Utilization of Healthcare in the Typhoid Fever Surveillance in Africa Program
| Autor: | Jean Noël Heriniaina, Nagla Gasmelseed, Justin Im, Mekonnen Teferi, Jin Kyung Park, Morten Bjerregaard-Andersen, Julian T. Hertz, Abraham Aseffa, Yaw Adu-Sarkodie, Adama Tall, Alemayehu Worku, Amy Gassama Sow, John A. Crump, Stephen Baker, Gi Deok Pak, Jessica Fung Deerin, Sandra Valborg Løfberg, Thomas F. Wierzba, Biruk Yeshitela, Vera von Kalckreuth, Florian Marks, Mohammad Ali, Raphaël Rakotozandrindrainy, Ursula Panzner, Nimako Sarpong, Bruno Lankoande, Ligia Maria Cruz Espinoza, Michael Munishi Oresto, Peter Aaby, Se Eun Park, Karen H. Keddy, Christian Meyer, Abdramane Bassiahi Soura |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Microbiology (medical) Pediatrics medicine.medical_specialty Adolescent Cross-sectional study 030231 tropical medicine Population Psychological intervention Pharmacy Typhoid fever Young Adult 03 medical and health sciences 0302 clinical medicine Environmental health parasitic diseases Health care Humans Medicine 030212 general & internal medicine Typhoid Fever Child education Africa South of the Sahara Disease burden Aged Aged 80 and over education.field_of_study business.industry Infant Newborn Infant Middle Aged Patient Acceptance of Health Care medicine.disease Typhoid Fever Surveillance in Africa Program (Tsap) Cross-Sectional Studies Infectious Diseases Child Preschool Population study Female business |
| Zdroj: | Clinical Infectious Diseases. 62:S56-S68 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1093/cid/civ891 |
| Popis: | Background. Assessing healthcare utilization is important to identify weaknesses of healthcare systems, to outline action points for preventive measures and interventions, and to more accurately estimate the disease burden in a population. Methods. A healthcare utilization survey was developed for the Typhoid Fever Surveillance in Africa Program (TSAP) to adjust incidences of salmonellosis determined through passive, healthcare facility–based surveillance. This cross-sectional survey was conducted at 11 sites in 9 sub-Saharan African countries. Demographic data and healthcare-seeking behavior were assessed at selected households. Overall and age-stratified percentages of each study population that sought healthcare at a TSAP healthcare facility and elsewhere were determined. Results. Overall, 88% (1007/1145) and 81% (1811/2238) of the population in Polesgo and Nioko 2, Burkina Faso, respectively, and 63% (1636/2590) in Butajira, Ethiopia, sought healthcare for fever at any TSAP healthcare facility. A far smaller proportion— namely, 20%–45% of the population in Bissau, Guinea-Bissau (1743/3885), Pikine, Senegal (1473/4659), Wad-Medani, Sudan (861/ 3169), and Pietermaritzburg, South Africa (667/2819); 18% (483/2622) and 9% (197/2293) in Imerintsiatosika and Isotry, Madagascar, respectively; and 4% (127/3089) in Moshi, Tanzania—sought healthcare at a TSAP healthcare facility. Patients with fever preferred to visit pharmacies in Imerintsiatosika and Isotry, and favored self-management of fever in Moshi. Age-dependent differences in healthcare utilization were also observed within and across sites. Conclusions. Healthcare utilization for fever varied greatly across sites, and revealed that not all studied populations were under optimal surveillance. This demonstrates the importance of assessing healthcare utilization. Survey data were pivotal for the adjustment of the program’s estimates of salmonellosis and other conditions associated with fever. |
| Databáze: | OpenAIRE |
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