“Though there are some challenges, we try our best to follow the guidelines”: a qualitative study exploring determinants of providing guideline-adherent care to hospitalized children in Kenya
Knowledge of guidelines and motivation to use them were not major determinants in this analysis. Rather, human and material resource shortages presented the greatest barrier to guideline adherence in this setting. Improving guidelines by involving health workers in participatory development of guidelines would improve both clarity and feasibility. Health workers are well-versed in guideline recommendations, so educational strategies should focus on knowledge gaps or changes in the latest version of guidelines.
Authors
- Johnstone Thitiri (ORCID: https://orcid.org/0000-0002-5901-6651)
- Martin Kamui
- Mary Masheti
- Molline Timbwa (ORCID: https://orcid.org/0000-0002-1747-7943)
- Riffat Ara Shawon (ORCID: https://orcid.org/0000-0002-3297-1982)
- Sarah I. Gimbel (ORCID: https://orcid.org/0000-0002-1636-9641)
- Megan Coe (ORCID: https://orcid.org/0000-0001-9317-4138)
- Benson O. Singa (ORCID: https://orcid.org/0000-0002-6605-324X)
- Arianna Rubin Means (ORCID: https://orcid.org/0000-0002-4087-7080)
- Chrisantus Oduol (ORCID: https://orcid.org/0000-0002-4901-9664)
- Phlona Amam
- Geofrey Okoth Olieng’o
Institutions
- Program for Appropriate Technology in Health (US)
- University of Washington (US)
- Kenya Medical Research Institute (KE)
- University of Washington Applied Physics Laboratory (US)
Publication Details
- Journal
- Implementation Science Communications
- Published
- 2025-10-27
- DOI
- https://doi.org/10.1186/s43058-025-00790-1
- Primary Topic
- Primary Care and Health Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institute of Nursing Research