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Developing strategies to encourage appropriate care-seeking for children with acute respiratory infections: an example from Egypt.
Int J Health Plann Manage. 1994 Jul-Sep; 9(3):235-43.IJ

Abstract

Determinants of care-seeking and patterns of referral for acute respiratory infections (ARIs) in children were studied in two communities in Ismailia, Egypt. A video was used to assess mothers' recognition and interpretation of clinical signs of serious illness. Mothers were questioned about which of the locally available provider options they would choose for four different locally-defined ARI illnesses; they were also read brief descriptions of hypothetical cases, and asked how they would recommend treating children in those situations. These results were compared with reported care-seeking practices during past ARI episodes that occurred in their own children. The results indicate that mothers generally recognize rapid or difficult breathing, but do not use the recognition to take appropriate actions. The data suggest that a substantial proportion of children in the study area, who are perceived to have severe respiratory illnesses, may not be brought to the government health facilities for treatment. Implications of the findings for the training policies and strategies of the Egyptian national ARI program are considered.

Authors+Show Affiliations

Department of International Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

10137989

Citation

Herman, E, et al. "Developing Strategies to Encourage Appropriate Care-seeking for Children With Acute Respiratory Infections: an Example From Egypt." The International Journal of Health Planning and Management, vol. 9, no. 3, 1994, pp. 235-43.
Herman E, Black RE, Wahba S, et al. Developing strategies to encourage appropriate care-seeking for children with acute respiratory infections: an example from Egypt. Int J Health Plann Manage. 1994;9(3):235-43.
Herman, E., Black, R. E., Wahba, S., & Khallaf, N. (1994). Developing strategies to encourage appropriate care-seeking for children with acute respiratory infections: an example from Egypt. The International Journal of Health Planning and Management, 9(3), 235-43.
Herman E, et al. Developing Strategies to Encourage Appropriate Care-seeking for Children With Acute Respiratory Infections: an Example From Egypt. Int J Health Plann Manage. 1994 Jul-Sep;9(3):235-43. PubMed PMID: 10137989.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Developing strategies to encourage appropriate care-seeking for children with acute respiratory infections: an example from Egypt. AU - Herman,E, AU - Black,R E, AU - Wahba,S, AU - Khallaf,N, PY - 1994/7/1/pubmed PY - 1999/4/2/medline PY - 1994/7/1/entrez KW - Africa KW - Age Factors KW - Arab Countries KW - Child KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Egypt KW - Family And Household KW - Family Characteristics KW - Family Relationships KW - Infections KW - Kap Surveys KW - Mediterranean Countries KW - Mothers KW - Northern Africa KW - Parents KW - Population KW - Population Characteristics KW - Research Methodology KW - Respiratory Infections KW - Sampling Studies KW - Signs And Symptoms KW - Studies KW - Surveys KW - Youth SP - 235 EP - 43 JF - The International journal of health planning and management JO - Int J Health Plann Manage VL - 9 IS - 3 N2 - Determinants of care-seeking and patterns of referral for acute respiratory infections (ARIs) in children were studied in two communities in Ismailia, Egypt. A video was used to assess mothers' recognition and interpretation of clinical signs of serious illness. Mothers were questioned about which of the locally available provider options they would choose for four different locally-defined ARI illnesses; they were also read brief descriptions of hypothetical cases, and asked how they would recommend treating children in those situations. These results were compared with reported care-seeking practices during past ARI episodes that occurred in their own children. The results indicate that mothers generally recognize rapid or difficult breathing, but do not use the recognition to take appropriate actions. The data suggest that a substantial proportion of children in the study area, who are perceived to have severe respiratory illnesses, may not be brought to the government health facilities for treatment. Implications of the findings for the training policies and strategies of the Egyptian national ARI program are considered. SN - 0749-6753 UR - https://www.unboundmedicine.com/medline/citation/10137989/Developing_strategies_to_encourage_appropriate_care_seeking_for_children_with_acute_respiratory_infections:_an_example_from_Egypt_ DB - PRIME DP - Unbound Medicine ER -