Linked Life Data

10137989

Source:http://linkedlifedata.com/resource/pubmed/id/10137989

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1994-12-15
pubmed:abstractText
Determinants of care-seeking and patterns of referral for acute respiratory infections (ARIs) in children were studied in two communities in Ismailia, Egypt. A video was used to assess mothers' recognition and interpretation of clinical signs of serious illness. Mothers were questioned about which of the locally available provider options they would choose for four different locally-defined ARI illnesses; they were also read brief descriptions of hypothetical cases, and asked how they would recommend treating children in those situations. These results were compared with reported care-seeking practices during past ARI episodes that occurred in their own children. The results indicate that mothers generally recognize rapid or difficult breathing, but do not use the recognition to take appropriate actions. The data suggest that a substantial proportion of children in the study area, who are perceived to have severe respiratory illnesses, may not be brought to the government health facilities for treatment. Implications of the findings for the training policies and strategies of the Egyptian national ARI program are considered.
pubmed:keyword
http://linkedlifedata.com/resource/pubmed/keyword/Africa, http://linkedlifedata.com/resource/pubmed/keyword/Age Factors, http://linkedlifedata.com/resource/pubmed/keyword/Arab Countries, http://linkedlifedata.com/resource/pubmed/keyword/CHILD, http://linkedlifedata.com/resource/pubmed/keyword/Demographic Factors, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Diseases, http://linkedlifedata.com/resource/pubmed/keyword/EGYPT, http://linkedlifedata.com/resource/pubmed/keyword/Family And Household, http://linkedlifedata.com/resource/pubmed/keyword/Family Characteristics, http://linkedlifedata.com/resource/pubmed/keyword/Family Relationships, http://linkedlifedata.com/resource/pubmed/keyword/Infections, http://linkedlifedata.com/resource/pubmed/keyword/Kap Surveys, http://linkedlifedata.com/resource/pubmed/keyword/Mediterranean Countries, http://linkedlifedata.com/resource/pubmed/keyword/Mothers, http://linkedlifedata.com/resource/pubmed/keyword/Northern Africa, http://linkedlifedata.com/resource/pubmed/keyword/PARENTS, http://linkedlifedata.com/resource/pubmed/keyword/Population, http://linkedlifedata.com/resource/pubmed/keyword/Population Characteristics, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Respiratory Infections, http://linkedlifedata.com/resource/pubmed/keyword/Sampling Studies, http://linkedlifedata.com/resource/pubmed/keyword/Signs And Symptoms, http://linkedlifedata.com/resource/pubmed/keyword/Studies, http://linkedlifedata.com/resource/pubmed/keyword/Surveys, http://linkedlifedata.com/resource/pubmed/keyword/Youth
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
H
pubmed:status
MEDLINE
pubmed:issn
0749-6753
pubmed:author
pubmed:issnType
Print
pubmed:volume
9
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
235-43
pubmed:dateRevised
2006-11-15
pubmed:otherAbstract
PIP: In Ismailia, Egypt, interviews with key informants and mothers of young children and presentations of a video were conducted in a suburban area with access to health facilities and in a rural village 3 km from the nearest public health clinic. The researchers wanted to assess mothers' recognition and interpretation of clinical signs of serious illness and to determine their preference of provider options by different locally defined acute respiratory infection (ARI) illnesses. Mothers heard descriptions of hypothetical cases and then reported how they would treat the children in the case scenarios. The researchers compared results from these data collection practices with the actual care-seeking practices of mothers during past childhood ARI episodes. When shown a video of 20 children with either no respiratory symptoms or mild to severe symptoms, mothers were able to correctly identify children who did not have an ARI in 56% of cases. With no prompting, they were able to correctly identify those with fast respiratory rates in 65% of cases. Mothers took their children with an ARI outside of the home for treatment in 22 of the past 30 ARI episodes. The most common reasons for taking children to a private physician in cases of serious illness rather than to a physician at a government health clinic were confidence in physician's ability and convenience, especially in hours of operation. Mothers tended to treat children with a runny nose and cough at home, regardless of age. Most did not consider fast and irregular breathing as a reason to seek treatment outside of the home. These results suggest that the National ARI Program should sponsor a media campaign to promote confidence in government providers to treat serious ARIs, call for a change in clinic schedules to increase access to care, and assume educational and managerial actions to assure quality of care and the availability of necessary drugs.
pubmed:meshHeading
pubmed:articleTitle
Developing strategies to encourage appropriate care-seeking for children with acute respiratory infections: an example from Egypt.
pubmed:affiliation
Department of International Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, MD 21205.
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Research Support, Non-U.S. Gov't