Health Partnerships Scheme Grant: Improving the quality of hospital care for sick children in East Africa through ETAT+ training
The RCPCH has been awarded funding through the THET/DfID Multi-Country Health Partnerships scheme to deliver a programme of training in emergency triage, assessment and treatment (ETAT+) to hospitals in Kenya, Uganda and Rwanda.
The ETAT+ intervention
ETAT+ is a comprehensive and proven intervention developed specifically for implementation in first-level facility-based care in East Africa, thereby reaching the poorest and most vulnerable children in rural and peri-urban areas [(English Arch Dis Ch 2005) and (Tamburlini et al Arch Dis Ch 1999)].
The intervention package provides focussed hands-on training to front-line healthcare workers in evidence-based and up-to-date clinical protocols for identifying and managing the most common threats to newborn and child survival in East Africa.
It also reviews practice and monitors outcomes to improve quality, promotes teamwork and the integration of new skills and knowledge into everyday practice and produces a core of trainers and mentors to ensure sustainability and ongoing improvement.
A study from Malawi demonstrated that the intervention package has the capacity to reduce inpatient mortality by 40% (Molyneaux et al Bulletin WHO 2006) and since its introduction in Kenya in 2006 demand for ETAT+ training has grown in East Africa (English et al Arch Dis Ch 2011).
In this project, expected to run till november 2014, ETAT+ intervention is being delivered to six hospitals in Kenya, Uganda and Rwanda respectively, serving a combined population of approximately three million people.
In Uganda and Rwanda ETAT+ training will additionally be delivered to undergraduate medical nursing and clinical officer students and postgraduate paediatric trainees.
The project will build on the achievements of the RCPCH partnership with the Kenya Paediatric Association and the KEMRI-Wellcome Trust Research Programme, which has seen the roll-out of ETAT+ training in district hospitals and the embedding of the training programme into the curriculum for undergraduate and postgraduate medical students in Kenya.
The focus of the project is training, supervision and support of healthcare staff rather than service delivery. This will build the capacity of the hospitals to deliver improved healthcare over the long term (Ayieko et al 2011).
Over three years the project will directly benefit more than 150,000 sick children presenting to district hospitals.
Dr John Wachira (pictured) is the ETAT+ Clinical Manager for the Kenya Paediatric Association. He has been instrumental in the great success of the ETAT+ project in Kenya since 2008 and will continue to play an important role in this new project.
Further information about the ETAT+ training programme is available from iDocAfrica
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