Increased Use of Community Medicine Distributors and Rational Use of Drugs in Children Less than Five Years of Age in Uganda Caused by Integrated Community Case Management of Fever

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dc.contributor.authorKalyango, Joan N.
dc.contributor.authorLindstrand, Ann
dc.contributor.authorRutebemberwa, Elizeus
dc.contributor.authorSsali, Sarah
dc.contributor.authorKadobera, Daniel
dc.contributor.authorKaramagi, Charles
dc.contributor.authorPeterson, Stefan
dc.contributor.authorAlfven, Tobias
dc.date.accessioned2021-12-12T15:35:16Z
dc.date.available2021-12-12T15:35:16Z
dc.date.issued2012
dc.description.abstractWe compared use of community medicine distributors (CMDs) and drug use under integrated community case management and home-based management strategies in children 6–59 months of age in eastern Uganda. A crosssectional study with 1,095 children was nested in a cluster randomized trial with integrated community case management (CMDs treating malaria and pneumonia) as the intervention and home-based management (CMDs treating only malaria) as the control. Care-seeking from CMDs was higher in intervention areas (31%) than in control areas (22%; P = 0.01). Prompt and appropriate treatment of malaria was higher in intervention areas (18%) than in control areas (12%; P = 0.03) and among CMD users (37%) than other health providers (9%). The mean number of drugs among CMD users compared with other health providers was 1.6 versus 2.4 in intervention areas and 1.4 versus 2.3 in control areas. Use of CMDs was low. However, integrated community case management of childhood illnesses increased use of CMDs and rational drug use.en_US
dc.identifier.citationKalyango, J. N., Lindstrand, A., Rutebemberwa, E., Ssali, S., Kadobera, D., Karamagi, C., ... & Alfven, T. (2012). Increased use of community medicine distributors and rational use of drugs in children less than five years of age in Uganda caused by integrated community case management of fever. The American journal of tropical medicine and hygiene, 87(5 Suppl), 36. doi:10.4269/ajtmh.2012.11-0733en_US
dc.identifier.other10.4269/ajtmh.2012.11-0733
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/360
dc.language.isoenen_US
dc.publisherThe American journal of tropical medicine and hygieneen_US
dc.subjectCommunity Medicine Distributorsen_US
dc.subjectDrugsen_US
dc.subjectChildrenen_US
dc.subjectUgandaen_US
dc.subjectIntegrated Community Case Managementen_US
dc.subjectFeveren_US
dc.titleIncreased Use of Community Medicine Distributors and Rational Use of Drugs in Children Less than Five Years of Age in Uganda Caused by Integrated Community Case Management of Feveren_US
dc.typeArticleen_US
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