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- W2998750218 abstract "Pneumonia is the leading cause of death in children under five years of age. Most children who die of pneumonia, die at home without proper medical care. Among those who seek medical care, some do not receive the correct treatment and this may contribute to the deaths occurring at home. In this study we estimated the proportion of children aged 2 - 59 months attending primary health facilities with pneumonia that was correctly diagnosed and managed as per the National treatment guidelines for pneumonia.Children in our study underwent a second examination by a trained study doctor to evaluate whether they were diagnosed and treated correctly by the health workers. We studied 188 children and found that 30% had pneumonia, of which 5% was severe. The health workers diagnosed pneumonia in 9% of the children, of which 12% was severe. Documentation of pneumonia defining clinical signs was done in only 9%. Overall, 8 of every 10 cases of severe pneumonia and 9 of every 10 cases of non-severe were missed in our study. There is poor adherence to pneumonia treatment guidelines in the health facilities that we studied. Incorrect diagnosis and treatment leads to poor treatment outcomes. Implementation strategies need to be reviewed to improve treatment outcomes." @default.
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- W2998750218 date "2019-08-05" @default.
- W2998750218 modified "2023-09-27" @default.
- W2998750218 title "Performance of health workers in primary health facilities in pneumonia case identification and management in children aged 2-59 months in Kilifi, Kenya" @default.
- W2998750218 doi "https://doi.org/10.21955/aasopenres.1114888.1" @default.
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