Appropriateness of Care for Common Childhood Infections at Low-Level Private Health Facilities in a Rural District in Western Uganda

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dc.contributor.authorMwanga-Amumpaire, Juliet
dc.contributor.authorAlfvén, Tobias
dc.contributor.authorObua, Celestino
dc.contributor.authorKällander, Karin
dc.contributor.authorMigisha, Richard
dc.contributor.authorStålsby Lundborg, Cecilia
dc.contributor.authorNdeezi, Grace
dc.contributor.authorNakayaga Kalyango, Joan
dc.date.accessioned2022-02-02T14:31:06Z
dc.date.available2022-02-02T14:31:06Z
dc.date.issued2021
dc.description.abstractIn Uganda, >50% of sick children receive treatment from primary level-private health facilities (HF). We assessed the appropriateness of care for common infections in under-five-year-old children and explored perspectives of healthcare workers (HCW) and policymakers on the quality of healthcare at low-level private health facilities (LLPHF) in western Uganda. This was a mixedmethods parallel convergent study. Employing multistage consecutive sampling, we selected 110 HF and observed HCW conduct 777 consultations of children with pneumonia, malaria, diarrhea or neonatal infections. We purposively selected 30 HCW and 8 policymakers for in-depth interviews. Care was considered appropriate if assessment, diagnosis, and treatment were correct. We used univariable and multivariable logistic regression analyses for quantitative data and deductive thematic analysis for qualitative data. The proportion of appropriate care was 11% for pneumonia, 14% for malaria, 8% for diarrhea, and 0% for neonatal infections. Children with danger signs were more likely to receive appropriate care. Children with diarrhea or ability to feed orally were likely to receive inappropriate care. Qualitative data confirmed care given as often inappropriate, due to failure to follow guidelines. Overall, sick children with common infections were inappropriately managed at LLPHF. Technical support and provision of clinical guidelines should be increased to LLPHF.en_US
dc.identifier.citationMwanga-Amumpaire, J.; Alfvén, T.; Obua, C.; Källander, K.; Migisha, R.; Stålsby Lundborg, C.; Ndeezi, G.; Kalyango, J.N. Appropriateness of Care for Common Childhood Infections at Low-Level Private Health Facilities in a Rural District in Western Uganda. Int. J. Environ. Res. Public Health 2021, 18, 7742. https://doi.org/10.3390/ ijerph18157742en_US
dc.identifier.urihttps://doi.org/10.3390/ ijerph18157742
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1763
dc.language.isoenen_US
dc.publisherInternational Journal of Environmental Research Public Healthen_US
dc.subjectAppropriate healthcareen_US
dc.subjectPrimary levelen_US
dc.subjectPrivateen_US
dc.subjectPediatricsen_US
dc.subjectInfectionsen_US
dc.titleAppropriateness of Care for Common Childhood Infections at Low-Level Private Health Facilities in a Rural District in Western Ugandaen_US
dc.typeArticleen_US
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