Treatment of childhood fevers and other illnesses in three rural Nigerian communities
Treatment of childhood fevers and other illnesses in three rural Nigerian communities
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DOI：
10.1093/tropej/47.4.230
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发表时间：
2001-08-01
影响因子：
2
通讯作者：
Akinlade, CO
中科院分区：
文献类型：
--
作者：
Salako, LA;Brieger, WR;Akinlade, CO
在尼日利亚三个农村社区（每个社区约有 10 000 人）对儿童疾病医疗保健寻求情况进行了研究。目的是提供对疾病行为的基线了解，在此基础上制定一项计划，推广预包装氯喹和复方新诺明，以便在社区一级对儿童发烧进行早期和适当的治疗。共有 3117 名在采访前 2 周内患病儿童的家长回答了有关疾病性质和采取的行动的问题。引出当地疾病术语、最近最流行的疾病和采取的行动。引出当地疾病术语，最近最流行的疾病是“热体”（43.9%）、疟疾（17.7%）和咳嗽（7.4%）。最常见的一线治疗形式是来自专利药品供应商或药品小贩的药品（49.6%）。只有 3.6% 的人什么也没做。大多数寻求治疗的人（77.5％）对他们的第一线行动感到满意，并且没有寻求进一步的治疗。一次疾病的平均费用低于 2.00 美元，中位数为 1.00 美元。具体来说，氯喹片剂每疗程平均花费 29 美分。分析发现了与使用氯喹相关的一系列体征和症状，包括认为儿童患有疟疾、高温和食欲不振。与抗生素使用呈正相关的配置包括咳嗽和呼吸困难。儿童的照顾者（父母和专业人士）在药物使用方面做出这些区分的能力将为健康教育奠定基础，以促进三个研究地点儿童发烧的适当早期治疗。
The seeking of healthcare for childhood illnesses was studied in three rural Nigerian communities of approximately 10 000 population each. The aim was to provide a baseline understanding of illness behaviour on which to build a programme for the promotion of prepackaged chloroquine and cotrimoxazole for early and appropriate treatment of childhood fevers at the community level. A total of 3117 parents of children who had been ill during the 2 weeks prior to interview responded to questions about the nature of the illness and the actions taken. Local illness terms were elicited, and the most prevalent recent illness and the actions taken. Local illness terms were elicited, and the most prevalent recent illnesses were 'hot body' (43.9 per cent), malaria, known as iba (17.7 per cent), and cough (7.4 per cent). The most common form of first-line treatment was drugs from a patent medicine vendor or drug hawker (49.6 per cent). Only 3.6 per cent did nothing. Most who sought care (77.5 per cent) were satisfied with their first line of action, and did not seek further treatment. The average cost of an illness episode was less than US$2.00 with a median of US$1.00. Specifically, chloroquine tablets cost an average of US 29c per course. Analysis found a configuration of signs and symptoms associated with chloroquine use, to include perception of the child having malaria, high temperature and loss of appetite. The configuration positively associated with antibiotic use consisted of cough and difficult breathing. The ability of the child's care-givers, both parental and professional, to make these distinctions in medication use will provide the foundation for health education in the promotion of appropriate early treatment of childhood fevers in the three study sites.