| الملخص: | Difficulty adhering to evidence-based guidelines is an important driver of inpatient child mortality. A mixed method assessment was conducted in eight district or national referral hospitals in Bangladesh (2), Kenya (3), Malawi (1), Pakistan (1) and Uganda (1) between July and November 2016. Key informants (administrators, clinicians, nurses, nutritionists, pharmacists) were interviewed and essential hospital infrastructure, equipment and medicines was assessed by direct observation. The clinical notes of 240 children aged 2-23 months were reviewed and indicators of adherence to guidelines for common pediatric conditions, including severe acute malnutrition (SAM), pneumonia, diarrhea, and anemia were abstracted.
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