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Omore, R.; O'Reilly, C. E.; Williamson, J.; Moke, F.; Were, V.; Farag, T. H.; van Eijk, Anna; Kotloff, K. L.; Levine, M. M.; Obor, D.; Odhiambo, F.; Vulule, J.; Laserson, K. F.; Mintz, E. D.; Breiman, R. F. (2013)
Publisher: American Society of Tropical Medicine and Hygiene
Journal: The American Journal of Tropical Medicine and Hygiene
Languages: English
Types: Article
Subjects: ws_312, wa_900, 26bc6fb8, wa_30, wa_395, Articles
We interviewed caretakers of 1,043 children < 5 years old in a baseline cross-sectional survey (April to May 2007) and > 20,000 children on five separate subsequent occasions (May of 2009 to December 31, 2010) to assess healthcare seeking patterns for diarrhea. Diarrhea prevalence during the preceding 2 weeks ranged from 26% at baseline to 4?11% during 2009?2010. Caretakers were less likely to seek healthcare outside the home for infants (versus older children) with diarrhea (adjusted odds ratio [aOR] = 0.33, confidence interval [CI] = 0.12?0.87). Caretakers of children with reduced food intake (aOR = 3.42, CI = 1.37?8.53) and sunken eyes during their diarrheal episode were more likely to seek care outside home (aOR = 4.76, CI = 1.13?8.89). Caretakers with formal education were more likely to provide oral rehydration solution (aOR = 3.01, CI = 1.41?6.42) and visit a healthcare facility (aOR = 3.32, CI = 1.56?7.07). Studies calculating diarrheal incidence and healthcare seeking should account for seasonal trends. Improving caretakers' knowledge of home management could prevent severe diarrhea.

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