Publication: Measuring implementation outcomes in the context of scaling up possible serious bacterial infection guidelines: Implications for measurement and programs
| dc.contributor.author | Abuya, Timothy | |
| dc.contributor.author | Odwe, George | |
| dc.contributor.author | Ndwiga, Charity | |
| dc.contributor.author | Okondo, Chantalle | |
| dc.contributor.author | Liambila, Wilson | |
| dc.contributor.author | Mungai, Samuel | |
| dc.contributor.author | Mwaura, Peter | |
| dc.contributor.author | K’Oduol, Kezia | |
| dc.contributor.author | Natecho, Alice | |
| dc.contributor.author | Gitaka, Jesse | |
| dc.contributor.author | Gitaka, Jesse | |
| dc.date.accessioned | 2024-08-23T07:59:59Z | |
| dc.date.available | 2024-08-23T07:59:59Z | |
| dc.date.issued | 2023-06-29 | |
| dc.description.sponsorship | RESEARCH ARTICLE Measuring implementation outcomes in the context of scaling up possible serious bacterial infection guidelines: Implications for measurement and programs Timothy AbuyaID1*, George Odwe1, Charity Ndwiga1, Chantalle Okondo1, Wilson Liambila1, Samuel Mungai2, Peter Mwaura2, Kezia K’Oduol3, Alice Natecho4, Jesse Gitaka2, Charlotte E. Warren5 1 Population Council, Nairobi, Kenya, 2 Directorate of Research and Innovation, Mount Kenya University, Thika, Kenya, 3 Kenya Paediatric Research Consortium, Nairobi, Kenya, 4 Fountain Trust Africa, Webuye, Kenya, 5 Population Council, Washington, DC, United States of America * tabuya@popcouncil.org Abstract Background Reducing the burden of neonatal sepsis requires timely identification and initiation of suit- able antibiotic treatment in primary health care (PHC) settings. Countries are encouraged to adopt simplified antibiotic regimens at the PHC level for treating sick young infants (SYI) with signs of possible serious bacterial infection (PSBI). As countries implement PSBI guide- lines, more lessons on effective implementation strategies and outcome measurements are needed. We document pragmatic approaches used to design, measure and report imple- mentation strategies and outcomes while adopting PSBI guidelines in Kenya. Methods We designed implementation research using longitudinal mixed methods embedded in a continuous regular systematic learning and adoption of evidence in the PHC context. We synthesized formative data to co-create with stakeholders, implementation strategies to incorporate PSBI guidelines into routine service delivery for SYIs. This was followed by quarterly monitoring for learning and feedback on the effect of implementation strategies, documented lessons learned and tracked implementation outcomes. We collected endline data to measure the overall effect on service level outcomes. Results Our findings show that characterizing implementation strategies and linking them with imple- mentation outcomes, helps illustrate the pathway between the implementation process and outcomes. Although we have demonstrated that it is feasible to implement PSBI in PHC, effective investment in continuous capacity strengthening of providers through blended approaches, efficient use of available human resources, and improving the efficiency of ser- vice areas for managing SYIs optimizes timely identification and management of SYI. | |
| dc.identifier.uri | https://doi.org/10.1371/journal.pone.0287345 | |
| dc.identifier.uri | https://erepository.mku.ac.ke/handle/123456789/6301 | |
| dc.language.iso | en | |
| dc.publisher | Plos One | |
| dc.title | Measuring implementation outcomes in the context of scaling up possible serious bacterial infection guidelines: Implications for measurement and programs | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| relation.isAuthorOfPublication | 2979b960-59ad-48e8-9c21-8fabdd9b8f60 | |
| relation.isAuthorOfPublication.latestForDiscovery | 2979b960-59ad-48e8-9c21-8fabdd9b8f60 |