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Open Access Paediatric in-patient care in a conflict-torn region of Somalia: are hospital outcomes of acceptable quality? [Short communication]

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SETTING: A district hospital in conflict-torn Somalia.

OBJECTIVE: To report on in-patient paediatric morbidity, case fatality and exit outcomes as indicators of quality of care.

DESIGN: Cross-sectional study.

RESULTS: Of 6211 children, lower respiratory tract infections (48%) and severe acute malnutrition (16%) were the leading reasons for admission. The highest case-fatality rate was for meningitis (20%). Adverse outcomes occurred in 378 (6%) children, including 205 (3.3%) deaths; 173 (2.8%) absconded.

CONCLUSION: Hospital exit outcomes are good even in conflict-torn Somalia, and should boost efforts to ensure that such populations are not left out in the quest to achieve universal health coverage.
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Keywords: Somalia; conflict; hospital outcomes; operational research; paediatrics

Document Type: Research Article

Affiliations: 1: Médecins Sans Frontières, Belgium, Somalia Mission Coordination, Nairobi, Kenya 2: Médecins Sans Frontières, Brussels Operational Centre–Luxembourg, Luxembourg 3: Centre for Internal Health, University of Bergen, Bergen, Norway 4: Institute of Tropical Medicine, Antwerp, Belgium 5: Médecins Sans Frontières, Brussels Operational Centre, Brussels, Belgium

Publication date: June 21, 2013

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  • Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.

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