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
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Pakistán
/
Calidad de la Atención de Salud
/
Factores Socioeconómicos
/
Fiebre Tifoidea
/
Índice de Severidad de la Enfermedad
/
Femenino
/
Humanos
/
Masculino
/
Aceptación de la Atención de Salud
/
Áreas de Pobreza
Tipo de estudio:
Ensayo Clínico Controlado
/
Estudio diagnóstico
/
Investigación cualitativa
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Southeast Asian J Trop Med Public Health
Año:
2008
Tipo del documento:
Artículo
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