Abstract
Welcome to Annals of Global Health,Annals of Global Health is a peer-reviewed, fully open access, online journal dedicated to publishing high quality articles dedicated to all aspects of global health. The journal's mission is to advance global health, promote research, and foster the prevention and treatment of disease worldwide. Its goals are to improve the health and well-being of all people, advance health equity, and promote wise stewardship of the earth's environment. The latest journal impact factor is 3.64.Annals of Global Health is supported by the Program for Global Public Health and the Common Good at Boston College. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health. Authors of articles accepted for publication in Annals of Global Health will be asked to pay an Article Publication Charge (APC) to cover publication costs. This charge can normally be sourced from your funder or institution. We are committed to supporting authors from all countries to publish their work in Annals of Global Health regardless of national income level, and to achieve this goal, we waive the Article Publication Charge for manuscripts where all authors are from low-income or lower-middle-income countries (as defined by the World Bank). From time to time, Annals of Global Health publishes Special Collections, a series of articles organized around a common theme in global health. Recent Special Collections have included “Strengthening Women’s Leadership in Global Health”, “Decolonizing Global Health Education”, and “Capacity Building for Global Health Leadership Training”. Global health workers interested in developing a Special Collection are strongly encouraged to contact the Managing Editor in advance to discuss the project.
Highlights
Sickle cell disease (SCD) is highly prevalent in subSaharan Africa; resources for accurate diagnosis and treatment are largely unavailable
Residents present clinical cases encountered during the week with accompanying photographs of physical examination findings, x-rays, or ultrasound to global health faculty including infectious disease physicians and generalist with clinical experience in subSaharan Africa
Alkaline hemoglobin electrophoresis (HbE) was easy to set up and operate, inexpensive compared to other gold standard tests, and reliably delivered prompt and clinically meaningful results to patients and clinicians
Summary
We employed a descriptive study design and collected data from clinical, engineering and administrative staff in the procurement, labor, and delivery, neonatal and biomedical departments. Data collection included hospital statistics, thirty key informant interviews, and twelve clinical observations. The study was approved by the KNH Ethics and Research Committee and written informed consent was obtained from all interviewees as well as patients and guardians (where applicable) participating in the clinical observations. Findings: While hospital statistics revealed a 6% increase in the number of deliveries between January 2010 and December 2013, there was a 46% increase in the number of low birth weight infants delivered at KNH. Interpretation: Based on these findings, Kenyatta National Hospital and University of Nairobi will co-design prototypes that take into account the unique needs of clinicians and hospital engineers working in low-resource settings with a special focus on the availability of spare parts locally. This study presents an innovative educational model of global health leadership launched in Fall 2015 - “Global Health Live” - which
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