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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...

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Autores principales: Geldsetzer, Pascal, Williams, Thomas Christie, Kirolos, Amir, Mitchell, Sarah, Ratcliffe, Louise Alison, Kohli-Lynch, Maya Kate, Bischoff, Esther Jill Laura, Cameron, Sophie, Campbell, Harry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
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.
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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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