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dc.contributor.authorGeldsetzer, Pascalen_US
dc.contributor.authorWilliams, Thomas Christieen_US
dc.contributor.authorKirolos, Amiren_US
dc.contributor.authorMitchell, Sarahen_US
dc.contributor.authorRatcliffe, Louise Alisonen_US
dc.contributor.authorKohli-Lynch, Maya Kateen_US
dc.contributor.authorBischoff, Esther Jill Lauraen_US
dc.contributor.authorCameron, Sophieen_US
dc.contributor.authorCampbell, Harryen_US
dc.date.accessioned2014-05-14T17:17:22Z
dc.date.issued2014en_US
dc.identifier.citationGeldsetzer, Pascal, Thomas Christie Williams, Amir Kirolos, Sarah Mitchell, Louise Alison Ratcliffe, Maya Kate Kohli-Lynch, Esther Jill Laura Bischoff, Sophie Cameron, and Harry Campbell. 2014. “The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review.” PLoS ONE 9 (4): e93427. doi:10.1371/journal.pone.0093427. http://dx.doi.org/10.1371/journal.pone.0093427.en
dc.identifier.issn1932-6203en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:12185814
dc.description.abstractBackground: Pneumonia, diarrhoea, and malaria are among the leading causes of death in children. These deaths are largely preventable if appropriate care is sought early. This review aimed to determine the percentage of caregivers in low- and middle-income countries (LMICs) with a child less than 5 years who were able to recognise illness in their child and subsequently sought care from different types of healthcare providers. Methods and Findings: We conducted a systematic literature review of studies that reported recognition of, and/or care seeking for episodes of diarrhoea, pneumonia or malaria in LMICs. The review is registered with PROSPERO (registration number: CRD42011001654). Ninety-one studies met the inclusion criteria. Eighteen studies reported data on caregiver recognition of disease and seventy-seven studies on care seeking. The median sensitivity of recognition of diarrhoea, malaria and pneumonia was low (36.0%, 37.4%, and 45.8%, respectively). A median of 73.0% of caregivers sought care outside the home. Care seeking from community health workers (median: 5.4% for diarrhoea, 4.2% for pneumonia, and 1.3% for malaria) and the use of oral rehydration therapy (median: 34%) was low. Conclusions: Given the importance of this topic to child survival programmes there are few published studies. Recognition of diarrhoea, malaria and pneumonia by caregivers is generally poor and represents a key factor to address in attempts to improve health care utilisation. In addition, considering that oral rehydration therapy has been widely recommended for over forty years, its use remains disappointingly low. Similarly, the reported levels of care seeking from community health workers in the included studies are low even though global action plans to address these illnesses promote community case management. Giving greater priority to research on care seeking could provide crucial evidence to inform child mortality programmes.en
dc.language.isoen_USen
dc.publisherPublic Library of Scienceen
dc.relation.isversionofdoi:10.1371/journal.pone.0093427en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981715/pdf/en
dash.licenseLAAen_US
dc.subjectMedicine and Health Sciencesen
dc.subjectInfectious Diseasesen
dc.subjectParasitic Diseasesen
dc.subjectMalariaen
dc.subjectPediatricsen
dc.subjectChild Healthen
dc.subjectPublic and Occupational Healthen
dc.subjectBehavioral and Social Aspects of Healthen
dc.subjectGlobal Healthen
dc.subjectTropical Diseasesen
dc.subjectPhysical Sciencesen
dc.subjectMathematicsen
dc.subjectStatistics (Mathematics)en
dc.subjectStatistical Methodsen
dc.subjectMeta-Analysisen
dc.subjectClinical Research Designen
dc.titleThe Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Reviewen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalPLoS ONEen
dc.date.available2014-05-14T17:17:22Z
dc.identifier.doi10.1371/journal.pone.0093427*


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