Validity of maternal report of care-seeking for childhood illness.
Validity of maternal report of care-seeking for childhood illness.
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DOI：
10.7189/jogh.08.010602
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发表时间：
2018-06
影响因子：
7.2
通讯作者：
Eisele TP
中科院分区：
文献类型：
--
作者：
Carter ED;Ndhlovu M;Munos M;Nkhama E;Katz J;Eisele TP
需要关于儿童疾病寻求护理的准确数据，以改善公共卫生计划，降低儿童死亡率。通过家庭调查收集的产妇关于儿童疾病寻求护理的报告的准确性尚未得到证实。2016年的一项调查对赞比亚南部省份5岁以下儿童的母亲进行了随机抽样，将报告的寻求护理与医疗服务提供者记录的黄金标准寻求护理事件进行了比较。注册的儿童被分配了带有独特条形码的卡片。75名医疗保健提供者获得了带有条形码阅读器的智能手机，并被指示扫描参与的儿童在源头寻求护理的卡，生成寻求护理活动的电子记录。此外，在家庭调查期间，提供者为所有照顾者提供了特定于提供者的代币，用于验证照顾点。使用以赞比亚人口和健康调查(DHS)/多指标分组调查(MICS)为模型的问卷，在每个家庭中确定报告的寻求护理事件。通过将母亲报告的寻求护理事件与提供者记录的事件进行比较来评估母亲报告寻求护理行为的准确性。收集了前2周内有发热、腹泻和/或ARI症状的384名儿童的数据。大多数儿童向政府机构或社区机构(CBA)寻求照顾。农村：0.91，95%可信区间0.84~0.95；城市：0.98，95%CI 0.92~0.99；农村：0.71，95%CI 0.57~0.82；城市：0.76，95%CI 0.62~0.85。母亲报告的任何寻求护理和向熟练提供者寻求护理的敏感性和特异度略高。向传统从业者寻求护理与准确报道事件的几率较低有关，而向政府提供者寻求护理与准确报道的几率较大相关。这项措施导致了对研究人群中真正的寻求护理行为的轻微高估。在公共部门提供者利用率高的情况下，产妇报告是衡量儿童疾病寻求护理的有效措施。研究结果受到儿童疾病寻求护理做法的低多样性和商店被排除在外的限制。
Accurate data on care-seeking for child illness are needed to improve public health programs and reduce child mortality. The accuracy of maternal report of care-seeking for child illness as collected through household surveys has not been validated. A 2016 survey compared reported care-seeking against a gold-standard of health care provider documented care-seeking events among a random sample of mothers of children <5 years in Southern Province, Zambia. Enrolled children were assigned cards with unique barcodes. Seventy-five health care providers were given smartphones with a barcode reader and instructed to scan the cards of participating children seeking care at the source, generating an electronic record of the care-seeking event. Additionally, providers gave all caregivers accessing care for a child <5 years provider-specific tokens used to verify the point of care during the household survey. Reported care-seeking events were ascertained in each household using a questionnaire modeled off the Zambia Demographic and Health Survey (DHS) / Multiple Indicator Cluster Survey (MICS). The accuracy of maternal report of care-seeking behavior was estimated by comparing care-seeking events reported by mothers against provider-documented events. Data were collected on 384 children with fever, diarrhea, and/or symptoms of ARI in the preceding 2 weeks. Most children sought care from government facilities or community-based agents (CBAs). We found high sensitivity (Rural: 0.91, 95% confidence interval CI 0.84-0.95; Urban: 0.98, 95% CI 0.92-0.99) and reasonable specificity (Rural: 0.71, 95% CI 0.57-0.82; Urban: 0.76, 95% CI 0.62-0.85) of maternal report of care-seeking for child illness by type of provider. Maternal report of any care-seeking and seeking care from a skilled provider had slightly higher sensitivity and specificity. Seeking care from a traditional practitioner was associated with lower odds of accurately reporting the event, while seeking care from a government provider was associated with greater odds of accurate report. The measure resulted in a slight overestimation of true care-seeking behavior in the study population. Maternal report is a valid measure of care-seeking for child illness in settings with high utilization of public sector providers. The study findings were limited by the low diversity in care-seeking practices for child illness and the exclusion of shops.
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影响因子：
15.8
作者：
Campbell H;El Arifeen S;Hazir T;O'Kelly J;Bryce J;Rudan I;Qazi SA
通讯作者：
Qazi SA
DOI：
10.1080/00045608.2012.671133
发表时间：
2012-01-01
期刊：
ANNALS OF THE ASSOCIATION OF AMERICAN GEOGRAPHERS
影响因子：
--
作者：
King, Brian
通讯作者：
King, Brian
影响因子：
7.2
作者：
Yu, Sheng-Tsung;Chang, Hsing-Yi;Lin, Yu-Hsuan
通讯作者：
Lin, Yu-Hsuan
DOI：
10.4269/ajtmh.12-0749
发表时间：
2013-07
期刊：
The American journal of tropical medicine and hygiene
影响因子：
--
作者：
Nasrin D;Wu Y;Blackwelder WC;Farag TH;Saha D;Sow SO;Alonso PL;Breiman RF;Sur D;Faruque ASG;Zaidi AKM;Biswas K;Van Eijk AM;Walker DG;Levine MM;Kotloff KL
通讯作者：
Kotloff KL
影响因子：
7.2
作者：
Ritter, PL;Stewart, AL;Lorig, KR
通讯作者：
Lorig, KR