Provision of essential treatments in critical illness (POETIC)
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Date
2021-03-15
Authors
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Journal ISSN
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Publisher
Kamuzu University of Health Sciences
Abstract
of project:
This is a pilot of the overall project which includes literature review and secondary analyses of
existing datasets, interviews of health-workers and other stakeholders, group discussions, online
surveys and hospital walk-throughs.
The problem: Approaches to improving quality of emergency and critical care in Malawi have not
been previously studies.
Objectives:
To assess approaches for improving the quality of care for critically ill patients in hospitals in Malawi.
Objectives
1. To evaluate the hospital readiness for providing critical care in hospitals in Malawi
2. To describe the current policy environment for critical care in Malawi
3. To explore existing service delivery arrangements for critically ill patients in hospitals in
Malawi and the challenges faced in providing good quality care
4. To model the cost-effectiveness of different approaches for the scale-up and provision
of critical care.
Methodology:
Repeated internet-based group discussions with 12-15 participants will be held. In-depth, more
open-ended, narrative interviews will be subsequently held with 8-10 key informants including frontline
health workers. Data from online discussions, interviews, walk-throughs and process maps will
be analysed and used to generate a general description of the hospital journey of critically ill patients
and using thematic analysis.
Expected findings and dissemination:
The knowledge generated will enable evaluations of the quality of context-appropriate emergency
and critical care, bottleneck analyses of the weaknesses in service provision and the underlying
determinants of these weaknesses, benchmarking of health services, guide the targeting of qualityimprovement
interventions, and assessments of the impact of implementation efforts to improve care
for critically ill patients. The results will be disseminated to the Ministry of Health, specialty societies,
the Wellcome Innovations Critical Care Flagship and other stakeholders and published in open
access peer reviewed journals.
Description
Keywords
Research Subject Categories::MEDICINE