Development of paediatric critical care in northwestern Nigeria: Initial implementation with a needs assessment model |
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| Institution: | 1. Intensive Care Unit, Aminu kano Teaching Hospital, Kano, Nigeria;2. NCAL Quality – Kaiser Foundation Hospital and Health Plan, Oakland, United States;3. KECK Medical Center of USC, University of Southern California, Los Angeles, CA, United States;4. The Brooklyn Hospital Center, Brooklyn, NY, United States;5. Icahn School of Medicine at Mount Sinai, New York, United States;6. Sanford Children’s Hospital Medical Center, University of North Dakota School of Medicine, Bismarck, ND, United States;1. Discipline of Acute Care Medicine, The University of Adelaide, AHMS, North Terrace, Adelaide, SA 5000, Australia;2. 4G751 Intensive Care Unit Research Department, The Royal Adelaide Hospital, Port Rd, Adelaide, SA 5000, Australia;3. Hugo Centre for Population and Housing, University of Adelaide, Napier Building, North Terrace, Adelaide, SA 5000, Australia;4. Intensive Care Unit, The Royal Melbourne Hospital, 300 Grattan St, Parkville, Melbourne, VIC 3010, Australia;5. The University of Melbourne, Melbourne Medical School, Department of Medicine and Radiology, Royal Melbourne Hospital, Parkville, Australia, VIC 3050;1. The George Institute for Global Health, Sydney, Australia;2. University of New South Wales, Sydney, Australia;3. Medical Research Institute of New Zealand, Wellington, New Zealand;4. Intensive Care Unit, Wellington Hospital, Wellington, New Zealand;5. The Princess Alexandra Hospital, University of Queensland, Brisbane, Australia;6. The Wesley Hospital, Brisbane, Australia;7. Imperial College, London, UK;8. Malcolm Fisher Department of Intensive Care Medicine, Royal North Shore Hospital, Sydney, Australia;9. St George Clinical School, University of New South Wales, Sydney, Australia;10. Faculty of Medicine and Health, University of Sydney, Sydney, Australia;11. Department of Critical Care Medicine, Auckland City Hospital, Auckland, New Zealand;1. School of Nursing and Midwifery, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia;2. Primary Health Care Nursing, School of Nursing, Faculty of Science, Medicine & Health, University of Wollongong, Northfields Ave, Wollongong, NSW, 2522, Australia;1. Intensive Care Clinical Unit, University Hospital Virgen Macarena, Dr. Fedriani St., 3, 41009, Seville, Spain;2. Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Avenzoar St., 6, 41009, Seville, Spain;1. Department of Nutrition and Dietetics, Royal Adelaide Hospital, South Australia, Australia;2. Intensive Care Unit, Royal Adelaide Hospital, South Australia, Australia;3. Discipline of Acute Care Medicine, The University of Adelaide, South Australia, Australia;4. Centre of Research Excellence in Translating Nutritional Science to Good Health, The University of Adelaide, South Australia, Australia;5. Allied and Scientific Health Office (ASHO), Department for Health & Wellbeing, Adelaide, South Australia, Australia |
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| Abstract: | IntroductionThere is high paediatric morbidity and mortality in northwestern Nigeria, attributable in part to vaccine-preventable illnesses and lack of comprehensive training of medical and nursing staff in the healthcare delivery of paediatric critical care. Pediatric Universal Life-Saving Effort Inc. (PULSE), a New York–based nonprofit organisation with a mission to develop paediatric critical care in resource-limited settings, collaborated with Aminu Kano University Teaching Hospital to decrease the gaps in knowledge and skills of medical and nursing personnel. The joint effort also aims to address and remove barriers to the delivery of paediatric critical care in northwestern Nigeria. The primary objective was to perform a needs assessment for paediatric intensive care resources in northwestern Nigeria, identify barriers to delivering these services, and designate a hub for the development of paediatric critical care educational programs for healthcare professionals.MethodsAn anonymous survey was designed and distributed using SurveyMonkey® online software to medical and nursing staff from nine healthcare institutions in northwestern Nigeria.ResultsAnalysis from 67 responses revealed that care delivered to critically ill paediatric patients was by anaesthesiologists (77%), pediatricians (26%), and adult intensive care specialists (10%). The acquisition of clinical skills was perceived to be an essential need (65%), followed by adequate staffing of critical care units (19%), continuing medical and nursing education (13%), and availability of medical equipment (3%).DiscussionThere is an identified need for paediatric critical care training and resources in northwestern Nigeria.ConclusionThe needs assessment conducted has provided important results that will form the basis for building staff capacity and training programs for paediatric critical care in northwestern Nigeria. |
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| Keywords: | Paediatric critical care Northwestern Nigeria Needs assessment Medical education Nursing Training |
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