Department of Community Health, Faculty of Medicine and Health Sciences, University Putra Malaysia, UPM Serdang 43400, Selangor Darul Ehsan, Malaysia.
Int J Environ Res Public Health. 2019 Oct 4;16(19):3752. doi: 10.3390/ijerph16193752.
Fever is one of the most common symptoms of pediatric illnesses; it is an important early symptom of malaria. Fever had served as the entry point for presumptive treatment of malaria among children in Nigerian. Appropriate HSB is important when seeking treatment for fever among under-five children; this will help for better prognosis because treatment will be initiated early. This study attempted to identify caregiver's HSB for under-five children with fever. A cross-sectional study was conducted in Imo-State, Nigeria. Appropriate HSB was operationally defined as seeking treatment from health facility within 24 h of fever. Data were obtained using pretested self-administered questionnaire. Data were analyzed using SPSS version 22. Simple and multiple logistic regression were used to determine predictors of appropriate HSB. A total of 559 eligible respondents were recruited; 103 (18.6%) caregivers had appropriate HSB. The predictors of HSB are being male child (aOR = 2.760; 95% CI:1.536-4.958), the age of child younger than 27 months (aOR = 2.804; 95% CI:1.485-5.295), employed caregivers (aOR = 1.882; 95% CI:1.014-3.493), number of household members (aOR = 2.504; 95% CI:1.464-4.283), and caregivers who decided to seek treatment at early stage (aOR = 7.060; 95% CI:1.616-30.852). Only 18.6% caregivers practiced appropriate HSB for fever cases among under-five children. It is essential to educate caregivers and emphasise on early treatment of fever and appropriate use of health facilities for fever. The findings will be used to improve intervention at the community level and will be compared with follow-up data to evaluate their effectiveness.
发热是儿科疾病最常见的症状之一；它也是疟疾的重要早期症状。在尼日利亚，发热曾是对儿童进行疟疾疑似治疗的切入点。在为五岁以下儿童发热寻求治疗时，适当的 HSB 很重要；这将有助于改善预后，因为治疗将及早开始。本研究试图确定照顾者对发热的五岁以下儿童的 HSB。这是在尼日利亚伊莫州进行的一项横断面研究。适当的 HSB 被操作性定义为在发热后 24 小时内寻求医疗机构的治疗。数据是使用预先测试的自我管理问卷获得的。数据使用 SPSS 版本 22 进行分析。简单逻辑回归和多元逻辑回归用于确定适当 HSB 的预测因素。共招募了 559 名合格的受访者；103 名（18.6%）照顾者有适当的 HSB。HSB 的预测因素是男童（aOR=2.760；95%CI：1.536-4.958）、年龄小于 27 个月的儿童（aOR=2.804；95%CI：1.485-5.295）、有工作的照顾者（aOR=1.882；95%CI：1.014-3.493）、家庭人数（aOR=2.504；95%CI：1.464-4.283）和早期决定寻求治疗的照顾者（aOR=7.060；95%CI：1.616-30.852）。只有 18.6%的照顾者对五岁以下儿童发热病例采取了适当的 HSB。教育照顾者并强调对发热的早期治疗和对发热使用适当的医疗机构非常重要。研究结果将用于改善社区层面的干预措施，并将与随访数据进行比较，以评估其效果。
