Case management of malaria in under-fives at primary health care facilities in a Tanzanian district

Tropical Medicine & International Health : TM & IH
S E D NsimbaM Warsame

Abstract

To study case management of malaria in children under 5 years of age at primary health care facilities in Kibaha district, Tanzania and to evaluate the accuracy of self-reported mothers'/guardians' information on chloroquine use in children. A random sample of 652 mothers/guardians with sick children under 5 years of age attending 10 primary health care facilities was observed and interviewed. Blood samples for determination of chloroquine levels were taken from all children and thick smears for detection of malaria parasites were taken from the children who were prescribed chloroquine. Information on diagnoses and prescriptions was collected from recording books. Fever and respiratory problems were the most common complaints and accounted for 75% and 46% of the presenting conditions, respectively (some complained of both). Fifty-four per cent of the children received medication at home, most commonly antipyretics and chloroquine, 20% had been taken to another health facility and 3% to traditional healers before coming to the health facilities. There was a significantly higher use of antipyretics among home treated children compared with those taken previously to health facilities (P <or= 0.001). Use of antibiotics was higher a...Continue Reading

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Citations

Aug 6, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·Helena HildenwallStefan Peterson
Aug 25, 2005·Transactions of the Royal Society of Tropical Medicine and Hygiene·Stephan EhrhardtUlrich Bienzle
Jul 27, 2004·Health & Social Care in the Community·Peter BowerLinda Gask
Apr 2, 2003·Tropical Medicine & International Health : TM & IH·Olaf MüllerBocar Kouyaté
Jan 9, 2007·Tropical Medicine & International Health : TM & IH·J EriksenL L Gustafsson
Feb 3, 2006·Tropical Medicine & International Health : TM & IH·Nadjitolnan OthniguéBlaise Genton
Jun 12, 2008·Evaluation & the Health Professions·Stephen E D Nsimba, Edmund J Kayombo
Jun 27, 2018·The American Journal of Tropical Medicine and Hygiene·Mateusz M PlucinskiJulie Thwing
Dec 14, 2019·The American Journal of Tropical Medicine and Hygiene·Julie ThwingMateusz M Plucinski

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