Private Sector Drug Shops in Integrated Community Case Management of Malaria, Pneumonia, and Diarrhea in Children in Uganda
Private Sector Drug Shops in Integrated Community Case Management of Malaria, Pneumonia, and Diarrhea in Children in Uganda
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DOI：
10.4269/ajtmh.2012.11-0791
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发表时间：
2012-11-01
影响因子：
3.3
通讯作者：
Peterson, Stefan
中科院分区：
文献类型：
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作者：
Awor, Phyllis;Wamani, Henry;Peterson, Stefan
我们进行了一项涉及1,604个家庭的调查，以确定社区寻求护理的模式，并进行了163次出口访谈，以确定在乌干达两个农村地区的私营药店治疗常见儿童疾病的适当性。在过去两周内患病的儿童中，496名（53.1%）儿童首先在私营部门寻求治疗，而154名（16.5%）儿童首先在政府卫生机构寻求治疗。只有15名（10.3%）在药店接受治疗的发热儿童获得适当的疟疾治疗。5名（15.6%）同时患有咳嗽和呼吸急促的儿童接受了阿莫西林治疗，但没有儿童接受5-7天的治疗。同样，只有8名（14.3%）腹泻患儿服用了口服补液盐，但没有人服用锌片。乌干达农村私营药店对常见儿童疾病的管理基本上是不适当的。迫切需要通过公私伙伴关系提高药店对常见儿童疾病的护理标准。
We conducted a survey involving 1,604 households to determine community care-seeking patterns and 163 exit interviews to determine appropriateness of treatment of common childhood illnesses at private sector drug shops in two rural districts of Uganda. Of children sick within the last 2 weeks, 496 (53.1%) children first sought treatment in the private sector versus 154 (16.5%) children first sought treatment in a government health facility. Only 15 (10.3%) febrile children treated at drug shops received appropriate treatment for malaria. Five (15.6%) children with both cough and fast breathing received amoxicillin, although no children received treatment for 5-7 days. Similarly, only 8 (14.3%) children with diarrhea received oral rehydration salts, but none received zinc tablets. Management of common childhood illness at private sector drug shops in rural Uganda is largely inappropriate. There is urgent need to improve the standard of care at drug shops for common childhood illness through public private partnerships.