2 research outputs found
Prevalence of Child Malnutrition in North Kivu, DRC: Evidence from Bunyuka Parish
Sub-Saharan Africa is the second most undernourished region in the world, with an estimated 265 million people in 2009. The Democratic Republic of the Congo (DRC) has the highest percentage of undernourished people in the region, 75% from 2004 to 2006. The Kivu region in Eastern DRC, in particular, has suffered through decades of conflict and lack of security and infrastructure obstruct data collection in this region. The main contribution of this paper is to present primary survey evidence on the prevalence of malnutrition in the village of Bunyuka in North Kivu. From a sample of over 700 mothers and 1400 children, we find significant prevalence of malnutrition and high dependence on nutritionally deficient food sources
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Essential Emergency and Critical Care: a consensus among global clinical experts
BackgroundGlobally, critical illness results in millions of deaths every year. Although many of these deaths are potentially preventable, the basic, life-saving care of critically ill patients are often overlooked in health systems. Essential Emergency and Critical Care (EECC) has been devised as the care that should be provided to all critically ill patients in all hospitals in the world. EECC includes the effective care of low cost and low complexity for the identification and treatment of critically ill patients across all medical specialties. This study aimed to specify the content of EECC and additionally, given the surge of critical illness in the ongoing pandemic, the essential diagnosis-specific care for critically ill patients with COVID-19.MethodsIn a Delphi process, consensus (>90% agreement) was sought from a diverse panel of global clinical experts. The panel iteratively rated proposed treatments and actions based on previous guidelines and the WHO/ICRC's Basic Emergency Care. The output from the Delphi was adapted iteratively with specialist reviewers into a coherent and feasible package of clinical processes plus a list of hospital readiness requirements.ResultsThe 269 experts in the Delphi panel had clinical experience in different acute medical specialties from 59 countries and from all resource settings. The agreed EECC package contains 40 clinical processes and 67 requirements, plus additions specific for COVID-19.ConclusionThe study has specified the content of care that should be provided to all critically ill patients. Implementing EECC could be an effective strategy for policy makers to reduce preventable deaths worldwide