Examining which clinicians provide admission hospital care in a high mortality setting and their adherence to guidelines: an observational study in 13 hospitals

What is it about?

The majority of admissions to hospitals in high mortality settings that offer pre-registration experiential training in Kenya are conducted by clinicians that have just completed either 6 years’ or 3 years’ pre-service training (called medical officer or clinical officer interns in Kenya). Medical Officer Interns (MOI) admit twice as many children in their 3 months period of internship and provide slightly more guideline-adherent care than Clinical Officer Interns (COI). Perfect, sequential adherence to admission guidelines is found in =12% of children admitted with malaria, pneumonia or diarrhoea and dehydration with the major deviation from guidelines being classification of the severity of illness.

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