1921
Special Supplement on integrated Community Case Management
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Use of community health workers (CHWs) has been implemented the same way in urban and rural areas despite differences in availability of health providers and sociodemographic characteristics. A household survey was conducted in rural and urban areas in eastern Uganda, and all children who were febrile in the previous two weeks were assessed for their symptoms, treatment received at home, and when and where they first went for treatment. Rural children were more likely to use CHWs than urban children. Urban children received outside treatment more promptly, and used herbs at home less. Symptoms and proportion of children being taken out for treatment were similar. Children from the poorest households used CHWs less and private providers more than the middle quintiles. Drug shops and private clinics should be included in the community case management to cater for the poorest in rural areas and persons in urban areas.

[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.

Loading

Article metrics loading...

/content/journals/10.4269/ajtmh.2012.11-0732
2012-11-07
2017-09-22
Loading full text...

Full text loading...

/deliver/fulltext/14761645/87/5_Suppl/30.html?itemId=/content/journals/10.4269/ajtmh.2012.11-0732&mimeType=html&fmt=ahah

References

  1. Singh V, Aneja S, , 2011. Pneumonia: management in the developing world. Paediatr Respir Rev 12: 5259.[Crossref]
  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, , 2010. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 375: 19691987.[Crossref]
  3. Yeboah-Antwi K, Pilingana P, Macleod WB, Semrau K, Siazeele K, Kalesha P, Hamainza B, Seidenberg P, Mazimba A, Sabin L, Kamholz K, Thea DM, Hamer DH, , 2010. Community case management of fever due to malaria and pneumonia in children under five in Zambia: a cluster randomized controlled trial. PLoS Med 7: e1000340.[Crossref]
  4. Winch PJ, Gilroy KE, Wolfheim C, Starbuck ES, Young MW, Walker LD, Black RE, , 2005. Intervention models for the management of children with signs of pneumonia or malaria by community health workers. Health Policy Plan 20: 199212.[Crossref]
  5. WHO/UNICEF, 2004. WHO/UNICEF Joint Statement: Management of Pneumonia in Community Settings. Geneva: World Health Organization.
  6. Akin JS, Hutchinson P, , 1999. Health-care facility choice and the phenomenon of bypassing. Health Policy Plan 14: 135151.[Crossref]
  7. Rutebemberwa E, Pariyo G, Peterson S, Tomson G, Kallander K, , 2009. Utilization of public or private health care providers by febrile children after user fee removal in Uganda. Malar J 8: 45.[Crossref]
  8. Molyneux CS, Mung'Ala-Odera V, Harpham T, Snow RW, , 1999. Maternal responses to childhood fevers: a comparison of rural and urban residents in coastal Kenya. Trop Med Int Health 4: 836845.[Crossref]
  9. Uzochukwu BS, Onwujekwe EO, Onoka CA, Ughasoro MD, , 2008. Rural-urban differences in maternal responses to childhood fever in south east Nigeria. PLos ONE 3: e1788.[Crossref]
  10. Rutebemberwa E, Kallander K, Tomson G, Peterson S, Pariyo G, , 2009. Determinants of delay in care-seeking for febrile children in eastern Uganda. Trop Med Int Health 14: 472479.[Crossref]
  11. Akweongo P, Agyei-Baffour P, Sudhakar M, Simwaka BN, Konate AT, Adongo PB, Browne EN, Tegegn A, Ali D, Traore A, Amuyunzu-Nyamongo M, Pagnoni F, Barnish G, , 2011. Feasibility and acceptability of ACT for the community case management of malaria in urban settings in five African sites. Malar J 10: 240.[Crossref]
  12. Konde-Lule J, Okuonzi S, Matsiko C, Mukanga D, Onama V, Gitta SN, , 2006. The Potential of the Private Sector to Improve Health Outcomes in Uganda. Kampala, Uganda: Makerere University Institute of Public Health.
  13. Adome R, Whyte S, Ortenblad L, Ezati E, Nsabagasani X, Owor J, Turinde A, , 1998. The Community Epidemiology of Drug Use: A Case of Three Districts in Uganda. Mbale, Uganda: People and Medicines in East Africa.
  14. Tawfik Y, Northrup R, Prysor-Jones S, , 2002. Utilizing the Potential of Formal and Informal Private Practioners in Child Survival: Situation Analysis and Summary of Promising Interventions. Washington, DC: USAID, Bureau for Africa, Office of Sustainable Development.
  15. Ajayi IO, Falade CO, Olley BO, Yusuf B, Gbotosho S, Iyiola T, Olaniyan O, Happi C, Munguti K, Pagnoni F, , 2008. A qualitative study of the feasibility and community perception on the effectiveness of artemether-lumefantrine use in the context of home management of malaria in south-west Nigeria. BMC Health Serv Res 8: 119.[Crossref]
  16. Malik EM, Hanafi K, Ali SH, Ahmed ES, Mohamed KA, , 2006. Treatment-seeking behaviour for malaria in children under five years of age: implication for home management in rural areas with high seasonal transmission in Sudan. Malar J 5: 60.[Crossref]
  17. de Savigny D, Mayombana C, Mwageni E, Masanja H, Minhaj A, Mkilindi Y, Mbuya C, Kasale H, Reid G, , 2004. Care-seeking patterns for fatal malaria in Tanzania. Malar J 3: 27.[Crossref]
  18. Schellenberg JA, Victora CG, Mushi A, de Savigny D, Schellenberg D, Mshinda H, Bryce J, , 2003. Inequities among the very poor: health care for children in rural southern Tanzania. Lancet 361: 561566.[Crossref]
  19. Njau JD, Goodman C, Kachur SP, Palmer N, Khatib RA, Abdulla S, Mills A, Bloland P, , 2006. Fever treatment and household wealth: the challenge posed for rolling out combination therapy for malaria. Trop Med Int Health 11: 299313.[Crossref]
  20. Victora CG, Vaughan JP, Barros FC, Silva AC, Tomasi E, , 2000. Explaining trends in inequities: evidence from Brazilian child health studies. Lancet 356: 10931098.[Crossref]
  21. Nsungwa-Sabiiti J, Peterson S, Pariyo G, Ogwal-Okeng J, Petzold MG, Tomson G, , 2007. Home-based management of fever and malaria treatment practices in Uganda. Trans R Soc Trop Med Hyg 101: 11991207.[Crossref]
  22. Nonaka D, Vongseththa K, Kobayashi J, Bounyadeth S, Kano S, Phompida S, Jimba M, , 2009. Public and private sector treatment of malaria in Lao PDR. Acta Trop 112: 283287.[Crossref]
  23. Konde-Lule J, Gitta SN, Lindfors A, Okuonzi S, Onama VO, Forsberg BC, , 2010. Private and public health care in rural areas of Uganda. BMC Int Health Hum Rights 10: 29.[Crossref]
  24. Marsh VM, Mutemi WM, Willetts A, Bayah K, Were S, Ross A, Marsh K, , 2004. Improving malaria home treatment by training drug retailers in rural Kenya. Trop Med Int Health 9: 451460.[Crossref]
  25. Filmer D, Pritchett LH, , 2001. Estimating wealth effects without expenditure data–or tears: an application to educational enrollments in states of India. Demography 38: 115132.
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2012.11-0732
Loading
/content/journals/10.4269/ajtmh.2012.11-0732
Loading

Data & Media loading...

  • Received : 25 Nov 2011
  • Accepted : 12 Apr 2012

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error