Health care preferences for children with typhoid fever in two slum communities in Karachi, Pakistan.
Southeast Asian J Trop Med Public Health
;
2008 Nov; 39(6): 1110-25
Article
in English
| IMSEAR
| ID: sea-36289
ABSTRACT
This study examined health care preferences and influences in response to initial and persistent symptoms of typhoid fever among children in two slum communities in Karachi, Pakistan. Typhoid fever in this area is endemic and has a high rate of multi-drug resistantce. The study involved a household survey of 502 respondents. Private practitioners, including qualified medical specialists, were the preferred providers for initial symptoms, with government and private hospitals preferred for continuing symptoms. A number of cases continued to select initial health care choices regardless of the severity of symptoms. The findings point to factors of cost, access to care, previous use of a provider and perceived quality of care as key influences regarding health care choices. These findings suggest that cases of typhoid fever in these communities are at risk for not receiving appropriate diagnoses and treatment for children who are at risk for severe cases of multi-drug resistant disease. Suggestions are made for improving the care of children with typhoid in this context.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pakistan
/
Quality of Health Care
/
Socioeconomic Factors
/
Typhoid Fever
/
Severity of Illness Index
/
Female
/
Humans
/
Male
/
Patient Acceptance of Health Care
/
Poverty Areas
Type of study:
Controlled clinical trial
/
Diagnostic study
/
Qualitative research
Country/Region as subject:
Asia
Language:
English
Journal:
Southeast Asian J Trop Med Public Health
Year:
2008
Type:
Article
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