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Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda

by

Authors: Nina C Brunner, Aliya Karim, Proscovia Athieno, Joseph Kimera, Gloria Tumukunde, Irene Angiro, Aita Signorell, Giulia Delvento, Tristan T Lee, Mark Lambiris, Alex Ogwal, Juliet Nakiganda, Flavia Mpanga, Fred Kagwire, Maureen Amutuhaire, Christian Burri, Christian Lengeler, Phyllis Awor, Manuel W Hetzel

While CHWs are key in identifying malaria cases, skilled clinical care is needed for children under five years of age with severe malaria. This study aimed to  identify post-referral treatment-seeking pathways for appropriate antimalarial treatment in children less than five years with suspected severe malaria. Results showed that 96% visited a second provider after attending a CHW and the majority (65%) of CHWs recommended caregivers take their child to a designated referral health facility; however, only 59% of referred cases followed this recommendation and went to the referral facility. The study concludes that health policies should recognise local treatment-seeking practices and ensure adequate quality of care at the various public and private sector providers where caregivers of children with suspected severe malaria seek care.

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Link: Starting at the community: Treatment-seeking pathways of children with suspected severe malaria in Uganda

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Resource Topic: CHW, Malaria

Resource Type: Mixed Methods

Year: 2023

Region: Sub-Saharan Africa (SSA)

Country: Uganda

Publisher May Restrict Access: No

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