Treatment patterns of childhood diarrhoea in rural Uganda: a cross-sectional survey

BMC International Health and Human Rights

Research Article

Francis Kyakulaga¹  Elin Larsson²  Wenjing Tao²  Birger C Forsberg²  Jenny Löfgren² 

[1] Department of Health Sciences, Uganda Christian University, Mukono, Uganda;Division of Global Health, Department of Public Health Sciences, Karolinska Institutet, Nobels väg 9, 171 77, Stockholm, Sweden;

关键词: Diarrhoea;    Diarrhoea case management;    Diarrhoea control;    Oral rehydration;    Child health;    Uganda;   

DOI  :  10.1186/1472-698X-12-19

 received in 2011-12-14, accepted in 2012-08-27,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundDiarrhoea is the second leading cause of death in children under five accounting for 1.8 million deaths yearly. Despite global efforts to reduce diarrhoea mortality through promotion of proper case management, there is still room for ample improvement. In order to seek options for such improvements this study explored the knowledge and practices of diarrhoea case management among health care providers at health centres and drug shops in Uganda.MethodsRecords were reviewed for case management and structured interviews concerning knowledge and practices were conducted with the staff at all health centres and at all identified drug shops in the rural district of Namutumba, Uganda.ResultsThere was a significant gap between knowledge and documented practices among staff. Antibiotics, antimalarials and antipyretics were prescribed or recommended as frequently as Oral Rehydration Solution (ORS). In almost a third of the health facilities, ORS was out of stock. 81% of staff in health centres and 87% of staff in drug shops stated that they prescribed antibiotics for common diarrhoea. Zinc was not prescribed or recommended in any case.ConclusionsThe findings indicate that many children presenting with diarrhoea are inadequately treated. As a result they may not get the rehydration they need and are at risk of potential side effects from unjustified usage of antibiotics. Practices must be improved at health centres and drug shops in order to reduce childhood mortality due to diarrhoeal diseases.

【 授权许可】

Unknown   
© Löfgren et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.