Caregivers' Perceived Treatment Failure in Home-Based Management of Fever in Ugandan Children
Author Information
Author(s): Malimbo Mugagga, Mugisha Erieza, Kato Fred, Karamagi Charles, Talisuna Ambrose O
Primary Institution: Ministry Health, Epidemiological Surveillance Division, Uganda
Hypothesis
What factors influence caregivers' perceptions of treatment failure in home-based management of fever among Ugandan children under five?
Conclusion
Caregivers' perceived treatment outcomes were better in home-based management compared to alternative informal treatment sources.
Supporting Evidence
- Lower perceived treatment failure was observed in formal health facilities and home-based management compared to private clinics and drug shops.
- Starting treatment within 24 hours of symptoms onset was associated with lower perceived treatment failure.
- Vomiting, convulsions, and any illness in the month prior to the fever episode were associated with higher perceived treatment failure.
Takeaway
This study found that caregivers felt home treatment for fever worked better than other options like private clinics or herbal remedies.
Methodology
A community-based cross-sectional study using quantitative and qualitative data collection techniques.
Potential Biases
Caregivers may have exaggerated treatment failure to align with expectations of the researchers.
Limitations
Potential recall bias and the possibility of caregivers providing socially desirable responses.
Participant Demographics
The median age of caregivers was 29 years, with 88% being female and 82% married; most were subsistence farmers.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI: 34.1–42.7
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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