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The NHF has developed a program of community awareness, free medication, RHD register development, health worker training, guideline development, and clinical audit.
This nationwide survey demonstrates that there is still a significant gap between the performance of adult and paediatric PSA in the ED even though PSA-related training, guideline adherence, and registration of PSA-related adverse events appear to be adequate.
Data on general and demographic information, experience and practice of PSA in both adult and paediatric patients, residency and current PSA training, guideline use and indicators, and finally PSA-related competencies were collected by use of a digital questionnaire (Additional file 1).
The primary outcome was further classified into two levels: perfect (where the health worker entirely followed the training guideline) and adequate resuscitation with minor, clinically insignificant deviations from the training guideline (see Appendix S1).
The iCCM training guideline states that "after referral of a child, it is important to follow-up this child the next day".
ADHERE findings also suggested that the wide variations in conformity may reflect differences in training, guideline familiarity, and implementation of tools and systems to ensure that recommended care is provided and documented.
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