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Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020

Access to medical treatment for fever is essential to prevent morbidity and mortality in individuals and to prevent transmission of communicable febrile illness in communities. Quantification of the rates at which treatment is accessed is critical for health system planning and a prerequisite for di...

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Autores principales: Nguyen, Michele, Dzianach, Paulina A., Castle, Paul E. C. W., Rumisha, Susan F., Rozier, Jennifer A., Harris, Joseph R., Gibson, Harry S., Twohig, Katherine A., Vargas-Ruiz, Camilo A., Bisanzio, Donal, Cameron, Ewan, Weiss, Daniel J., Bhatt, Samir, Gething, Peter W., Battle, Katherine E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446233/
https://www.ncbi.nlm.nih.gov/pubmed/37611001
http://dx.doi.org/10.1371/journal.pgph.0002134
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author Nguyen, Michele
Dzianach, Paulina A.
Castle, Paul E. C. W.
Rumisha, Susan F.
Rozier, Jennifer A.
Harris, Joseph R.
Gibson, Harry S.
Twohig, Katherine A.
Vargas-Ruiz, Camilo A.
Bisanzio, Donal
Cameron, Ewan
Weiss, Daniel J.
Bhatt, Samir
Gething, Peter W.
Battle, Katherine E.
author_facet Nguyen, Michele
Dzianach, Paulina A.
Castle, Paul E. C. W.
Rumisha, Susan F.
Rozier, Jennifer A.
Harris, Joseph R.
Gibson, Harry S.
Twohig, Katherine A.
Vargas-Ruiz, Camilo A.
Bisanzio, Donal
Cameron, Ewan
Weiss, Daniel J.
Bhatt, Samir
Gething, Peter W.
Battle, Katherine E.
author_sort Nguyen, Michele
collection PubMed
description Access to medical treatment for fever is essential to prevent morbidity and mortality in individuals and to prevent transmission of communicable febrile illness in communities. Quantification of the rates at which treatment is accessed is critical for health system planning and a prerequisite for disease burden estimates. In this study, national data on the proportion of children under five years old with fever who were taken for medical treatment were collected from all available countries in Africa, Latin America, and Asia (n = 91). We used generalised additive mixed models to estimate 30-year trends in the treatment-seeking rates across the majority of countries in these regions (n = 151). Our results show that the proportions of febrile children brought for medical treatment increased steadily over the last 30 years, with the greatest increases occurring in areas where rates had originally been lowest, which includes Latin America and Caribbean, North Africa and the Middle East (51 and 50% increase, respectively), and Sub-Saharan Africa (23% increase). Overall, the aggregated and population-weighted estimate of children with fever taken for treatment at any type of facility rose from 61% (59–64 95% CI) in 1990 to 71% (69–72 95% CI) in 2020. The overall population-weighted average for fraction of treatment in the public sector was largely unchanged during the study period: 49% (42–58 95% CI) sought care at public facilities in 1990 and 47% (44–52 95% CI) in 2020. Overall, the findings indicate that improvements in access to care have been made where they were most needed, but that despite rapid initial gains, progress can plateau without substantial investment. In 2020 there remained significant gaps in care utilisation that must be factored in when developing control strategies and deriving disease burden estimates.
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spelling pubmed-104462332023-08-24 Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020 Nguyen, Michele Dzianach, Paulina A. Castle, Paul E. C. W. Rumisha, Susan F. Rozier, Jennifer A. Harris, Joseph R. Gibson, Harry S. Twohig, Katherine A. Vargas-Ruiz, Camilo A. Bisanzio, Donal Cameron, Ewan Weiss, Daniel J. Bhatt, Samir Gething, Peter W. Battle, Katherine E. PLOS Glob Public Health Research Article Access to medical treatment for fever is essential to prevent morbidity and mortality in individuals and to prevent transmission of communicable febrile illness in communities. Quantification of the rates at which treatment is accessed is critical for health system planning and a prerequisite for disease burden estimates. In this study, national data on the proportion of children under five years old with fever who were taken for medical treatment were collected from all available countries in Africa, Latin America, and Asia (n = 91). We used generalised additive mixed models to estimate 30-year trends in the treatment-seeking rates across the majority of countries in these regions (n = 151). Our results show that the proportions of febrile children brought for medical treatment increased steadily over the last 30 years, with the greatest increases occurring in areas where rates had originally been lowest, which includes Latin America and Caribbean, North Africa and the Middle East (51 and 50% increase, respectively), and Sub-Saharan Africa (23% increase). Overall, the aggregated and population-weighted estimate of children with fever taken for treatment at any type of facility rose from 61% (59–64 95% CI) in 1990 to 71% (69–72 95% CI) in 2020. The overall population-weighted average for fraction of treatment in the public sector was largely unchanged during the study period: 49% (42–58 95% CI) sought care at public facilities in 1990 and 47% (44–52 95% CI) in 2020. Overall, the findings indicate that improvements in access to care have been made where they were most needed, but that despite rapid initial gains, progress can plateau without substantial investment. In 2020 there remained significant gaps in care utilisation that must be factored in when developing control strategies and deriving disease burden estimates. Public Library of Science 2023-08-23 /pmc/articles/PMC10446233/ /pubmed/37611001 http://dx.doi.org/10.1371/journal.pgph.0002134 Text en © 2023 Nguyen et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Nguyen, Michele
Dzianach, Paulina A.
Castle, Paul E. C. W.
Rumisha, Susan F.
Rozier, Jennifer A.
Harris, Joseph R.
Gibson, Harry S.
Twohig, Katherine A.
Vargas-Ruiz, Camilo A.
Bisanzio, Donal
Cameron, Ewan
Weiss, Daniel J.
Bhatt, Samir
Gething, Peter W.
Battle, Katherine E.
Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
title Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
title_full Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
title_fullStr Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
title_full_unstemmed Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
title_short Trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
title_sort trends in treatment-seeking for fever in children under five years old in 151 countries from 1990 to 2020
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446233/
https://www.ncbi.nlm.nih.gov/pubmed/37611001
http://dx.doi.org/10.1371/journal.pgph.0002134
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