Sepsis beyond bundles: contextualising paediatric care in resource-limited settings through situational analysis
Concerns around resource availability, compounded by structural determinants such as financial barriers and historical underfunding hypothesised to be rooted in colonialism, highlight the need for context-sensitive adaptations of paediatric sepsis bundles. Our findings underscore the importance of a participatory approach to guideline adaptation and resource distribution, incorporating local expertise and addressing structural inequities to improve paediatric sepsis outcomes in Ghana. Future qualitative research will explore pre- and peri-hospital barriers to care and inform more effective, contextually appropriate interventions.
Authors
- Sheila Agyeiwaa Owusu (ORCID: https://orcid.org/0000-0002-5172-2842)
- Ahmet Uluer (ORCID: https://orcid.org/0000-0003-2335-4242)
- Eugene Martey
- Leah Ratner (ORCID: https://orcid.org/0000-0001-6326-3543)
- Charles Martyn‐Dickens (ORCID: https://orcid.org/0000-0002-6659-9111)
- R. Cagnina (ORCID: https://orcid.org/0000-0002-4210-7928)
- John Adabie Appiah (ORCID: https://orcid.org/0000-0002-0386-6120)
- Allysa Warling
- Gustav Nettey
- Maame Fremah Kotoh- Mortty
- Emma Otchere
Institutions
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Komfo Anokye Teaching Hospital (GH)
- Tamale Teaching Hospital (GH)
- Presbyterian University, Ghana (GH)
- University for Development Studies (GH)
Publication Details
- Journal
- BMJ Paediatrics Open
- Published
- 2025-02-01
- DOI
- https://doi.org/10.1136/bmjpo-2024-003134
- Citations
- 3
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 10.48
Funders
- National Institutes of Health
- Fogarty International Center