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Institutionalizing the Management of Sick Young Infants:Kenya’s Experience in Revising National Guidelines onIntegrated Management of Newborn and Childhood Illnesses

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dc.contributor.authorGitaka, Jesse
dc.contributor.authorK’Oduol, Kezia
dc.contributor.authorOdwe, George
dc.contributor.authorNatecho, Alice
dc.contributor.authorMwaura, Peter
dc.contributor.authorGithanga, David
dc.contributor.authorMbuthia, Joe
dc.contributor.authorWanjiru, Doris
dc.contributor.authorWarren, Charlotte
dc.contributor.authorGovoga, Allan
dc.contributor.authorMwaura, Peter
dc.date.accessioned2024-06-10T08:53:01Z
dc.date.available2024-06-10T08:53:01Z
dc.date.issued2023-04-28
dc.description.abstractIntroduction: In 2015, the World Health Organization (WHO) developed guidelines for the management of sick young infants (SYIs) with possible serious bacterial infection (PSBI) where referral is not feasible. The Ponya Mtoto project was designed as an implementation research project to demonstrate how to adopt the WHO PSBI guidelines in the Kenyan context. Ponya Mtoto Project Description: Between October 2017 and June 2021, Ponya Mtoto was implemented in 4 Kenyan counties with higher infant and newborn mortality rates than the national mean. A total of 48 health facilities stratified by level of services were selected as study sites. Implementation Approach: The following activities were done to institutionalize the management of SYIs with PSBI where referral is not feasible in Kenya’s health system: (1) participating in a cocreation workshop and development of a theory of change; (2) revising the national integrated management of newborn and childhood illnesses guidelines to incorporate the management of PSBI where referral is not feasible; (3) improving availability of essential commodities; (4) strengthening provider confidence in the management of SYIs; (5) strengthening awareness about PSBI services for SYIs at the community level; and (6) harmonizing the national integrated management of newborn and childhood illnesses guidelines to address discrepancies in the content on the management of PSBI. In addition, the project focused on strengthening quality of care for SYIs and using implementation research to track progress in achieving project targets and outcomes. Conclusion: Using an implementation research approach to introduce new WHO guidelines on PSBI where referral is not feasible into Kenya’s health care service was critical to fostering engagement of a diverse range of stakeholders, monitoring provider skills and confidence-building, strengthening provision of key commodities for managing SYIs with PSBI, and sustaining community-facility linkages.
dc.description.sponsorshipFunding for this project was made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of AID-OAA-A-17-00031.
dc.identifier.urihttps://doi.org/10.9745/GHSP-D-22-00482
dc.identifier.urihttps://erepository.mku.ac.ke/handle/123456789/5864
dc.language.isoen
dc.publisherGlobal Health
dc.subjectKenya
dc.subjectChildhood
dc.subjectIllnesses
dc.titleInstitutionalizing the Management of Sick Young Infants:Kenya’s Experience in Revising National Guidelines onIntegrated Management of Newborn and Childhood Illnesses
dc.typeArticle
dspace.entity.typePublication
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