Grace Irimu

Datos Biográficos

ID9019537
NOMBREGrace Irimu
NOMBRESGrace
APELLIDOIrimu
FIRMAIRIMU G
AFILIACIONESUniversity of Nairobi
ORCID0000-0003-2550-2026
VERIFICADOSí
TOTAL DE OBRAS8
TOTAL DE CITAS0
TOTAL COMO AUTOR8
TOTAL COMO EDITOR0
PRIMER AÑO DE PUBLICACIÓN2018
AÑO MÁS RECIENTE DE PUBLICACIÓN2025
ÍNDICE H0

  • Developing context-sensitive, comprehensive newborn care protocols

    Open AccessGrace Irimu, Edith Gicheha et al.ARTICLEJournal of Global Health2025

    Background: An estimated 2.3 million neonates die worldwide each year (47% of under-five mortality), with 75% occurring during the first week of life. The burden is highest in sub-Saharan Africa (n/N = 27/1000 neonatal mortality rate) and largely results from preventable conditions, such as prematurity, birth asphyxia, and infections. The Newborn Essential Solutions and Technologies (NEST360) programme supports health systems in resource-constrai…

  • Development of a small and sick newborn clinical audit tool and its implementation guide using a human-centred design approach newborn clinical audit process and design

    Open AccessMuthoni Ogola, John Wainaina et al.ARTICLEPLOS Global Public Health2023

    Clinical audits are an important intervention that enables health workers to reflect on their practice and identify and act on modifiable gaps in the care provided. To effectively audit the quality of care provided to the small and sick newborns, the clinical audit process must use a structured tool that comprehensively covers the continuum of newborn care from immediately after birth to the period of newborn unit care. The objective of the study…

  • Improving facility-based care

    Open AccessMike English, Jacinta Nzinga et al.ARTICLEBMJ Global Health2022

    Attention has turned to improving the quality and safety of healthcare within health facilities to reduce avoidable mortality and morbidity. Interventions should be tested in health system environments that can support their adoption if successful. To be successful, interventions often require changes in multiple behaviours making their consequences unpredictable. Here, we focus on this challenge of change at the mesolevel or microlevel. Drawing …

  • Improving in-patient neonatal data quality as a pre-requisite for monitoring and improving quality of care at scale

    Open AccessTimothy Tuti, Jalemba Aluvaala et al.ARTICLEPLOS Global Public Health2022

    The objectives of this study were to (1)explore the quality of clinical data generated from hospitals providing in-patient neonatal care participating in a clinical information network (CIN) and whether data improved over time, and if data are adequate, (2)characterise accuracy of prescribing for basic treatments provided to neonatal in-patients over time. This was a retrospective cohort study involving neonates ≤28 days admitted between January …

  • Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya

    Open AccessMike English, Grace Irimu et al.ARTICLEBMJ Global Health2021

    We have worked to develop a Clinical Information Network (CIN) in Kenya as an early form of learning health systems (LHS) focused on paediatric and neonatal care that now spans 22 hospitals. CIN’s aim was to examine important outcomes of hospitalisation at scale, identify and ultimately solve practical problems of service delivery, drive improvements in quality and test interventions. By including multiple routine settings in research, we aimed t…

  • Neonatal mortality in Kenyan hospitals

    Open AccessGrace Irimu, Jalemba Aluvaala et al.ARTICLEBMJ Global Health2021

    BACKGROUND: Most of the deaths among neonates in low-income and middle-income countries (LMICs) can be prevented through universal access to basic high-quality health services including essential facility-based inpatient care. However, poor routine data undermines data-informed efforts to monitor and promote improvements in the quality of newborn care across hospitals. METHODS: Continuously collected routine patients' data from structured paper r…

  • Examining the effectiveness of zinc treatment in children admitted with diarrhoea in Kenya’s public hospitals

    Open AccessLucas Malla, Rafael Perera et al.ARTICLEJournal of Global Health2019

    BACKGROUND: Kenyan paediatric treatment protocols recommend the use of zinc supplement for all children with diarrhoea. However, there is limited evidence of benefit for young children aged 1-5 months and those who are well-nourished. We examine effectiveness of zinc supplementation for children admitted with diarrhoea to Kenya's public hospitals with different nutritional and age categories. This is to determine whether the current policy where …

  • An observational study of monitoring of vital signs in children admitted to Kenyan hospitals

    Open AccessMorris Ogero, Philip Ayieko et al.ARTICLEJournal of Global Health2018

    BACKGROUND: Measurement and correct interpretation of vital signs is part of routine clinical care. Repeated measurement enhances early recognition of deterioration, may help prevent morbidity and mortality and is a standard of care in most countries. OBJECTIVE: To examine documentation of vital signs by clinicians for admissions to paediatric wards in Kenyan hospitals, to describe monitoring frequency by nurses and explore factors influencing fr…