Effectiveness of Peer-supervision on Paediatric Fever Treatment among Registered Private Drug Sellers in East-Central Uganda: An Interrupted Time Series Analysis

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dc.contributor.authorBagonza, Arthur
dc.contributor.authorKitutu, Freddy
dc.contributor.authorPeterson, Stefan
dc.contributor.authorMartensson, Andreas
dc.contributor.authorMutto, Milton
dc.contributor.authorAwor, Phyllis
dc.contributor.authorMukanga, David
dc.contributor.authorWamani, Henry
dc.date.accessioned2022-01-28T11:48:06Z
dc.date.available2022-01-28T11:48:06Z
dc.date.issued2020
dc.description.abstractRationale, aims and objectives: Appropriate treatment of paediatric fever in rural areas remains a challenge and may be partly due to inadequate supervision of licensed drug sellers. This study assessed the effectiveness of peer-supervision among drug sellers on appropriate treatment of pneumonia symptoms, uncomplicated malaria and non-bloody diarrhoea among children less than five years of age in the intervention (Luuka) and comparison (Buyende) districts, in East-Central Uganda. Methods: Data on pneumonia symptoms, uncomplicated malaria and non-bloody diarrhoea among children less than five years of age was abstracted from drug shop sick child registers over a 12-month period; six months before and six months after introduction of peer-supervision. Interrupted time series was applied to determine the effectiveness of the peer-supervision intervention on appropriate treatment of pneumonia, uncomplicated malaria and non-bloody diarrhoea among children less than five years of age attending drug shops in East Central Uganda. Results: The proportion of children treated appropriately for pneumonia symptoms was 10.84% (P<0.05, CI = [1.75, 19.9]) higher, for uncomplicated malaria was 1.46% (P = 0.79, CI = [-10.43, 13.36]) higher, and for non-bloody diarrhoea was 4.00% (p <0.05, CI = [-7.95, -0.13]) lower in the intervention district than the comparison district, respectively. Post-intervention trend results showed an increase of 1.21% (p =0.008, CI = [0.36, 2.05]) in the proportion appropriately treated for pneumonia symptoms, no difference in appropriate treatment for uncomplicated malaria, and a reduction of 1% (p <0.06, CI = [-1.95, 0.02]) in the proportion of children appropriately treated for nonbloody diarrhoea, respectively. Conclusions: Peer-supervision increased the proportion of children less than five years of age that received appropriate treatment for pneumonia symptoms but not for uncomplicated malaria and non-bloody diarrhoea. Implementation of community level interventions to improve paediatric fever management should consider including peersupervision among drug sellers.en_US
dc.identifier.citationBagonza, A., Kitutu, F., Peterson, S., Mårtensson, A., Mutto, M., Awor, P., ... & Wamani, H. (2020). Effectiveness of Peer-supervision on Paediatric Fever Treatment among Registered Private Drug Sellers in East-Central Uganda: An Interrupted Time Series Analysis. Authorea Preprints.en_US
dc.identifier.urihttps://www.authorea.com/doi/full/10.22541/au.159248786.68791722
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1594
dc.language.isoenen_US
dc.publisherAuthorea Preprintsen_US
dc.subjectAppropriate treatmenten_US
dc.subjectInterrupted time seriesen_US
dc.subjectPeer-supervisionen_US
dc.subjectChildhood illnessesen_US
dc.subjectUgandaen_US
dc.titleEffectiveness of Peer-supervision on Paediatric Fever Treatment among Registered Private Drug Sellers in East-Central Uganda: An Interrupted Time Series Analysisen_US
dc.typeArticleen_US
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