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health systems

Improving malaria case-management practices in the public sector

Principal Investigator(s): 
Dejan Zurovac

Since 2004 standard malaria treatment guidelines across Africa have universally changed to support the management of clinical malaria in formal, public health services with ACTs, representing one of the most significant policy changes in malaria. However, we have shown through facility-based studies in Kenya, Uganda, Zambia and Somalia that malaria case-management in the public sector remains characterized by a poor drug supply, inappropriate prescription practices, inadequate counselling of patients and a disregard of results of parasitological diagnosis aimed at reducing over-treatment.

Child Newborn Health Group (CNHG)

Training to provide effective, evidence-based care to children and newbornsTraining to provide effective, evidence-based care to children and newbornsFor many years biomedical research has focused on defining what the best therapeutic products are or optimizing approaches to care. However, the reality is that such research is rarely translated into practice, especially in low income settings. Thus, one of CNHG'S major aims is to understand and evaluate the quality of care and the development and implementation of clinical practice guidelines.

Timothy Abuya

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Email: 
tabuyaatkilifi [dot] kemri-wellcome [dot] org
Group: 
Social and Behavioural Research

Abuya's current research activities revolve around implementation research and evaluation of public health interventions using policy analysis techniques.

Improving delivery of evidence based care for severely ill children

Full Title: 
Improving the delivery of evidence based care for severely ill children at district level in Kenya
Principal Investigator(s): 
Mike English

This project involves taking forward an ambitious research agenda with partners in Kenya's Ministry of Health, its medical schools and international collaborators including the World Health Organisation, The Centre for Health Policy, University of Witswatersrand and the London School of Hygiene and Tropical Medicine. Research is framed around a 3 year, randomised controlled study of an intervention programme to introduce evidence based care in child and newborn health in government hospitals and involves a multidisciplinary team comprising medical researchers, social scientists and economists.

Grace Irimu

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Email: 
girimuatnairobi [dot] kemri-wellcome [dot] org
Group: 
Child and Newborn Health Group

Grace completed specialist training in general paediatrics in 1996 in Nairobi University after which she was recruited as a lecturer in Department of Paediatrics and Child Health, University of Nai

Mike English

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Email: 
menglishatnairobi [dot] kemri-wellcome [dot] org
Group: 
Child and Newborn Health Group

Mike worked in Kilifi from 1992-1996 on malaria and returned to the UK to complete specialist training as a General Paediatrician in 1998.

Affordability of health care

Principal Investigator(s): 
Sassy Molyneux

No description available.

Impact of access to water on hospitalization for water-borne illness

Full Title: 
Impact of access to water and water source on hospitalization for water-washed and water-borne illness
Principal Investigator(s): 
Laura L Hammitt

No description available.

Dejan Zurovac

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Group: 
Malaria Public Health and Epidemiology

Dejan graduated as medical doctor at the University of Zagreb, Croatia in 1994.

Exploring the implementation and effects of Direct Facility Funding

Principal Investigator(s): 
Catherine Goodman
Principal Investigator(s): 
Sassy Molyneux

The research evaluates the direct facility funding (DFF) pilot scheme in the Kenyan Coast Province. It aims to explore the implementation and perceived impact of DFF at health centres and dispensaries. The focus is on these types of facilities because they are most used by poor rural households, and direct funding mechanisms have not been used before at this level.

The report is available on the CREHS website, www.crehs.lshtm.ac.uk.