Do clinicians adhere to practice guidelines? A descriptive study at a referral hospital in Kenya

  • R.C. Ndiema
  • J Kiarie
  • K Kamau
  • R Kosgei
  • J Kinuthia
  • W Musalia
  • B Osano
  • E Maleche-Obimbo
  • F Were
  • D Wamalwa


Background: Clinical guidelines when implemented correctly have shown to improve disease outcomes. This study describes utilization of Kenya National guidelines in managing ante partum haemorrhage (APH) in 3rd trimester.

Objective: To describe adherence to clinical guideline in management of antepartum haemorrhage at Garissa Provincial General Hospital Design: Crossectional mixed methods study

Setting: Garissa Provincial General Hospital

Subjects: Medical records of patients managed for APH between 2002 and 2012 and Key Informant Interviews (KIIs) of Health workers.

Results: 36.1% of the cases assessed were managed with strict adherence to guidelines. 90% of health care workers had high levels of awareness of the existence of guidelines and sited utilization challenges attributed to resource inadequacies.

Conclusion: Clinicians are skilled on APH guidelines, but adherence levels are still low. Therefore, continuous appraisal of clinical practices, availing equipment, facilities and supplies to reinforce adherence is recommended.


Journal Identifiers

eISSN: 0012-835X