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

Abstract

Abstract.

We conducted a survey involving 1,604 households to determine community care-seeking patterns and 163 exit interviews to determine appropriateness of treatment of common childhood illnesses at private sector drug shops in two rural districts of Uganda. Of children sick within the last 2 weeks, 496 (53.1%) children first sought treatment in the private sector versus 154 (16.5%) children first sought treatment in a government health facility. Only 15 (10.3%) febrile children treated at drug shops received appropriate treatment for malaria. Five (15.6%) children with both cough and fast breathing received amoxicillin, although no children received treatment for 5–7 days. Similarly, only 8 (14.3%) children with diarrhea received oral rehydration salts, but none received zinc tablets. Management of common childhood illness at private sector drug shops in rural Uganda is largely inappropriate. There is urgent need to improve the standard of care at drug shops for common childhood illness through public–private partnerships.

[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.2012.11-0791
2012-11-07
2017-09-25
Loading full text...

Full text loading...

/deliver/fulltext/14761645/87/5_Suppl/92.html?itemId=/content/journals/10.4269/ajtmh.2012.11-0791&mimeType=html&fmt=ahah

References

  1. Black RE, Morris SS, Bryce J, , 2003. Where and why are 10 million children dying every year? Lancet 361: 22262234.[Crossref]
  2. Ministry of Health, 2010. Intergrated Community Case Management of Childhood Malaria, Pneumonia and Diarrhoea: Implementation Guide. Kampala, Uganda: Ministry of Health.
  3. 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]
  4. 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]
  5. Tawfik Y, Nsungwa-Sabitii J, Greer G, Owor J, Kesande R, Prysor-Jones S, , 2006. Negotiating improved case management of childhood illness with formal and informal private practitioners in Uganda. Trop Med Int Health 11: 967973.[Crossref]
  6. Global Fund, 2011. Affordable Medicines Facility—Malaria. Available at: http://www.theglobalfund.org/en/amfm/. Accessed October 28, 2011.
  7. Kangwana BP, Kedenge SV, Noor AM, Alegana VA, Nyandigisi AJ, Pandit J, Fegan GW, Todd JE, Brooker S, Snow RW, Goodman CA, , 2011. The impact of retail-sector delivery of artemether-lumefantrine on malaria treatment of children under five in Kenya: a cluster randomized controlled trial. PLoS Med 8: e1000437.[Crossref]
  8. Sabot OJ, Mwita A, Cohen JM, Ipuge Y, Gordon M, Bishop D, Odhiambo M, Ward L, Goodman C, , 2009. Piloting the global subsidy: the impact of subsidized artemisinin-based combination therapies distributed through private drug shops in rural Tanzania. PLoS One 4: e6857.[Crossref]
  9. D'Acremont V, Kahama-Maro J, Swai N, Mtasiwa D, Genton B, Lengeler C, , 2011. Reduction of anti-malarial consumption after rapid diagnostic tests implementation in Dar es Salaam: a before-after and cluster randomized controlled study. Malar J 10: 107.[Crossref]
  10. D'Acremont V, Lengeler C, Mshinda H, Mtasiwa D, Tanner M, Genton B, , 2009. Time to move from presumptive malaria treatment to laboratory-confirmed diagnosis and treatment in African children with fever. PLoS Med 6: e252.[Crossref]
  11. Kallander K, Hildenwall H, Waiswa P, Galiwango E, Peterson S, Pariyo G, , 2008. Delayed care seeking for fatal pneumonia in children aged under five years in Uganda: a case-series study. Bull World Health Organ 86: 332338.[Crossref]
  12. Nshakira N, Kristensen M, Ssali F, Whyte SR, , 2002. Appropriate treatment of malaria? Use of antimalarial drugs for children's fevers in district medical units, drug shops and homes in eastern Uganda. Trop Med Int Health 7: 309316.[Crossref]
  13. Ringsted FM, Massawe IS, Lemnge MM, Bygbjerg IC, , 2011. Saleability of anti-malarials in private drug shops in Muheza, Tanzania: a baseline study in an era of assumed artemisinin combination therapy (ACT). Malar J 10: 238.[Crossref]
  14. Konde-Lule J, Okuonzi S, Matsiko C, Mukanga D, Onama V, Nakacubo SG, , 2006. The Potential of the Private Sector to Improve Health Outcomes in Uganda. Kampala, Uganda: Makerere University School of Public Health.
  15. Chuma J, Gilson L, Molyneux C, , 2007. Treatment-seeking behaviour, cost burdens and coping strategies among rural and urban households in coastal Kenya: an equity analysis. Trop Med Int Health 12: 673686.[Crossref]
  16. Adeyi O, Atun R, , 2010. Universal access to malaria medicines: innovation in financing and delivery. Lancet 376: 18691871.[Crossref]
  17. Yeung S, Patouillard E, Allen H, Socheat D, , 2011. Socially-marketed rapid diagnostic tests and ACT in the private sector: ten years of experience in Cambodia. Malar J 10: 243.[Crossref]
  18. Msellem MI, Martensson A, Rotllant G, Bhattarai A, Strömberg J, Kahigwa E, Garcia M, Petzold M, Olumese P, Ali A, Björkman A, , 2009. Influence of rapid malaria diagnostic tests on treatment and health outcome in fever patients, Zanzibar: a crossover validation study. PLoS Med 6: e1000070.[Crossref]
  19. English M, Scott JA, , 2008. What is the future for global case management guidelines for common childhood diseases? PLoS Med 5: e241.[Crossref]
  20. WHO/UNICEF, 2004. Management of Pneumonia in Community Settings. Geneva: World Health Organization/United Nations Children's Fund.
http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.2012.11-0791
Loading
/content/journals/10.4269/ajtmh.2012.11-0791
Loading

Data & Media loading...

  • Received : 20 Dec 2011
  • Accepted : 24 Feb 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