scholarly journals Estimating the global impact of poor quality of care on maternal and neonatal outcomes in 81 low- and middle-income countries: A modeling study

PLoS Medicine ◽  
2019 ◽  
Vol 16 (12) ◽  
pp. e1002990
Author(s):  
Victoria B. Chou ◽  
Neff Walker ◽  
Mufaro Kanyangarara
Keyword(s):  
Quality Of Care ◽  
Poor Quality ◽  
Neonatal Outcomes ◽  
Middle Income ◽  
Global Impact ◽  
Middle Income Countries ◽  
Maternal And Neonatal Outcomes ◽  
Modeling Study ◽  
Low And Middle Income

scholarly journals The global burden of paediatric heart disease

2017 ◽  
Vol 27 (S6) ◽  
pp. S3-S8 ◽  
Author(s):  
Ndidiamaka L. Musa ◽  
Vibeke Hjortdal ◽  
Bistra Zheleva ◽  
Indah K. Murni ◽  
Shunji Sano ◽  
...  
Keyword(s):  
Heart Disease ◽  
Quality Of Care ◽  
Health Priorities ◽  
Global Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Acquired Heart Disease ◽  
Outcomes For Children ◽  
Low And Middle Income

AbstractAn estimated 15 million children die or are crippled annually by treatable or preventable heart disease in low- and middle-income countries. Global efforts to reduce under-5 mortality have focused on reducing death from communicable diseases in low- and middle-income countries with little to no attention focusing on paediatric CHD and acquired heart disease. Lack of awareness of CHD and acquired heart disease, access to care, poor healthcare infrastructure, competing health priorities, and a critical shortage of specialists are important reasons why paediatric heart disease has not been addressed in low resourced settings. Non-governmental organisations have taken the lead to address these challenges. This review describes the global burden of paediatric heart disease and strategies to improve the quality of care for paediatric heart disease. These strategies would improve outcomes for children with heart disease.

scholarly journals Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement

2021 ◽  
pp. 101199
Author(s):  
Adeline A. Boatin ◽  
Joseph Ngonzi ◽  
Gabriel Ganyaglo ◽  
Magatte Mbaye ◽  
Blair J. Wylie ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Cesarean Delivery ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals The quality of malaria care in 25 low-income and middle-income countries

2020 ◽  
Vol 5 (2) ◽  
pp. e002023 ◽  
Author(s):  
Erlyn Macarayan ◽  
Irene Papanicolas ◽  
Ashish Jha
Keyword(s):  
Quality Of Care ◽  
Low Income ◽  
Poor Quality ◽  
Care Quality ◽  
Middle Income ◽  
Children Under Five ◽  
Treatment Cascade ◽  
Under Five ◽  
Middle Income Countries

IntroductionEven with accessible and effective diagnostic tests and treatment, malaria remains a leading cause of death among children under five. Malaria case management requires prompt diagnosis and correct treatment but the degree to which this happens in low-income and middle-income countries (LMICs) remains largely unknown.MethodsCross-sectional study of 132 566 children under five, of which 25% reported fever in the last 2 weeks from 2006 to 2017 using the latest Malaria Indicators Survey data across 25 malaria-endemic countries. We calculated the per cent of patient encounters of febrile children under five that received poor quality of care (no blood testing, less or more than two antimalarial drugs and delayed treatment provision) across each treatment cascade and region.ResultsAcross the study countries, 48 316 (58%) of patient encounters of febrile children under five received poor quality of care for suspected malaria. When comparing by treatment cascade, 62% of cases were not blood tested despite reporting fever in the last 2 weeks, 82% did not receive any antimalarial drug, 17% received one drug and 72% received treatment more than 24 hours after onset of fever. Of the four countries where we had more detailed malaria testing data, we found that 35% of patients were incorrectly managed (26% were undertreated, while 9% were overtreated). Poor malaria care quality varies widely within and between countries.ConclusionQuality of malaria care remains poor and varies widely in endemic LMICs. Treatments are often prescribed regardless of malaria test results, suggesting that presumptive diagnosis is still commonly practiced among cases of suspected malaria, rather than the WHO recommendation of ‘test and treat’. To reach the 2030 global malaria goal of reducing mortality rates by at least 90%, focussing on improving the quality of malaria care is needed.

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