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Maternal responses to childhood febrile illnesses in an area of seasonal malaria transmission in rural Ethiopia.
Acta Trop. 2007 Apr; 102(1):1-9.AT

Abstract

Although malaria is the leading cause of illness and death among children less than 5 years of age, there is limited information on mother's response and experience about diagnosis and treatment of the disease in children in rural areas of Ethiopia. The objective of this study was to assess maternal responses and treatment seeking behaviour for children reported to have malaria. A community-based cross-sectional study was conducted between October and November 2003 in Adami Tulu District, south-central Ethiopia. Mothers/caretakers of children less than 5 years of age were interviewed about history of febrile illness suspected to be malaria for all under-five children and the actions taken in the 2 weeks prior to the survey. Of 3872 children identified in 2372 households, 817 (21.1%) had febrile illness reported to be malaria according to the mothers/caretakers. The main symptoms included fever (99%), shivering/chills (92.2%), vomiting (55.1%), sleeplessness/restlessness (12.9%) and refusal to feed (21.3%). Of the total febrile children, 27.3% sought the first care from a public health facility, 27% visited community health workers (CHWs), 25.7% taken to private clinics, 6.4% received home treatment, and 13.3% did not get any care. Among 710 children who reported to receive any type of anti-malarial treatment, 78.8% got it from one source, 19.4% visited two sources and 1.8% sought three sources. Only 28% of the children received any form of treatment within 24h of the onset of illness. Public facilities, private clinics and CHWs were the main sources of care sought by febrile children. Strengthening peripheral health services and community-based interventions using CHWs at village levels would improve the early diagnosis and treatment of malaria among children.

Authors+Show Affiliations

Department of Community Health, Faculty of Medicine, Addis Ababa University, P.O. Box 9086, Addis Ababa, Ethiopia. deressaw@yahoo.comNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

17395142

Citation

Deressa, Wakgari, et al. "Maternal Responses to Childhood Febrile Illnesses in an Area of Seasonal Malaria Transmission in Rural Ethiopia." Acta Tropica, vol. 102, no. 1, 2007, pp. 1-9.
Deressa W, Ali A, Berhane Y. Maternal responses to childhood febrile illnesses in an area of seasonal malaria transmission in rural Ethiopia. Acta Trop. 2007;102(1):1-9.
Deressa, W., Ali, A., & Berhane, Y. (2007). Maternal responses to childhood febrile illnesses in an area of seasonal malaria transmission in rural Ethiopia. Acta Tropica, 102(1), 1-9.
Deressa W, Ali A, Berhane Y. Maternal Responses to Childhood Febrile Illnesses in an Area of Seasonal Malaria Transmission in Rural Ethiopia. Acta Trop. 2007;102(1):1-9. PubMed PMID: 17395142.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal responses to childhood febrile illnesses in an area of seasonal malaria transmission in rural Ethiopia. AU - Deressa,Wakgari, AU - Ali,Ahmed, AU - Berhane,Yemane, Y1 - 2007/02/23/ PY - 2006/06/26/received PY - 2006/11/14/revised PY - 2007/02/17/accepted PY - 2007/3/31/pubmed PY - 2007/8/22/medline PY - 2007/3/31/entrez SP - 1 EP - 9 JF - Acta tropica JO - Acta Trop VL - 102 IS - 1 N2 - Although malaria is the leading cause of illness and death among children less than 5 years of age, there is limited information on mother's response and experience about diagnosis and treatment of the disease in children in rural areas of Ethiopia. The objective of this study was to assess maternal responses and treatment seeking behaviour for children reported to have malaria. A community-based cross-sectional study was conducted between October and November 2003 in Adami Tulu District, south-central Ethiopia. Mothers/caretakers of children less than 5 years of age were interviewed about history of febrile illness suspected to be malaria for all under-five children and the actions taken in the 2 weeks prior to the survey. Of 3872 children identified in 2372 households, 817 (21.1%) had febrile illness reported to be malaria according to the mothers/caretakers. The main symptoms included fever (99%), shivering/chills (92.2%), vomiting (55.1%), sleeplessness/restlessness (12.9%) and refusal to feed (21.3%). Of the total febrile children, 27.3% sought the first care from a public health facility, 27% visited community health workers (CHWs), 25.7% taken to private clinics, 6.4% received home treatment, and 13.3% did not get any care. Among 710 children who reported to receive any type of anti-malarial treatment, 78.8% got it from one source, 19.4% visited two sources and 1.8% sought three sources. Only 28% of the children received any form of treatment within 24h of the onset of illness. Public facilities, private clinics and CHWs were the main sources of care sought by febrile children. Strengthening peripheral health services and community-based interventions using CHWs at village levels would improve the early diagnosis and treatment of malaria among children. SN - 0001-706X UR - https://www.unboundmedicine.com/medline/citation/17395142/Maternal_responses_to_childhood_febrile_illnesses_in_an_area_of_seasonal_malaria_transmission_in_rural_Ethiopia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0001-706X(07)00072-1 DB - PRIME DP - Unbound Medicine ER -