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The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review
BACKGROUND: Pneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981715/ https://www.ncbi.nlm.nih.gov/pubmed/24718483 http://dx.doi.org/10.1371/journal.pone.0093427 |
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author | Geldsetzer, Pascal Williams, Thomas Christie Kirolos, Amir Mitchell, Sarah Ratcliffe, Louise Alison Kohli-Lynch, Maya Kate Bischoff, Esther Jill Laura Cameron, Sophie Campbell, Harry |
author_facet | Geldsetzer, Pascal Williams, Thomas Christie Kirolos, Amir Mitchell, Sarah Ratcliffe, Louise Alison Kohli-Lynch, Maya Kate Bischoff, Esther Jill Laura Cameron, Sophie Campbell, Harry |
author_sort | Geldsetzer, Pascal |
collection | PubMed |
description | BACKGROUND: Pneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5 years who were able to recognise illness in their child and subsequently sought care from different types of healthcare providers. METHODS AND FINDINGS: We conducted a systematic literature review of studies that reported recognition of, and/or care seeking for episodes of diarrhoea, pneumonia or malaria in LMICs. The review is registered with PROSPERO (registration number: CRD42011001654). Ninety-one studies met the inclusion criteria. Eighteen studies reported data on caregiver recognition of disease and seventy-seven studies on care seeking. The median sensitivity of recognition of diarrhoea, malaria and pneumonia was low (36.0%, 37.4%, and 45.8%, respectively). A median of 73.0% of caregivers sought care outside the home. Care seeking from community health workers (median: 5.4% for diarrhoea, 4.2% for pneumonia, and 1.3% for malaria) and the use of oral rehydration therapy (median: 34%) was low. CONCLUSIONS: Given the importance of this topic to child survival programmes there are few published studies. Recognition of diarrhoea, malaria and pneumonia by caregivers is generally poor and represents a key factor to address in attempts to improve health care utilisation. In addition, considering that oral rehydration therapy has been widely recommended for over forty years, its use remains disappointingly low. Similarly, the reported levels of care seeking from community health workers in the included studies are low even though global action plans to address these illnesses promote community case management. Giving greater priority to research on care seeking could provide crucial evidence to inform child mortality programmes. |
format | Online Article Text |
id | pubmed-3981715 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-39817152014-04-11 The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review Geldsetzer, Pascal Williams, Thomas Christie Kirolos, Amir Mitchell, Sarah Ratcliffe, Louise Alison Kohli-Lynch, Maya Kate Bischoff, Esther Jill Laura Cameron, Sophie Campbell, Harry PLoS One Research Article BACKGROUND: Pneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5 years who were able to recognise illness in their child and subsequently sought care from different types of healthcare providers. METHODS AND FINDINGS: We conducted a systematic literature review of studies that reported recognition of, and/or care seeking for episodes of diarrhoea, pneumonia or malaria in LMICs. The review is registered with PROSPERO (registration number: CRD42011001654). Ninety-one studies met the inclusion criteria. Eighteen studies reported data on caregiver recognition of disease and seventy-seven studies on care seeking. The median sensitivity of recognition of diarrhoea, malaria and pneumonia was low (36.0%, 37.4%, and 45.8%, respectively). A median of 73.0% of caregivers sought care outside the home. Care seeking from community health workers (median: 5.4% for diarrhoea, 4.2% for pneumonia, and 1.3% for malaria) and the use of oral rehydration therapy (median: 34%) was low. CONCLUSIONS: Given the importance of this topic to child survival programmes there are few published studies. Recognition of diarrhoea, malaria and pneumonia by caregivers is generally poor and represents a key factor to address in attempts to improve health care utilisation. In addition, considering that oral rehydration therapy has been widely recommended for over forty years, its use remains disappointingly low. Similarly, the reported levels of care seeking from community health workers in the included studies are low even though global action plans to address these illnesses promote community case management. Giving greater priority to research on care seeking could provide crucial evidence to inform child mortality programmes. Public Library of Science 2014-04-09 /pmc/articles/PMC3981715/ /pubmed/24718483 http://dx.doi.org/10.1371/journal.pone.0093427 Text en © 2014 Geldsetzer et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Geldsetzer, Pascal Williams, Thomas Christie Kirolos, Amir Mitchell, Sarah Ratcliffe, Louise Alison Kohli-Lynch, Maya Kate Bischoff, Esther Jill Laura Cameron, Sophie Campbell, Harry The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review |
title | The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review |
title_full | The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review |
title_fullStr | The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review |
title_full_unstemmed | The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review |
title_short | The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review |
title_sort | recognition of and care seeking behaviour for childhood illness in developing countries: a systematic review |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981715/ https://www.ncbi.nlm.nih.gov/pubmed/24718483 http://dx.doi.org/10.1371/journal.pone.0093427 |
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