Crossing Boundaries 2014

Grace Irimu

Dr Grace Irimu evaluates the effect of introducing Ministry of Health basic pediatric protocols and ETAT+ in a university teaching hospital.

Crossing boundaries

Africa – Oxford health systems research collaboration

Researchers from Europe and Africa gathered in Oxford on the 27th and 28th February 2014 to share knowledge on health systems research, economics and governance in health management.

The KEMRI-Wellcome Trust research programme

The KEMRI-Wellcome Trust Research Programme is a major Wellcome Trust’s overseas programmes. Its work has had a major influence on national and international health policy. Research spans a wide variety of topics and disciplines including research on malaria and bacterial and viral infectious diseases, work to map disease risk and intervention coverage and work on research ethics and health systems strengthening.

Grace Irimu: Participatory action research in clinical settings

Grace's talk is based on participatory action research in the largest referral hospitals in Kenya, Kenyatta National Hospital. The hospital records a high mortality rate of up to 15% which is consistent with other similar health facilities in low-income countries.    

Her presentation with illustrative graphics indicates how poor quality of care is documented in low income countries. Examples of what is documented are: errors in patient assessment, errors in illness classification and treatment. 

What is of interest to note is that despite the availability of WHO guidelines, many health workers are unaware of updated practices and policy recommendations and therefore this translates to poor quality of care.