Michuki Maina
Biographic Data
| ID | 9001898 |
|---|---|
| NAME | Michuki Maina |
| GIVEN NAMES | Michuki |
| FAMILY NAME | Maina |
| SIGNATURE | MAINA M |
| AFFILIATIONS | Kenya Medical Research Institute |
| ORCID | 0000-0001-6874-8929 |
| VERIFIED | Yes |
| TOTAL WORKS | 9 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 9 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2019 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Levels of care for maternal and neonatal healthcare
Background: To meet the 2030 aims of the Global Strategy for Women's, Children's and Adolescents' Health and Sustainable Development Goals, annual rates of maternal and newborn mortality and stillbirth must decrease. The organisation of maternal and newborn health (MNH) services influences access to and quality of care. We designed this scoping review to understand how levels of MNH care are organised in different country contexts. Methods: We co…
Beyond survival
Evidence is lacking on how birth complications affect postpartum wellbeing in low-resource settings, and how to support post-complication recovery in these settings. To address this gap, we conducted a mixed methods study at three county referral hospitals in Kenya to explore the impact of birth complications on mothers’ and families’ postpartum experiences and wellbeing. We used a convergent parallel study design, including a quantitative cross-…
Perceived accuracy and utilisation of DHIS2 data for health decision making and advocacy in Kenya
Reliable health information systems (HIS) are critical for effective decision-making in the delivery of Primary Health Care and Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (PHC/RMNCAH+N) services. In Kenya, the District Health Information Software 2 (DHIS2) platform serves as the primary HIS for tracking health indicators. This qualitative study explored perceptions of DHIS2 data accuracy and use for decision-making am…
Applying a multi-layered, mixed methods approach to evaluate technology and workforce interventions in Kenyan neonatal units
Understanding how to best implement healthcare innovations in resource-poor settings requires complex interventions and evaluations, often straining existing healthcare systems. We aimed to address this challenge in our Kenyan neonatal intervention research by deeply integrating stakeholder engagement, applying layered methodologies, and leveraging our research team's diverse expertise. This paper reports on the design and implementation of a res…
Scoping review of interventions to improve continuity of postdischarge care for newborns in LMICs
INTRODUCTION: Neonatal mortality remains significant in low-income and middle-income countries (LMICs) with in-hospital mortality rates similar to those following discharge from healthcare facilities. Care continuity interventions have been suggested as a way of reducing postdischarge mortality by better linking care between facilities and communities. This scoping review aims to map and describe interventions used in LMICs to improve care contin…
Improving facility-based care
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
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 …
Using treatment guidelines to improve antibiotic use
Clinical practice guidelines have the potential to improve quality of care through improving decision making and antibiotic prescription. These guidelines are particularly important in areas with limited laboratory and specialist capacity.\n\nFor some of the common conditions managed in the hospitals, guidelines are not available or are outdated.\n\nTo reduce irrational antibiotic use and contain the threat of antimicrobial resistance, the proces…
Evaluating hospital performance in antibiotic stewardship to guide action at national and local levels in a lower-middle income setting
BACKGROUND: Inappropriate use of antibiotics can lead to the development of resistant pathogens. Ensuring proper use of these important drugs in all healthcare facilities is essential. Unfortunately, however, very little is known about how antibiotics are used in LMIC clinical settings, nor to what degree antibiotic stewardship programmes are in place and effective. OBJECTIVE: We aimed to record all Antibiotic Stewardship policies and structures …
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Evaluating hospital performance in antibiotic stewardship to guide action at national and local levels in a lower-middle income setting
BACKGROUND: Inappropriate use of antibiotics can lead to the development of resistant pathogens. Ensuring proper use of these important drugs in all healthcare facilities is essential. Unfortunately, however, very little is known about how antibiotics are used in LMIC clinical settings, nor to what degree antibiotic stewardship programmes are in place and effective. OBJECTIVE: We aimed to record all Antibiotic Stewardship policies and structures …
Using treatment guidelines to improve antibiotic use
Clinical practice guidelines have the potential to improve quality of care through improving decision making and antibiotic prescription. These guidelines are particularly important in areas with limited laboratory and specialist capacity.\n\nFor some of the common conditions managed in the hospitals, guidelines are not available or are outdated.\n\nTo reduce irrational antibiotic use and contain the threat of antimicrobial resistance, the proces…
Improving facility-based care
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
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 …
Scoping review of interventions to improve continuity of postdischarge care for newborns in LMICs
INTRODUCTION: Neonatal mortality remains significant in low-income and middle-income countries (LMICs) with in-hospital mortality rates similar to those following discharge from healthcare facilities. Care continuity interventions have been suggested as a way of reducing postdischarge mortality by better linking care between facilities and communities. This scoping review aims to map and describe interventions used in LMICs to improve care contin…
Beyond survival
Evidence is lacking on how birth complications affect postpartum wellbeing in low-resource settings, and how to support post-complication recovery in these settings. To address this gap, we conducted a mixed methods study at three county referral hospitals in Kenya to explore the impact of birth complications on mothers’ and families’ postpartum experiences and wellbeing. We used a convergent parallel study design, including a quantitative cross-…
Perceived accuracy and utilisation of DHIS2 data for health decision making and advocacy in Kenya
Reliable health information systems (HIS) are critical for effective decision-making in the delivery of Primary Health Care and Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (PHC/RMNCAH+N) services. In Kenya, the District Health Information Software 2 (DHIS2) platform serves as the primary HIS for tracking health indicators. This qualitative study explored perceptions of DHIS2 data accuracy and use for decision-making am…
Applying a multi-layered, mixed methods approach to evaluate technology and workforce interventions in Kenyan neonatal units
Understanding how to best implement healthcare innovations in resource-poor settings requires complex interventions and evaluations, often straining existing healthcare systems. We aimed to address this challenge in our Kenyan neonatal intervention research by deeply integrating stakeholder engagement, applying layered methodologies, and leveraging our research team's diverse expertise. This paper reports on the design and implementation of a res…
Levels of care for maternal and neonatal healthcare
Background: To meet the 2030 aims of the Global Strategy for Women's, Children's and Adolescents' Health and Sustainable Development Goals, annual rates of maternal and newborn mortality and stillbirth must decrease. The organisation of maternal and newborn health (MNH) services influences access to and quality of care. We designed this scoping review to understand how levels of MNH care are organised in different country contexts. Methods: We co…
Health care (6 works) · Global Maternal and Child Health (5 works) · Medicine (5 works) · Nursing (4 works) · Psychological intervention (3 works) · Antibiotic resistance (2 works) · Antibiotic Use and Resistance (2 works) · Antibiotics (2 works) · Business (2 works) · Computer Science (2 works)