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Health Care Utilization and Attitude Surveys Associated with the Global Enteric Multicenter Study (GEMS)
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

In the predominantly rural Manhiça district, in southern Mozambique, diarrhea is one of the leading causes of death among children under 5 years. Caretakers randomly selected from the Demographic Surveillance Database were invited to participate in a community-based survey on use of healthcare services for gastroenteritis. Of those caretakers reporting an episode of diarrhea during the recall period, 65.2% in the first survey and 43.8% in the second survey reported seeking care at a health facility. Independent risk factors for seeking care in health facilities in the first survey included the presence of diarrhea with fever and not knowing any sign of dehydration; having a television at home was related with an independent decreased use of the health facilities. In the second survey, the use of health services was significantly associated with diarrhea with fever and vomiting. Establishment of continuous prospective monitoring allows accounting for changes in healthcare use that may occur because of seasonality or secular events.

[open-access] This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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2013-07-10
2017-09-24
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References

  1. UNICEF/WHO, 2009. Diarrhoea: Why Children Are Still Dying and What Can Be Done. New York, NY: UNICEF/WHO.
  2. Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers C, , 2008. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 375: 19691987.[Crossref]
  3. Kosek M, Bern C, Guerrant RL, , 2003. The global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bull World Health Organ 81: 197204.
  4. Boschi-Pinto C, Velebit L, Shibuya K, , 2008. Estimating child mortality due to diarrhoea in developing countries. Bull World Health Organ 86: 710717.[Crossref]
  5. Boschi-Pinto C, Lanata CF, Black RE, Ehiri J, , 2009. The global burden of childhood diarrhea. , ed. Maternal and Child Health: Global Challenges, Programs and Policies. Boston, MA: Springer Science+Business Media, LLC, 225243.[Crossref]
  6. Bern C, Martines J, de Zoysa I, Glass RI, , 1992. The magnitude of the global problem of diarrhoeal disease: a ten-year update. Bull World Health Organ 70: 705714.
  7. MISAU, 2009. Health Sector Strategic Plan. Maputo: Ministério da Saúde location.
  8. Lindelow MWP, Zorzi N, , 2004. Primary Health Care in Mozambique: Service Delivery in a Complexy Hierarchy. New York, NY: UNICEF/WHO.
  9. UNICEF, 2009. Mozambique: National Mortality Child Study. New York, NY: UNICEF/WHO.
  10. World Health Organization, 2010. Accelerated Child Survival and Development. Geneva: WHO. Available at: http://www.unicef.org/mozambique/pt/child_survival.html.
  11. Dgedge M, Novoa A, Macassa G, Sacarlal J, Black J, Michaud C, Cliff J, , 2001. The burden of disease in Maputo City, Mozambique: registered and autopsied deaths in 1994. Bull World Health Organ 79: 546552.
  12. Sacarlal J, Nhacolo AQ, Sigauque B, Nhalungo DA, Abacassamo F, Sacoor CN, Aide P, Machevo S, Nhampossa T, Macete EV, Bassat Q, David C, Bardaji A, Letang E, Saute F, Aponte JJ, Thompson R, Alonso PL, , 2009. A 10 year study of the cause of death in children under 15 years in Manhica, Mozambique. BMC Public Health 9: 67.[Crossref]
  13. Machava JR, , 2007. Situation of Poverty in Mozambique: Regional Differences and Main Challenges. São Paulo: Estudos Geográficos, Rio Claro, 2746.
  14. INE, Instituto Nacional de Estadísticas, 2012. Country Data Portal Mozambique. Available at: http://www.ine.gov.mz. Accessed June 14, 2012.
  15. Saute F, Aponte J, Almeda J, Ascaso C, Vaz N, Dgedge M, Alonso P, , 2003. Malaria in southern Mozambique: incidence of clinical malaria in children living in a rural community in Manhica district. Trans R Soc Trop Med Hyg 97: 655660.[Crossref]
  16. Guinovart C, Bassat Q, Sigauque B, Aide P, Sacarlal J, Nhampossa T, Bardaji A, Nhacolo A, Macete E, Mandomando I, Aponte JJ, Menendez C, Alonso PL, , 2008. Malaria in rural Mozambique. Part I: children attending the outpatient clinic. Malar J 7: 36.[Crossref]
