Factors influencing choice of care-seeking for acute fever comparing private chemical shops with health centres and hospitals in Ghana: a study using case–control methodology
| Autor: | Constance Bart-Plange, Margaret Gyapong, Christopher J. M. Whitty, Evelyn K. Ansah, Solomon Narh-Bana |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics Care seeking Ghana 0302 clinical medicine Pregnancy Surveys and Questionnaires Health care Diagnosis 030212 general & internal medicine Child health care economics and organizations Aged 80 and over Chemical shop Public sector Middle Aged 3. Good health Infectious Diseases Child Preschool Drug retail shop Female Private Sector Adult medicine.medical_specialty Fever Adolescent 030231 tropical medicine Control (management) Pharmacy 03 medical and health sciences Hospital Young Adult medicine Humans Health centre Aged Pharmacies Targeting Public Sector business.industry Public health Research Infant Newborn Infant Community Health Centers Patient Acceptance of Health Care Private sector medicine.disease ACT Malaria Family medicine Case-Control Studies Parasitology business |
| Zdroj: | Malaria Journal |
| ISSN: | 1475-2875 |
| Popis: | BACKGROUND: Several public health interventions to improve management of patients with fever are largely focused on the public sector yet a high proportion of patients seek care outside the formal healthcare sector. Few studies have provided information on the determinants of utilization of the private sector as against formal public sector. Understanding the differences between those who attend public and private health institutions, and their pathway to care, has significant practical implications. The chemical shop is an important source of care for acute fever in Ghana. METHODS: Case-control methodology was used to identify factors associated with seeking care for fever in the Dangme West District, Ghana. People presenting to health centres, or hospital outpatients, with a history or current fever were compared to counterparts from the same community with fever visiting a chemical shop. RESULTS: Of 600 patients, 150 each, were recruited from the district hospital and two health centres, respectively, and 300 controls from 51 chemical shops. Overall, 103 (17.2 %) patients tested slide positive for malaria. Specifically, 13.7 % (41/300) of chemical shop patients, 30.7 % (46/150) health centre and 10.7 % (16/150) hospital patients were slide positive. While it was the first option for care for 92.7 % (278/300) chemical shop patients, 42.7 % (64/150) of health centre patients first sought care from a chemical shop. More health centre patients (61.3 %; 92/150) presented with fever after more than 3 days than chemical shop patients (27.7 %; 83/300) [AOR = 0.19; p |
| Databáze: | OpenAIRE |
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