Completeness of the Road-to-Health Booklet and Road-to-Health Card : results of cross-sectional surveillance at a provincial tertiary hospital
dc.contributor.author | Naidoo, Harishia | |
dc.contributor.author | Avenant, Theunis Johannes | |
dc.contributor.author | Goga, Ameena Ebrahim | |
dc.date.accessioned | 2018-09-17T08:12:30Z | |
dc.date.available | 2018-09-17T08:12:30Z | |
dc.date.issued | 2018-04-10 | |
dc.description.abstract | BACKGROUND : Accurate record-keeping is important for continuity and quality of care. Completing a child’s Road-to-Health Booklet (RTHB), or the older, less detailed, Road-to- Health Card/Chart (RTHC), immediate interpretation thereof and appropriate action facilitates comprehensive care, which could contribute to a decline in child morbidity and mortality. OBJECTIVE : This study aimed to assess the extent to which healthcare personnel working in catchment clinics of Kalafong Provincial Tertiary Hospital (KPTH), Tshwane district, South Africa, complete HIV-related, sociodemographic, neonatal, growth and immunisation information in the RTHC and/or RTHB. METHODS : A cross-sectional, quantitative record review was conducted. Data were extracted from 318 RTHCs and/or RTHBs of children attending KPTH for paediatric care. Data extraction focused on six main areas, namely documentation of HIV-related, neonatal, sociodemographic, anthropometric, immunisation and vitamin A-related information. During data analysis, age-appropriate completeness scores were generated for each area and completeness of documentation in the RTHB and RTHC was assessed. RESULTS : Data demonstrate significantly less unrecorded HIV-related information (maternal HIV status, timing of maternal HIV testing, timing of maternal antiretroviral therapy [ART] initiation, current maternal ART use and infant feeding decisions) in RTHBs compared with RTHCs (p < 001). Despite this, 24% of all RTHBs had no record of maternal HIV status and 67% of RTHBs from documented HIV-exposed infants had no record of maternal ART duration. Neonatal information completeness was similar between RTHBs and RTHCs, but sociodemographic completeness was significantly better in RTHBs compared with RTHCs (p = 0.006). Growth (especially weight), immunisation and vitamin A completeness was > 80% and similar between RTHBs and RTHCs. Length-for-age, weight-for-length and head circumference were plotted in < 5% of RTHBs and none of the RTHCs. CONCLUSION : Although completeness of key HIV-related information was better in RTHBs compared with RTHCs, RTHB completeness was suboptimal. Healthcare personnel need reminders to utilise the RTHB optimally to improve continuity and quality of child healthcare. | en_ZA |
dc.description.department | Paediatrics and Child Health | en_ZA |
dc.description.librarian | am2018 | en_ZA |
dc.description.sponsorship | The South African Medical Research Council | en_ZA |
dc.description.uri | http://www.sajhivmed.org.za | en_ZA |
dc.identifier.citation | Naidoo H, Avenant T, Goga A. Completeness of the Road-to-Health Booklet and Road-to-Health Card: Results of cross-sectional surveillance at a provincial tertiary hospital. S Afr J HIV Med. 2018;19(1), a765. http://DOI.org/10.4102/sajhivmed.v19i1.765. | en_ZA |
dc.identifier.issn | 1608-9693 (print) | |
dc.identifier.issn | 2078-6751 (online) | |
dc.identifier.other | 10.4102/sajhivmed.v19i1.765 | |
dc.identifier.uri | http://hdl.handle.net/2263/66578 | |
dc.language.iso | en | en_ZA |
dc.publisher | AOSIS Open Journals | en_ZA |
dc.rights | © 2018. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. | en_ZA |
dc.subject | Human immunodeficiency virus (HIV) | en_ZA |
dc.subject | Antiretroviral therapy (ART) | en_ZA |
dc.subject | Road-to-Health Card/Chart (RTHC) | en_ZA |
dc.subject | Road-to-Health Booklet (RTHB) | en_ZA |
dc.subject | Healthcare personnel | en_ZA |
dc.subject | Catchment clinics | en_ZA |
dc.subject | Kalafong Provincial Tertiary Hospital (KPTH) | en_ZA |
dc.subject | Tshwane district, South Africa | en_ZA |
dc.subject | HIV-related information | en_ZA |
dc.subject | Immunisation information | en_ZA |
dc.subject | Growth information | en_ZA |
dc.subject | Neonatal information | en_ZA |
dc.subject | Sociodemographic information | en_ZA |
dc.title | Completeness of the Road-to-Health Booklet and Road-to-Health Card : results of cross-sectional surveillance at a provincial tertiary hospital | en_ZA |
dc.type | Article | en_ZA |