The impact of primary health care on malaria morbidity--defining access by disease burden.

Tropical Medicine & International Health : TM & IH
W P O'MearaK Marsh

Abstract

Primary care facilities are increasingly becoming the focal point for distribution of malaria intervention strategies, but physical access to these facilities may limit the extent to which communities can be reached. To investigate the impact of travel time to primary care on the incidence of hospitalized malaria episodes in a rural district in Kenya. The incidence of hospitalized malaria in a population under continuous demographic surveillance was recorded over 3 years. The time to travel to the nearest primary health care facility was calculated for every child between birth and 5 years of age and trends in incidence of hospitalized malaria as a function of travel time were evaluated. The incidence of hospitalized malaria more than doubled as travel time to the nearest primary care facility increased from 10 min to 2 h. Good access to primary health facilities may reduce the burden of disease by as much as 66%. Our results highlight both the potential of the primary health care system in reaching those most at risk and reducing the disease burden. Insufficient access is an important risk factor, one that may be inequitably distributed to the poorest households.

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Citations

Nov 30, 2012·Journal of Public Health Policy·Elisabeth PaulBruno Dujardin
May 9, 2012·Proceedings of the National Academy of Sciences of the United States of America·Francis Maina NdunguKevin Marsh
Apr 7, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Elizabeth BradleyLeslie Curry
Nov 26, 2009·Malaria Journal·Maike TipkeAlbrecht Jahn
Jun 29, 2012·International Journal of Health Geographics·Justine I BlanfordAlan M MacEachren
Feb 18, 2012·International Journal of Health Geographics·Victor A AleganaPeter M Atkinson
Jan 26, 2011·American Journal of Epidemiology·Anja SchoepsHeiko Becher
Jul 25, 2013·European Journal of Immunology·Francis M NdunguAnna Färnert
Jan 9, 2015·Malaria Journal·Jean-Pierre BizimanaStefan Kienberger
Feb 19, 2013·Trends in Parasitology·V Bhargavi RaoAzra C Ghani
May 12, 2016·Malaria Journal·Sheila Vitor-SilvaMarcus Vinícius Guimarães Lacerda
Jul 17, 2016·Malaria Journal·Jordi LandierFrançois H Nosten
Jan 3, 2013·Tropical Medicine & International Health : TM & IH·Chaisiri AngkurawaranonDorothea Nitsch
Dec 13, 2019·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Wolfram Gottfried MetzgerCarsten Köhler
Mar 30, 2018·Mammalian Genome : Official Journal of the International Mammalian Genome Society·Hong Ming HuangGaetan Burgio
Dec 29, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Festo Kasmir ShayoKaoruko Seino
Dec 22, 2020·Journal of Environmental and Public Health·Ryno Harm Coetzer, Abiodun Morakinyo Adeola

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