Guideline Adherence among Kenyan Healthcare Providers in Peri-Urban For-Profit Clinic

2.50
Hdl Handle:
http://hdl.handle.net/10755/602503
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Guideline Adherence among Kenyan Healthcare Providers in Peri-Urban For-Profit Clinic
Author(s):
Sullivan, Brittney J.
Lead Author STTI Affiliation:
Beta Epsilon
Author Details:
Brittney J. Sullivan, RN, CPNP, brittney.sullivan@duke.edu
Abstract:
Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Penda Health is a chain of private, for-profit outpatient clinics that delivers comprehensive primary care to low and middle income Kenyans using midlevel care providers (certified nurse practitioners and clinical officers), caring for approximately 2,000 patients per month. Penda’s aim is to provide high quality, low cost services, and empathetic and caring healthcare to patients through innovative standardized protocols, qualified right-skilled providers 1, and strong supplier partnerships. 2 In low and middle-income settings, healthcare provider adherence to guidelines has shown mixed results – with many studies showing public sectors having more adherence to guidelines 3; however, after implementing organizational and educational interventions, Penda has nearly doubled adherence rates surrounding four diagnoses although adherence rates varied significantly per diagnosis (urinary tract infection, vaginal discharge, tonsillitis, and childhood diarrhea). 4 Adherence to guidelines has been shown to be lower in private sector healthcare systems in low and middle income countries, although Penda has show great success in improving adherence rates through targeted interventions. 3 Specifically in childhood diarrhea, both in public and private clinics dehydration guideline adherence ranged between 0% and 84% across 23 countries with a median of 20% correct treatment. 5 Penda has goals of scaling and replicating quickly in Kenya and has had a focus on provider guideline adherence. However, as an organization, it is still working to identify core components that enhance provider adherence and operationalize a systematized provider development plan. Thus, gaining leadership understanding of provider barriers and facilitators to guideline adherence will aid in understanding and developing a systemized provider development plan in the future. Purpose: To gain an understanding of organizational leadership understanding of healthcare providers’ barriers and facilitators in guideline adherence in order to develop interventions to retain healthcare providers. Setting: Penda Health clinics surrounding Nairobi, Kenya in East Africa. Methods: In May and June 2015 we will conduct contextual qualitative interviews with Penda organizational leadership ( N=3) .  This will allow for further interpretation of quantitative data based on healthcare providers’ adherence to guidelines related to urinary tract infections, vaginal discharge, childhood diarrhea, and tonsillitis.    Findings: We believe a comprehensive understanding of healthcare provider rationale for guideline adherence will benefit Penda in their future scaling and replication plans to open 100 clinics by 2020 across East Africa, seeing over 2 million patients per year. 2 Barriers and facilitators to guideline adherence will allow for creation of low-cost, high-impact organization level interventions to improve healthcare provider adherence now, as well as during Penda’s rapid scale-up. Not only will Penda be able to increase consistent healthcare provider guideline adherence between all providers and sites, but they may also improve patient safety and quality of care due to improved provider guideline adherence quality improvement and evaluation projects. 6
Keywords:
global health; guideline adherence
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15RS1.91
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleGuideline Adherence among Kenyan Healthcare Providers in Peri-Urban For-Profit Clinicen
dc.contributor.authorSullivan, Brittney J.en
dc.contributor.departmentBeta Epsilonen
dc.author.detailsBrittney J. Sullivan, RN, CPNP, brittney.sullivan@duke.eduen
dc.identifier.urihttp://hdl.handle.net/10755/602503en
dc.description.abstractSession presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: Penda Health is a chain of private, for-profit outpatient clinics that delivers comprehensive primary care to low and middle income Kenyans using midlevel care providers (certified nurse practitioners and clinical officers), caring for approximately 2,000 patients per month. Penda’s aim is to provide high quality, low cost services, and empathetic and caring healthcare to patients through innovative standardized protocols, qualified right-skilled providers 1, and strong supplier partnerships. 2 In low and middle-income settings, healthcare provider adherence to guidelines has shown mixed results – with many studies showing public sectors having more adherence to guidelines 3; however, after implementing organizational and educational interventions, Penda has nearly doubled adherence rates surrounding four diagnoses although adherence rates varied significantly per diagnosis (urinary tract infection, vaginal discharge, tonsillitis, and childhood diarrhea). 4 Adherence to guidelines has been shown to be lower in private sector healthcare systems in low and middle income countries, although Penda has show great success in improving adherence rates through targeted interventions. 3 Specifically in childhood diarrhea, both in public and private clinics dehydration guideline adherence ranged between 0% and 84% across 23 countries with a median of 20% correct treatment. 5 Penda has goals of scaling and replicating quickly in Kenya and has had a focus on provider guideline adherence. However, as an organization, it is still working to identify core components that enhance provider adherence and operationalize a systematized provider development plan. Thus, gaining leadership understanding of provider barriers and facilitators to guideline adherence will aid in understanding and developing a systemized provider development plan in the future. Purpose: To gain an understanding of organizational leadership understanding of healthcare providers’ barriers and facilitators in guideline adherence in order to develop interventions to retain healthcare providers. Setting: Penda Health clinics surrounding Nairobi, Kenya in East Africa. Methods: In May and June 2015 we will conduct contextual qualitative interviews with Penda organizational leadership ( N=3) .  This will allow for further interpretation of quantitative data based on healthcare providers’ adherence to guidelines related to urinary tract infections, vaginal discharge, childhood diarrhea, and tonsillitis.    Findings: We believe a comprehensive understanding of healthcare provider rationale for guideline adherence will benefit Penda in their future scaling and replication plans to open 100 clinics by 2020 across East Africa, seeing over 2 million patients per year. 2 Barriers and facilitators to guideline adherence will allow for creation of low-cost, high-impact organization level interventions to improve healthcare provider adherence now, as well as during Penda’s rapid scale-up. Not only will Penda be able to increase consistent healthcare provider guideline adherence between all providers and sites, but they may also improve patient safety and quality of care due to improved provider guideline adherence quality improvement and evaluation projects. 6en
dc.subjectglobal healthen
dc.subjectguideline adherenceen
dc.date.available2016-03-21T16:30:25Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:30:25Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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