Hospital services for children in the Solomon Islands: rebuilding after the civil conflict.
OBJECTIVE
The Solomon Islands health service, infrastructure and economy were severely affected by the civil conflict that occurred between 1998 and 2003. In 2002 plans to rebuild health services for children, especially those provided in provincial hospitals, were developed by paediatricians, in collaboration with the World Health Organization. We aimed to inform this process by an assessment of the strengths and weaknesses of the child health service, particularly in provincial hospitals.


METHODS
A systematic assessment of the quality of hospital care for children in Solomon Islands was conducted in November 2003. The study used a WHO assessment tool, modified for use in the Asia-Pacific region.


RESULTS
The assessment highlighted several problems in clinical care, human resources, health financing, referral systems, and training, and has been used as a basis for several interventions for improving the quality of paediatric care.


CONCLUSIONS
This study and the initiatives that have followed it demonstrate the link between such assessments, child health policy and quality improvement activities. Such programs can be implemented even where resources are very limited. Sustaining initiatives based on this assessment will be important for the Solomon Islands if it is to achieve the Millennium Development Goals for child survival by 2015.
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James
J
Honiara National Referral Hospital, Ministry of Health, Solomon Islands, and Centre for International Child Health, University of Melbourne Department of Paediatrics, Parkville, Victoria, Australia.
Nasi
Titus
T
Ogaoga
Divi
D
Kelly
Julian
J
Duke
Trevor
T
D002648:Child; D002675:Child, Preschool; D002960:Civil Disorders; D006302:Health Services Research; D006776:Hospitals, Pediatric / Q000458:organization & administration* / Q000600:supply & distribution; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008542:Melanesia; D011320:Primary Health Care; D011787:Quality of Health Care; D014944:World Health Organization