Resources for providing effective paediatric and neonatal care in Kenyan district hospitals illustrated using data on four key indicators evaluated in the period 2002–2012
| 2002 | 2006 | 2009 | 2012 | |
|---|---|---|---|---|
| Availability of key therapeutic resources | ||||
| F75/F100 for children with severe malnutrition | 0/14 (0%) | 2/8 (25%) | 16/17 (94%) | 22/22 (100%) |
| Vitamin K for neonatal prophylaxis | 2/14 (14%) | 0/8 (0%) | 12/17 (71%) | 18/22 (82%) |
| Appropriate bag-valve-mask devices in paediatric areas | 0/14 (0%) | 6/8 (75%) | 12/17 (71%) | 22/22 (100%) |
| Availability of working phototherapy device | 8/14 (57%) | 5/8 (63%) | 14/17 (82%) | 19/21* (90%) |
| Availability of basic diagnostic tests | ||||
| Pulse oximetry | 0/14 (0%) | 0/8 (0%) | 0/17 (0%) | 3/22 (14%) |
| Malaria slide or other diagnostic | 14/14 (100%) | 8/8 (100%) | 17/17 (100%) | 22/22 (100%) |
| Haemoglobin measurement | 14/14 (100%) | 8/8 (100%) | 17/17 (100%) | 22/22 (100%) |
| Blood glucose testing | 14/14 (100%) | 8/8 (100%) | 17/17 (100%) | 22/22 (100%) |
| Microscopy, Gram stain and culture for CSF | 7/14 (50%) | 8/8 (100%) | 17/17 (100%) | 22/22 (100%) |
| Bilirubin measure (blood based) | 6/14 (43%) | 3/8 (38%) | 16/17 (94%) | 19/22 (86%) |
| HIV testing (rapid) | 14/14 (100%) | 8/8 (100%) | 17/17 (100%) | 22/22 (100%) |
| Availability of information resources | ||||
| Paediatric guidelines available | 0/14 (0%) | 0/8 (0%) | 14/17 (83%) | 16/22 (73%) |
| Newborns given medical record | 0/14 (0%) | 0/8 (0%) | –† | 20/22 (91%) |
Results expressed as number of hospitals in which resource was available over number of hospitals evaluated (%).
*Data missing for one hospital.
†Data not collected in survey.