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).

本数据集包含肯尼亚医学研究所-威康信托研究项目（KEMRI - Wellcome Trust Research Programme）下属卫生服务单元（Health Services Unit, HSU）开展的多项研究相关数据。所涵盖的研究如下：
1. 临床信息网络（Clinical Information Network, CIN）合作项目：该项目于2013年启动，旨在助力信息利用以改善县级医院收治的儿童与新生儿的住院诊疗服务，并为各县级行政区乃至全肯尼亚的医疗政策与实践提供数据支撑。该合作由KWTRP、肯尼亚儿科学会（Kenya Paediatric Association, KPA）、肯尼亚卫生部（Ministry of Health, MOH Kenya）及各县级医院共同发起。
2. 住院儿童重症肺炎支持治疗与抗生素应用（SEARCH）务实随机对照试验：本研究为务实型随机对照试验，旨在比较注射用抗生素治疗联合肠内营养与单纯液体补液治疗对重症肺炎患儿的疗效。具体而言，本研究拟解决两个核心问题：① 对于住院治疗的重症肺炎患儿，静脉用阿莫西林-克拉维酸钾或头孢曲松，是否优于苄星青霉素联合庆大霉素（标准治疗方案）；② 鼻胃管喂养是否优于静脉补液治疗，用于重症肺炎患儿的支持性管理。
3. 疟疾（RTS,S/AS01）疫苗哨点评估：肯尼亚卫生部（Ministry of Health, MoH）与世界卫生组织（World Health Organization, WHO）合作，在疟疾负担仍较高的肯尼亚湖区分阶段引入RTS,S/AS01疟疾疫苗（商品名Mosquirix®）。在此次分阶段引入过程中，覆盖8个县下辖的分区。目前已选取参与临床信息网络（CIN）的6家医院作为哨点医院。
4. 护士在优质护理服务中的作用：本研究旨在通过与护理群体共同设计并预试验相关工具，制定护理专属的护理质量指标，以清晰展现护士日常承担的工作任务，从而提升护理专业的社会认可度，并凸显其在提升医疗服务质量中的关键作用。
5. 肯尼亚医院新生儿住院诊疗优化系统策略（SONIC）：本研究项目拟联合医院儿科医师、资深护士及医院管理层，共同设计优化医院新生儿病房诊疗服务的更佳方案。
其余附加研究项目包括：
(1) 开展实施科学相关研究，解析医疗政策难以落地的根源；
(2) 开发基于移动技术的创新培训方案，例如研发智能手机端的模拟培训工具（www.oxlifeproject.org）。