Child patients and medical staff benefit from the use of WHO guidelines

WHO/Kubanychbek Monolbaev

Introduction of the adapted Pocket book of hospital care for children in Kyrgyzstan is part of a larger WHO project funded by the Russian Federation and implemented in Angola, Ethiopia, Kyrgyzstan and Tajikistan, in collaboration with the Scientific Centre for Child Health of the Russian Academy of Medical Science and other technical experts.

After 6 months of working with the national adaptation of the "WHO Pocket book of hospital care for children", Dr E.A. Sadykov, oblast coordinator for implementation of the project, is reporting that both paediatricians and nurses at Issyk Kul oblast united hospital in Kyrgyzstan are pleased with the results.

Improved staff capacity and satisfaction

Paediatrician B.S. Soronbaeva said: "It has become much easier to work using the Pocket book. It answers the questions we have when we receive a seriously ill child. And the main thing is that these interventions are effective!"

R. Egemberdieva, a medical nurse in the intensive care department agreed: "Before we only followed the instructions of the doctors without trying to understand the matter. Now, when we are using the Pocket book, we, nurses, can work creatively and we feel our involvement in saving the young patients’ lives."

Improved medical and financial outcomes

Dr Sadykov reported that the following positive results have been achieved within the short period since implementation of the Pocket book in the hospital’s clinical practice.

The number of not justified injections decreased by 42% in the children’s department and by 70% in the department of acute diarrheal infections.  

In the first quarter of 2014 the children’s department spent 35%  less funds for procurement of drugs, compared to the first quarter of 2013. The department of acute diarrheal infections spent 40% less funds for procurement of drugs compared to the same period last year.    

The hospital’s experience shows that a comprehensive approach to improving the quality of paediatric hospital care can result not only in enhanced medical staff responsibility and professionalism but also in economic savings for national health systems.