Treatment-seeking behavior and practices among caregivers of children aged ≤5 y with presumed malaria in rural Uganda

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dc.contributor.authorLeea, Yang Jae
dc.contributor.authorAdusumilli, Gautam
dc.contributor.authorKazungu, Rauben
dc.contributor.authorAnywarb, Godwin
dc.contributor.authorKyakulaga, Francis
dc.contributor.authorKatuura, Esther
dc.contributor.authorParikhd, Shanti
dc.contributor.authorWillcox, Merlin
dc.date.accessioned2021-12-14T12:53:17Z
dc.date.available2021-12-14T12:53:17Z
dc.date.issued2019
dc.description.abstractBackground: We aimed to determine the rate of herbal medicine usage and the treatment-seeking patterns of children aged ≤5 y with presumed or confirmed malaria in an endemic area of Uganda. Methods: We interviewed guardians of 722 children aged 6 months to 5 y, who had experienced an episode of presumed malaria in the previous 3 months, about the illness history. Results: Overall, 36.1% of patients took herbal medicines but most also sought modern medical care; 79.2% received Artemether Lumefantrine (AL), but only 42.7% received the correct AL dose. Of the 36.6% of patients treated in drug shops, 9.8% had a diagnostic test and 30.2% received the correct dose of AL. Antibiotics were frequently provided with AL at drug shops (62%) and formal health centers (45%). There were no significant differences in the self-reported outcomes associated with different treatments. Conclusion: Almost all of the patients who took herbal medicine also took modern antimalarials, so further research is needed to explore potential interactions between them. Although formal health facilities provided the correct diagnosis and dose of AL to a majority of children with malaria, many children still received inappropriate antibiotics. Quality of care was worse in drug shops than in formal health facilities.en_US
dc.identifier.citationLee, Y. J., Adusumilli, G., Kazungu, R., Anywar, G., Kyakulaga, F., Katuura, E., ... & Willcox, M. (2019). Treatment-seeking behavior and practices among caregivers of children aged≤ 5 y with presumed malaria in rural Uganda. Transactions of The Royal Society of Tropical Medicine and Hygiene, 113(9), 525-533.doi:10.1093/trstmh/trz039en_US
dc.identifier.other10.1093/trstmh/trz039
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/503
dc.language.isoenen_US
dc.publisherTropical Medicine and Hygieneen_US
dc.subjectArtemisininsen_US
dc.subjectGuideline adherenceen_US
dc.subjectHealthcare-seeking behavioren_US
dc.subjectHerbal medicineen_US
dc.subjectMalariaen_US
dc.subjectUgandaen_US
dc.titleTreatment-seeking behavior and practices among caregivers of children aged ≤5 y with presumed malaria in rural Ugandaen_US
dc.typeArticleen_US
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