Rethinking paediatric sepsis care through local provider voices and lived systems: a mixed-methods study in two hospitals in Ghana
Paediatric sepsis care in Ghana is influenced by complex and interconnected structural, cultural and procedural factors. Our findings indicate that contextually adapted care pathways are crucial for improving sepsis outcomes in resource-constrained settings. Co-designed interventions, rather than wholly imported protocols, may offer a more sustainable approach to strengthening health systems in LMICs.
Authors
- Eugene Martey
- Leah Ratner (ORCID: https://orcid.org/0000-0001-6326-3543)
- Evans Otieku (ORCID: https://orcid.org/0000-0002-6809-5160)
- R. Cagnina (ORCID: https://orcid.org/0000-0002-4210-7928)
- Michelle Munyikwa (ORCID: https://orcid.org/0000-0003-0794-1754)
- Ahmet Uluer
- Gustav Nettey
- Emma Otchere
- Maame Fremah Kotoh-Mortty
- Amundam Mancho
- Maraisha Philogene
- Ernestina Gambrah
- Sheila Agyeiwaa Owusu
- Allysa Warlling
- Charles Martyn-Dickens
- John Adabie Appiah
Institutions
- Inova Health System (US)
- Brigham and Women's Hospital (US)
- Boston Children's Hospital (US)
- Harvard University (US)
- University of Ghana (GH)
- Komfo Anokye Teaching Hospital (GH)
- Owensboro Health (US)
- Kwame Nkrumah University of Science and Technology (GH)
- Presbyterian University, Ghana (GH)
- London School of Hygiene & Tropical Medicine (GB)
- Ghana Christian University College (GH)
- Charité - Universitätsmedizin Berlin (DE)
- University of Pennsylvania (US)
- University for Development Studies (GH)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1136/bmjgh-2025-021393
- Primary Topic
- Global Maternal and Child Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute
- Fogarty International Center