Comprehensive Health Centre, Oke-Ilewo, Abeokuta, Ogun state, Nigeria.
Int Health. 2012 Dec;4(4):289-94. doi: 10.1016/j.inhe.2012.09.001.
WHO/UNICEF currently recommend that childhood malaria and pneumonia be managed together in the community; most African countries are in the process of developing this policy. We conducted a cross-sectional study to determine maternal awareness of general danger signs of childhood illnesses and the prevalence, determinants and sources of pre-hospital treatment by mothers during their child's acute respiratory illness in a poor urban community in south-western Nigeria. A total of 226 mothers were interviewed. Only 4.9% of the mothers were aware of the two pneumonia symptoms: difficult breathing and fast breathing. About 75% of the children were given pre-hospital medication at home and only 16.5% of them received the drugs within 24 hour of symptom recognition. Drug shops/patent medicine vendors (PMVs; 70.6%) were the most common source of care. Wishing to try home management first (46.6%); waiting for the child to improve (14.4%) and lack of money (31.6%) delayed care-seeking. Older maternal age (aOR 2.3; 95% CI 1.2-4.4) and having a child with cough and difficult and/or fast breathing (aOR 2.3; 95% CI 1.1-5.2) were positive predictors of pre-hospital treatment. Maternal education and adequately equipping PMVs could improve prompt access to integrated community-based child health services in Nigeria.
世卫组织/儿基会目前建议在社区内同时管理儿童疟疾和肺炎；大多数非洲国家正在制定这一政策。我们进行了一项横断面研究，以确定在尼日利亚西南部一个贫困城市社区中，母亲对儿童疾病一般危险迹象的认识程度，以及在其孩子急性呼吸道疾病期间母亲进行院前治疗的流行率、决定因素和来源。共访谈了 226 名母亲。只有 4.9%的母亲意识到两种肺炎症状：呼吸困难和呼吸急促。约 75%的儿童在家中接受院前药物治疗，只有 16.5%的儿童在症状出现后 24 小时内接受药物治疗。药店/专利药供应商（PMV；70.6%）是最常见的护理来源。希望先尝试家庭管理（46.6%）；等待孩子好转（14.4%）和缺乏资金（31.6%）导致寻求护理的时间延迟。母亲年龄较大（OR2.3；95%CI1.2-4.4）和孩子有咳嗽、呼吸困难和/或呼吸急促（OR2.3；95%CI1.1-5.2）是院前治疗的阳性预测因素。母亲教育和充分装备 PMV 可以改善尼日利亚综合社区儿童保健服务的及时获得。
