P0271 / #707: AN ENVIRONMENTAL SCAN TO DETERMINE READINESS TO CARE FOR CRITICALLY ILL CHILDREN WITH SEPSIS CONDUCTED IN HOSPITALS IN UGANDA AND CAMEROON

Abstract

Aims & Objectives: Mortality for children with sepsis visiting health care facilities in low and middle income countries is high. The objective of the study is to determine the adequacy of the sources to care for children with sepsis. Methods: A structured questionnaire, completed by external assessors, not affiliated with the hospital, in six hospitals (6 in Uganda and 4 in Cameroon), was conducted in 2019. The questionnaire was based on a systematic review of structured processes and personnel required for care delivery in low and middle income countries and included the WHO Environmental Scan of essential elements of care. Direct observation of the common diseases leading to critical illnesses such malaria, pneumonia and diarrheal diseases by trained observer. This study was conducted in the Emergency Department at all facilities. Hospitals are located in the eastern and southern regions of Uganda and the northwest region of Cameroon. Hospitals are either public or faith-based private not for profit. All provide services for the majority of critically ill children. All facilities provide services 24/7. Results: Table 1. Outlines the findings of the self-administered questionnaire.Table 2. Direct Observation of Management of Common Infections. Percentage of adherence to recommended guideline.Conclusions: Essential care for critically ill children with infections are hampered by inadequate infrastructure, staff training, and poor availability of equipment and supplies. These findings should spur quality improvement initiatives to improve health system readiness to provide care for children with severe infections. Legend: IMCI: Integrated Management of Childhood Illnesses; ED: Emergency Department