Collection of study datasets for the HSU group

This dataset contains data for various studies undertaken by the Health Services Unit (HSU) of the KEMRI - Wellcome Trust Research Programme. The studies include: Clinical Information Network’ collaboration (CIN) The Clinical Information Network (CIN) is a collaboration initiated in 2013 to help support the use of information to improve hospital care for children and newborns admitted to county hospitals; and provide information to guide policy and practice in each county and in Kenya as a whole. CIN is a collaboration between KWTRP, Kenya Paediatric Association (KPA), Ministry of Health (MOH) Kenya, and County Hospitals. Supportive Care and Antibiotics for Severe Pneumonia among Hospitalised Children (SEARCH) A Pragmatic Randomised Controlled Trial. This is a pragmatic randomised controlled trial that seeks to compare injectable antibiotic treatments and tube feeding versus fluid treatment for children with severe pneumonia. Specifically, the study aims to address two questions: (1) whether either intravenous amoxicillin-clavulanic acid or ceftriaxone is superior to benzylpenicillin plus gentamicin (standard care) for the treatment of children hospitalized with severe pneumonia and (2) therefore whether nasogastric feeding is superior to intravenous fluid therapy for supportive management of children with severe pneumonia. Malaria (RTS,S/AS01) Vaccine Sentinel Evaluation Kenya’s Ministry of Health (MoH) working with WHO is conducting phased introduction of RTS,S/AS01 malaria vaccine (Mosquirix®) in the lake region of Kenya, which still has a high burden of malaria disease. During this phased introduction sub-counties within 8 counties. Six hospitals currently in CIN have been selected as sentinel hospitals. Roles of Nurses in Delivery of Quality Care This study aims at raising the profile of the nursing profession by developing and pre-testing tools, co-designed with the nursing community, to produce nurse specific indicators on quality of care which will translate into demonstrating the tasks nurses undertake on routine basis and therefore their vital role in improving quality of care. The System Strategy to Optimise Neonatal Inpatient Care in Kenyan Hospitals (SONIC) The research project aims to work with hospitals’ paediatricians, senior nurses and their administration to co-design better approaches to providing care on Newborn Units in hospitals. Additional projects Include: (1) Work in implementation science to understand why policies do not get implemented and (2) developing novel training approaches using mobile technology such as the development of a simulation training tools on smartphones (www.oxlifeproject.org).