Capacity to provide care for common childhood infections at low-level private health facilities in Western, Uganda

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dc.contributor.authorMwanga-Amumpaire, Juliet
dc.contributor.authorNdeezi, Grace
dc.contributor.authorKa¨llander, Karin
dc.contributor.authorObua, Celestino
dc.contributor.authorMigisha, Richard
dc.contributor.authorNkeramahame, Juvenal
dc.contributor.authorStålsby Lundborg, Cecilia
dc.contributor.authorNakayaga Kalyango, Joan
dc.contributor.authorAlfv, Tobias
dc.date.accessioned2022-02-02T15:58:29Z
dc.date.available2022-02-02T15:58:29Z
dc.date.issued2021
dc.description.abstractLow-level private health facilities (LLPHFs) handle a considerable magnitude of sick children in low-resource countries. We assessed capacity of LLPHFs to manage malaria, pneumonia, diarrhea, and, possible severe bacterial infections (PSBIs) in under-five-year-olds. Methods We conducted a cross-sectional survey in 110 LLPHFs and 129 health workers in Mbarara District, Uganda between May and December 2019. Structured questionnaires and observation forms were used to collect data on availability of treatment guidelines, vital medicines, diagnostics, and equipment; health worker qualifications; and knowledge of management of common childhood infections. Results Amoxicillin was available in 97%, parental ampicillin and gentamicin in 77%, zinc tablets and oral rehydration salts in >90% while artemether-lumefantrine was available in 96% of LLPHF. About 66% of facilities stocked loperamide, a drug contraindicated in the management of diarrhoea in children. Malaria rapid diagnostic tests and microscopes were available in 86% of the facilities, timers/clocks in 57% but only 19% of the facilities had weighing scales and 6% stocked oxygen. Only 4% of the LLPHF had integrated management of childhood illness (IMCI) booklets and algorithm charts for management of common childhood illnesses. Of the 129 health workers, 52% were certificate nurses/midwives and (26% diploma nurses/clinical officers; 57% scored averagely for knowledge on management of common childhood illnesses. More than a quarter (38%) of nursing assistants had low knowledge scores. No notable significant differences existed between rural and urban LLPHFs in most parameters assessed. Conclusion Vital first-line medicines for treatment of common childhood illnesses were available in most of the LLPHFs but majority lacked clinical guidelines and very few had oxygen. Majority of health workers had low to average knowledge on management of the common childhood illnesses. There is need for innovative knowledge raising interventions in LLPHFs including refresher trainings, peer support supervision and provision of job aides.en_US
dc.identifier.citationMwanga-Amumpaire J, Ndeezi G, Ka¨llander K, Obua C, Migisha R, Nkeramahame J, et al. (2021) Capacity to provide care for common childhood infections at low-level private health facilities in Western, Uganda. PLoS ONE 16(10): e0257851. https://doi.org/10.1371/journal. pone.0257851en_US
dc.identifier.urihttps://doi.org/10.1371/journal. pone.0257851
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1770
dc.language.isoenen_US
dc.publisherPLoS ONEen_US
dc.subjectCareen_US
dc.subjectChildhood infectionsen_US
dc.subjectPrivate health facilitiesen_US
dc.subjectWestern Ugandaen_US
dc.titleCapacity to provide care for common childhood infections at low-level private health facilities in Western, Ugandaen_US
dc.typeArticleen_US
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