Patterns of treatment-seeking behaviors among caregivers of febrile young children: a Ugandan multiple case study
department or school: Medicine, Faculty of
department or school: Non UBC
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
identifier citation: BMC Public Health. 2016 Feb 16;16(1):160
rights copyright: Kassam et al.
creator: Kassam, Rosemin
creator: Sekiwunga, Richard
creator: MacLeod, Duncan
creator: Tembe, Juliet
creator: Liow, Eric
issued: 2016-08-10T22:41:06Z
issued: 2016-02-16
description: Background: The vast majority of malaria deaths in Uganda occur in children five and under and in rural areas. This study’s exploratory case study approach captured unique situations to illustrate special attributes and aspects of treatment-seeking during a malaria episode. Methods During August 2010, a qualitative exploratory study was conducted in seven of Butaleja District’s 12 sub-counties. Multiple case study methodology consisting of loosely-structured interviews were carried out with eight caregivers of children five and under in the local dialect. Caregivers were geographically distant and not known to each other. Interviews were translated into English and transcribed the same day. Data were analyzed using content analysis. Results Of the eight cases, children recovered fully in three instances, survived but with deficits in three, and died in two. Common to all outcomes were (1) triggers to illness recognition, (2) similar treatment sequences and practices, (3) factors which influenced caregivers’ treatment-seeking decisions, (4) challenges encountered while seeking care at public health facilities, (5) cost burdens associated with managing malaria, (6) life burdens resulting from negative outcomes from malaria, (7) variations in caregiver knowledge about artemisinin combination therapy, and (8) varying perspectives how malaria management could be improved. Conclusions Despite the reality that caregivers in Butaleja District generally share similar practices, experiences and challenges, very few children ever receive treatment in accordance with the Uganda’s national guidelines. To bring national practice into conformance with policy, three advances must occur: (1) All key stakeholders (those affiliated with the formal health system - public facilities and licensed private outlets, unlicensed drug vendors, and caregivers of young children) must concur on the need and the means to improve malaria management, (2) all health providers (formal and unlicensed) …
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/58752
note: RESEARCH ARTICLE Open AccessPatterns of treatment-seeking behaviorsamong caregivers of febrile young children:a Ugandan multiple case studyRosemin Kassam1*, Richard Sekiwunga2, Duncan MacLeod1, Juliet Tembe3 and Eric Liow1AbstractBackground: The vast majority of malaria deaths in Uganda occur in children five and under and in rural areas.This study’s exploratory case study approach captured unique situations to illustrate special attributes and aspectsof treatment-seeking during a malaria episode.Methods: During August 2010, a qualitative exploratory study was conducted in seven of Butaleja District’s 12 sub-counties. Multiple case study methodology consisting of loosely-structured interviews were carried out with eightcaregivers of children five and under in the local dialect. Caregivers were geographically distant and not known toeach other. Interviews were translated into English and transcribed the same day. Data were analyzed usingcontent analysis.Results: Of the eight cases, children recovered fully in three instances, survived but with deficits in three, and diedin two. Common to all outcomes were (1) triggers to illness recognition, (2) similar treatment sequences and practices,(3) factors which influenced caregivers’ treatment-seeking decisions, (4) challenges encountered while seeking care atpublic health facilities, (5) cost burdens associated with managing malaria, (6) life burdens resulting from negativeoutcomes from malaria, (7) variations in caregiver knowledge about artemisinin combination therapy, and (8) varyingperspectives how malaria management could be improved.Conclusions: Despite the reality that caregivers in Butaleja District generally share similar practices, experiences andchallenges, very few children ever receive treatment in accordance with the Uganda’s national guidelines. To bringnational practice into conformance with policy, three advances must occur: (1) All key stakeholders (those affiliatedwith the formal health system - public f…
has type: Article
is shown at: 10.14288/1.0307462
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/s12889-016-2813-7
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
subject: Malaria
subject: Treatment-seeking
subject: Behaviour
subject: Child
subject: Caregiver
subject: Uganda
subject: Case Study
subject: Experiences
type: Text
identifier URI: http://hdl.handle.net/2429/58752