Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study
Abstract Background Use of diagnostics in integrated community case management (iCCM) of fever is recognized as an important step in improving rational use of drugs and quality of care for febrile under-five children. This study assessed household access, acceptability and utilization of community h...
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ftdoajarticles:oai:doaj.org/article:17047264480242d197bdbf54fefc9b53 2023-05-15T15:18:53+02:00 Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study Mukanga David Tibenderana James K Peterson Stefan Pariyo George W Kiguli Juliet Waiswa Peter Babirye Rebecca Ojiambo Godfrey Kasasa Simon Pagnoni Franco Kallander Karin 2012-05-01T00:00:00Z https://doi.org/10.1186/1475-2875-11-121 https://doaj.org/article/17047264480242d197bdbf54fefc9b53 EN eng BMC http://www.malariajournal.com/content/11/1/121 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-121 1475-2875 https://doaj.org/article/17047264480242d197bdbf54fefc9b53 Malaria Journal, Vol 11, Iss 1, p 121 (2012) Community health worker Case management Malaria Pneumonia Febrile children Diagnostics Access Acceptability Utilization Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2012 ftdoajarticles https://doi.org/10.1186/1475-2875-11-121 2022-12-31T04:39:40Z Abstract Background Use of diagnostics in integrated community case management (iCCM) of fever is recognized as an important step in improving rational use of drugs and quality of care for febrile under-five children. This study assessed household access, acceptability and utilization of community health workers (CHWs) trained and provided with malaria rapid diagnostic tests (RDTs) and respiratory rate timers (RRTs) to practice iCCM. Methods A total of 423 households with under-five children were enrolled into the study in Iganga district, Uganda. Households were selected from seven villages in Namungalwe sub-county using probability proportionate to size sampling. A semi-structured questionnaire was administered to caregivers in selected households. Data were entered into Epidata statistical software, and analysed using SPSS Statistics 17.0, and STATA version 10. Results Most (86%, 365/423) households resided within a kilometre of a CHW’s home, compared to 26% (111/423) residing within 1 km of a health facility (p < 0.001). The median walking time by caregivers to a CHW was 10 minutes (IQR 5–20). The first option for care for febrile children in the month preceding the survey was CHWs (40%, 242/601), followed by drug shops (33%, 196/601). Fifty-seven percent (243/423) of caregivers took their febrile children to a CHW at least once in the three month period preceding the survey. Households located 1–3 km from a health facility were 72% (AOR 1.72; 95% CI 1.11–2.68) more likely to utilize CHW services compared to households within 1 km of a health facility. Households located 1–3 km from a CHW were 81% (AOR 0.19; 95% CI 0.10–0.36) less likely to utilize CHW services compared to those households residing within 1 km of a CHW. A majority (79%, 336/423) of respondents thought CHWs services were better with RDTs, and 89% (375/423) approved CHWs’ continued use of RDTs. Eighty-six percent (209/243) of respondents who visited a CHW thought RRTs were useful. Conclusion ICCM with diagnostics is acceptable, increases ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 11 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
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Community health worker Case management Malaria Pneumonia Febrile children Diagnostics Access Acceptability Utilization Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Community health worker Case management Malaria Pneumonia Febrile children Diagnostics Access Acceptability Utilization Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Mukanga David Tibenderana James K Peterson Stefan Pariyo George W Kiguli Juliet Waiswa Peter Babirye Rebecca Ojiambo Godfrey Kasasa Simon Pagnoni Franco Kallander Karin Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study |
topic_facet |
Community health worker Case management Malaria Pneumonia Febrile children Diagnostics Access Acceptability Utilization Uganda Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Use of diagnostics in integrated community case management (iCCM) of fever is recognized as an important step in improving rational use of drugs and quality of care for febrile under-five children. This study assessed household access, acceptability and utilization of community health workers (CHWs) trained and provided with malaria rapid diagnostic tests (RDTs) and respiratory rate timers (RRTs) to practice iCCM. Methods A total of 423 households with under-five children were enrolled into the study in Iganga district, Uganda. Households were selected from seven villages in Namungalwe sub-county using probability proportionate to size sampling. A semi-structured questionnaire was administered to caregivers in selected households. Data were entered into Epidata statistical software, and analysed using SPSS Statistics 17.0, and STATA version 10. Results Most (86%, 365/423) households resided within a kilometre of a CHW’s home, compared to 26% (111/423) residing within 1 km of a health facility (p < 0.001). The median walking time by caregivers to a CHW was 10 minutes (IQR 5–20). The first option for care for febrile children in the month preceding the survey was CHWs (40%, 242/601), followed by drug shops (33%, 196/601). Fifty-seven percent (243/423) of caregivers took their febrile children to a CHW at least once in the three month period preceding the survey. Households located 1–3 km from a health facility were 72% (AOR 1.72; 95% CI 1.11–2.68) more likely to utilize CHW services compared to households within 1 km of a health facility. Households located 1–3 km from a CHW were 81% (AOR 0.19; 95% CI 0.10–0.36) less likely to utilize CHW services compared to those households residing within 1 km of a CHW. A majority (79%, 336/423) of respondents thought CHWs services were better with RDTs, and 89% (375/423) approved CHWs’ continued use of RDTs. Eighty-six percent (209/243) of respondents who visited a CHW thought RRTs were useful. Conclusion ICCM with diagnostics is acceptable, increases ... |
format |
Article in Journal/Newspaper |
author |
Mukanga David Tibenderana James K Peterson Stefan Pariyo George W Kiguli Juliet Waiswa Peter Babirye Rebecca Ojiambo Godfrey Kasasa Simon Pagnoni Franco Kallander Karin |
author_facet |
Mukanga David Tibenderana James K Peterson Stefan Pariyo George W Kiguli Juliet Waiswa Peter Babirye Rebecca Ojiambo Godfrey Kasasa Simon Pagnoni Franco Kallander Karin |
author_sort |
Mukanga David |
title |
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study |
title_short |
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study |
title_full |
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study |
title_fullStr |
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study |
title_full_unstemmed |
Access, acceptability and utilization of community health workers using diagnostics for case management of fever in Ugandan children: a cross-sectional study |
title_sort |
access, acceptability and utilization of community health workers using diagnostics for case management of fever in ugandan children: a cross-sectional study |
publisher |
BMC |
publishDate |
2012 |
url |
https://doi.org/10.1186/1475-2875-11-121 https://doaj.org/article/17047264480242d197bdbf54fefc9b53 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 11, Iss 1, p 121 (2012) |
op_relation |
http://www.malariajournal.com/content/11/1/121 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-11-121 1475-2875 https://doaj.org/article/17047264480242d197bdbf54fefc9b53 |
op_doi |
https://doi.org/10.1186/1475-2875-11-121 |
container_title |
Malaria Journal |
container_volume |
11 |
container_issue |
1 |
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1766349055131123712 |