  17. Bassat Q, Guinovart C, Sigauque B, Mandomando I, Aide P, Sacarlal J, Nhampossa T, Bardaji A, Morais L, Machevo S, Letang E, Macete E, Aponte JJ, Roca A, Menendez C, Alonso PL, , 2009. Severe malaria and concomitant bacteraemia in children admitted to a rural Mozambican hospital. Trop Med Int Health 14: 10111019.[Crossref]
  18. Gonzalez R, Munguambe K, Aponte J, Bavo C, Nhalungo D, Macete E, Alonso P, Menendez C, Naniche D, , 2012. High HIV prevalence in a southern semi-rural area of Mozambique: a community-based survey. HIV Med 13: 581588.[Crossref]
  19. Bassat Q, Machevo S, O'Callaghan-Gordo C, Sigauque B, Morais L, Diez-Padrisa N, Ribo JL, Mandomando I, Nhampossa T, Ayala E, Sanz S, Weber M, Roca A, Alonso PL, , 2011. Distinguishing malaria from severe pneumonia among hospitalized children who fulfilled integrated management of childhood illness criteria for both diseases: a hospital-based study in Mozambique. Am J Trop Med Hyg 85: 626634.[Crossref]
  20. Nhacolo A, Nhalungo D, Sacoor C, Aponte J, Thompson R, Alonso P, , 2006. Levels and trends of demographic indices in southern rural Mozambique: evidence from demographic surveillance in Manhica district. BMC Public Health 6: 291.[Crossref]
  21. Alonso P, Saúte F, Aponte JJ, Gómez-Olive FX, Nhacolo A, Thompson R, Macete E, Abacassamo F, Ventura PJ, Bosch X, Menendez C, Dgedge M, Manhiça Demographic Surveillance System, Mozambique, . Population, Health, and Survival at INDEPTH Sites 1 1969–87. Ottawa: International Development Research Centre (IDRC).
  22. WHO, 2002. Generic Protocols for: I) Hospital-Based Surveillance to Estimate the Burden of Rotavirus Gastroenteritis in Children and II) a Community-Based Survey on Utilization of Health Care Services for Gastroenteritis in Children. Geneva: WHO.
  23. Blackwelder WC, Biswas K, Wu Y, Kotloff KL, Farag TH, Nasrin D, Graubard BI, Sommerfelt H, Levine MM, , 2012. Statistical methods in the Global Enteric Multicenter Study (GEMS). Clin Infect Dis 55 (Suppl 4): S246S253.[Crossref]
  24. Morris SS, Cousens SN, Lanata CF, Kirkwood BR, , 1994. Diarrhoea—defining the episode. Int J Epidemiol 23: 617623.[Crossref]
  25. Lindelow M, , 2005. The utilisation of curative healthcare in Mozambique: does income matter? J Afr Econ 14: 435482.[Crossref]
  26. Taffa N, Chepngeno G, , 2005. Determinants of health care seeking for childhood illnesses in Nairobi slums. Trop Med Int Health 10: 240245.[Crossref]
  27. Field KS, Briggs DJ, , 2001. Socio-economic and locational determinants of accessibility and utilization of primary health-care. Health Soc Care Community 9: 294308.[Crossref]
  28. Buor D, , 2003. Mothers' education and childhood mortality in Ghana. Health Policy 64: 297309.[Crossref]
  29. Rodriguez-Fragoso L, Reyes-Esparza J, Burchiel SW, Herrera-Ruiz D, Torres E, , 2008. Risks and benefits of commonly used herbal medicines in Mexico. Toxicol Appl Pharmacol 227: 125135.[Crossref]
  30. Araz N, Bulbul S, , 2001. Use of complementary and alternative medicine in a pediatric population in southern Turkey. Clin Invest Med 34: E21E29.
  31. Bassat Q, Guinovart C, Sigauque B, Aide P, Sacarlal J, Nhampossa T, Bardaji A, Nhacolo A, Macete E, Mandomando I, Aponte JJ, Menendez C, Alonso PL, , 2008. Malaria in rural Mozambique. Part II: children admitted to hospital. Malar J 7: 37.[Crossref]
  32. Pickering LK, Behrman RE, Kliegman RM, Jenson HB, , 2004. Gastroenteritis. , eds. Nelson Tratado de Pediatrita, 12721276. Madrid: Elservier editorial.
  33. Oliveira RG, , 2005. Belo Horizonte: Blach Book Pediatria. Belo Horizonte: Blackbook editora, 295308.
  34. Suh JS, Hahn WH, Cho BS, , 2010. Recent advances of oral rehydration therapy (ORT). Electrolyte Blood Press 8: 8286.[Crossref]
  35. Gutierrez G, Tapia-Conyer R, Guiscafre H, Reyes H, Martinez H, Kumate J, , 1996. Impact of oral rehydration and selected public health interventions on reduction of mortality from childhood diarrhoeal diseases in Mexico. Bull World Health Organ 74: 189197.
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  • Received : 13 Dec 2012
  • Accepted : 21 Feb 2013

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