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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Determinants of delay in care-seeking for febrile children in eastern Uganda
Tropical Medicine and International Health, Volume 14, No. 4, Year 2009
Notification
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Description
Objective: To explore factors associated with delay in seeking treatment outside the home for febrile children under five. Methods: Using a pre-tested structured questionnaire, all 9176 children below 5 years in Iganga-Mayuge Demographic Surveillance Site were enumerated. Caretakers of children who had been ill within the previous 2 weeks were asked about presenting symptoms, type of home treatment used, timing of seeking treatment and distance to provider. Children who sought care latest after one night were compared with those who sought care later. Results: Those likely to delay came from the lowest socio-economic quintile (OR 1.45; 95% CI 1.06-1.97) or had presented with pallor (OR 1.58; 95% CI 1.10-2.25). Children less likely to delay had gone to drug shops (OR 0.70; 95% CI 0.59-0.84) or community medicine distributors (CMDs) (OR 0.33; 95% CI 0.15-0.74), had presented with fast breathing (OR 0.75; 95% CI 0.60-0.87), used tepid sponging at home (OR 0.43; 95% CI 0.27-0.68), or perceived the distance to the provider to be short (OR 0.72; 95% CI 0.60-0.87). Conclusion: Even in the presence of 'free services', poverty is associated with delay to seek care. Drug shops and CMDs may complement government efforts to deliver timely treatment. Health workers need to sensitize caretakers to take children for care promptly. Methods: to elucidate time in population-surveys in African settings need to be evaluated. © 2009 Blackwell Publishing Ltd.
Authors & Co-Authors
Rutebemberwa, Elizeus
Uganda, Kampala
Makerere University
Sweden, Stockholm
Ihcar
Källander, Karin
Uganda, Kampala
Makerere University
Sweden, Stockholm
Ihcar
Tomson, Göran B.
Sweden, Stockholm
Ihcar
Peterson, Stefan Swartling
Uganda, Kampala
Makerere University
Sweden, Stockholm
Ihcar
Pariyo, George William
Uganda, Kampala
Makerere University
Statistics
Citations: 151
Authors: 5
Affiliations: 2
Identifiers
Doi:
10.1111/j.1365-3156.2009.02237.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Uganda