Know-do gaps in the clinical management of childhood illness: evidence from three countries in sub-Saharan Africa
To improve quality of care, it is critical to understand why providers do not consistently follow clinical guidelines. Our findings suggest that adherence to protocols is low, but that knowledge is not the primary barrier. Interventions to improve quality must go beyond improving knowledge to also address other drivers of provider behavior such as motivation, workload, and systemic constraints.
Authors
- Gil Shapira (ORCID: https://orcid.org/0000-0002-1138-7269)
- Emma Clarke‐Deelder (ORCID: https://orcid.org/0000-0002-8306-2375)
- Salomé Henriette Paulette Drouard (ORCID: https://orcid.org/0000-0002-1520-8088)
- Pablo Amor Fernandez (ORCID: https://orcid.org/0000-0003-3484-7317)
- Günther Fink (ORCID: https://orcid.org/0000-0001-7525-3668)
- Eeshani Kandpal (ORCID: https://orcid.org/0000-0001-9055-6296)
Institutions
- Center for Global Development (US)
- World Bank (US)
- Swiss Tropical and Public Health Institute (CH)
- University of Basel (CH)
- University of Washington (US)
- Seattle University (US)
Publication Details
- Journal
- BMC Public Health
- Published
- 2025-10-24
- DOI
- https://doi.org/10.1186/s12889-025-24852-0
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- World Bank Group