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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
agricultural and biological sciences
Healthcare-seeking behaviour for common infectious disease-related illnesses in rural Kenya: A community-based house-to-house survey
Journal of Health, Population and Nutrition, Volume 29, No. 1, Year 2011
Notification
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Description
Community surveys of healthcare-use determine the proportion of illness episodes not captured by health facility-based surveillance, the methodology used most commonly to estimate the burden of disease in Africa. A cross-sectional survey of households with children aged less than five years was conducted in 35 of 686 census enumeration areas in rural Bondo district, western Kenya. Healthcare sought for acute episodes of diarrhoea or fever in the past two weeks or pneumonia in the past year was evaluated. Factors associated with healthcare-seeking were analyzed by logistic regression accounting for sample design. In total, 6,223 residents of 981 households were interviewed. Of 1,679 children aged less than five years, 233 (14%) had diarrhoea, and 736 (44%) had fever during the past two weeks; care at health facilities was sought for one-third of these episodes. Pneumonia in the past year was reported for 64 (4%) children aged less than five years; 88% sought healthcare at any health facility and 48% at hospitals. Seeking healthcare at health facilities was more likely for children from households with higher socioeconomic status and with more symptoms of severe illness. Health facility and hospital-based surveillance would underestimate the burden of disease substantially in rural western Kenya. Seeking healthcare at health facilities and hospitals varied by syndrome, severity of illness, and characteristics of the patient. © International Centre for Diarrhoeal Disease Research.
Authors & Co-Authors
Burton, Deron C.
United States, Atlanta
Centers for Disease Control and Prevention
Flannery, Brendan L.
United States, Atlanta
Centers for Disease Control and Prevention
Onyango, Bernard
Kenya, Nairobi
Kenya Medical Research Institute
Larson, Charles Palmer
Canada, Montreal
School of Medicine
Alaii, Jane A.
Kenya, Nairobi
Kenya Medical Research Institute
Zhang, Xingyou
United States, Atlanta
Centers for Disease Control and Prevention
United States, Atlanta
Mcking Consulting Corporation
Hamel, Mary J.
Kenya, Nairobi
Kenya Medical Research Institute
Breiman, Robert F.
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Feikin, Daniel R.
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Statistics
Citations: 134
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.3329/jhpn.v29i1.7567
ISSN:
16060997
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya