mustafizur Rahman Dilruba Ahmed Meerjady Sabrina Flora Tahmina Shirin Mahbubur Rahman Joseph Oundo Alexander M. Ibrahim Fikremelekot Temesgen Tadesse Gure Addisu Alemu Melisachew Mulatu Yeshi Mahlet Abayneh Gizaw Stian Orlien Solomon Ali Peter Otieno Peter Nyamthimba Onyango Janet Agaya Richard Oliech Joyce Akinyi Were Dickson Gethi Sammy Khagayi George Aol Thomas Misore Harun Owuor Christopher Mugah Bernard Oluoch Christine Ochola Sharon M. Tennant Carol L. Greene Ashka Mehta J. Kristie Johnson Brigitte Gaume Rima Koka Karen D. Fairchild Diakaridia Kone Sharon M. Tennant Ashka Mehta Doh Sanogo Uma U. Onwuchekwa Nana Kourouma Seydou Sissoko Cheick Bougadari Traore Jane Juma Kounandji Diarra Awa Traore Tiéman Diarra Kiranpreet Chawla Tacilta Nhampossa Zara Manhique Sibone Mocumbi Clara Menéndez Khátia Munguambe Ariel Nhacolo Maria Maixenchs Andrew Moseray Fatmata Bintu Tarawally Martin Seppeh Ronald Mash Julius Ojulong Babatunde Duduyemi James Bunn Alim Swaray-Deen Joseph Bangura Amara Jambai Margaret Mannah Okokon Ita Cornell Chukwuegbo Sulaiman Sannoh Princewill Nwajiobi Dickens Kowuor Erick Kaluma Oluseyi Balogun Solomon Samura Samuel Pratt Francis Moses Tom Sesay James Squire Joseph Kamanda Sesay Osman Kaykay Binyam Halu Hailemariam Legesse Francis Smart Sartie Kenneh Soter Ameh Sartie Kenneh Jana Ritter Tais Wilson Jonas Winchell Jakob Witherbee Navit T. Salzberg Jeffrey P. Koplan Margaret Basket Ashutosh Wadhwa Kyu Han Lee Valentine Wanga Roosecelis Martines Shamta Warang Maureen Diaz Jessica Waller Shailesh Nair Lucy Liu Courtney Bursuc Kristin LaHatte Sarah Raymer John Blevins Solveig Argeseanu Kurt Vyas Manu Bhandari Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context EClinicalMedicine Childhood Mortality Clinical care Guideline adherence |
| title | Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context |
| title_full | Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context |
| title_fullStr | Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context |
| title_full_unstemmed | Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context |
| title_short | Provider adherence to clinical care recommendations for infants and children who died in seven low- and middle-income countries in the Child Health and Mortality Prevention Surveillance (CHAMPS) networkResearch in context |
| title_sort | provider adherence to clinical care recommendations for infants and children who died in seven low and middle income countries in the child health and mortality prevention surveillance champs networkresearch in context |
| topic | Childhood Mortality Clinical care Guideline adherence |
| url | http://www.sciencedirect.com/science/article/pii/S2589537023003759 |
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provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT courtneybursuc provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT kristinlahatte provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT sarahraymer provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT johnblevins provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT solveigargeseanu provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT kurtvyas provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext AT manubhandari provideradherencetoclinicalcarerecommendationsforinfantsandchildrenwhodiedinsevenlowandmiddleincomecountriesinthechildhealthandmortalitypreventionsurveillancechampsnetworkresearchincontext |