IGSNRR OpenIR
National and sub-national variation in patterns of febrile case management in sub-Saharan Africa
Alegana, Victor A.1,2; Maina, Joseph2; Ouma, Paul O.2; Macharia, Peter M.2; Wright, Jim1; Atkinson, Peter M.1,3,4,5; Okiro, Emelda A.2; Snow, Robert W.2,6; Tatem, Andrew J.1,7
2018-11-26
Source PublicationNATURE COMMUNICATIONS
ISSN2041-1723
Volume9Pages:7
Corresponding AuthorAlegana, Victor A.(aleganav@gmail.com)
AbstractGiven national healthcare coverage gaps, understanding treatment-seeking behaviour for fever is crucial for the management of childhood illness and to reduce deaths. Here, we conduct a modelling study triangulating household survey data for fever in children under the age of five years with georeferenced public health facility databases (n = 86,442 facilities) in 29 countries across sub-Saharan Africa, to estimate the probability of seeking treatment for fever at public facilities. A Bayesian item response theory framework is used to estimate this probability based on reported fever episodes, treatment choice, residence, and estimated travel-time to the nearest public-sector health facility. Findings show inter-and intra-country variation, with the likelihood of seeking treatment for fever less than 50% in 16 countries. Results highlight the need to invest in public healthcare and related databases. The variation in public sector use illustrates the need to include such modelling in future infectious disease burden estimation.
DOI10.1038/s41467-018-07536-9
WOS KeywordBAYESIAN-ESTIMATION ; SECTOR ; INCOME ; PROVISION ; MALARIA
Indexed BySCI
Language英语
Funding ProjectWellcome Trust[203077] ; Wellcome Trust[211208] ; Wellcome Trust[204613] ; Wellcome Trust[103602] ; Wellcome Trust (UK Department for International Development (DFID))[106866] ; Bill and Melinda Gates Foundation[OPP1106427] ; Bill and Melinda Gates Foundation[OPP1134076] ; Bill and Melinda Gates Foundation[OPP1094793] ; Clinton Health Access Initiative ; UK's Department for International Development (DFID)[203155] ; Wellcome Trust Intermediary Fellowship[201866] ; IDeAL Project[107769]
Funding OrganizationWellcome Trust ; Wellcome Trust (UK Department for International Development (DFID)) ; Bill and Melinda Gates Foundation ; Clinton Health Access Initiative ; UK's Department for International Development (DFID) ; Wellcome Trust Intermediary Fellowship ; IDeAL Project
WOS Research AreaScience & Technology - Other Topics
WOS SubjectMultidisciplinary Sciences
WOS IDWOS:000451176100019
PublisherNATURE PUBLISHING GROUP
Citation statistics
Cited Times:2[WOS]   [WOS Record]     [Related Records in WOS]
Document Type期刊论文
Identifierhttp://ir.igsnrr.ac.cn/handle/311030/51559
Collection中国科学院地理科学与资源研究所
Corresponding AuthorAlegana, Victor A.
Affiliation1.Univ Southampton, Geog & Environm Sci, Southampton SO17 1BJ, Hants, England
2.Kenya Med Res Inst Wellcome Trust Res Programme, Populat Hlth Theme, Nairobi, Kenya
3.Univ Lancaster, Fac Sci & Technol, Lancaster LA1 4YW, England
4.Queens Univ Belfast, Sch Nat & Built Environm, Belfast BT7 1NN, Antrim, North Ireland
5.Chinese Acad Sci, Inst Geog Sci & Nat Resources Res, A11 Datun Rd, Beijing 100101, Peoples R China
6.Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med & Global Hlth, Oxford OX3 7LJ, England
7.Flowminder Fdn, SE-11355 Stockholm, Sweden
Recommended Citation
GB/T 7714
Alegana, Victor A.,Maina, Joseph,Ouma, Paul O.,et al. National and sub-national variation in patterns of febrile case management in sub-Saharan Africa[J]. NATURE COMMUNICATIONS,2018,9:7.
APA Alegana, Victor A..,Maina, Joseph.,Ouma, Paul O..,Macharia, Peter M..,Wright, Jim.,...&Tatem, Andrew J..(2018).National and sub-national variation in patterns of febrile case management in sub-Saharan Africa.NATURE COMMUNICATIONS,9,7.
MLA Alegana, Victor A.,et al."National and sub-national variation in patterns of febrile case management in sub-Saharan Africa".NATURE COMMUNICATIONS 9(2018):7.
Files in This Item:
There are no files associated with this item.
Related Services
Recommend this item
Bookmark
Usage statistics
Export to Endnote
Google Scholar
Similar articles in Google Scholar
[Alegana, Victor A.]'s Articles
[Maina, Joseph]'s Articles
[Ouma, Paul O.]'s Articles
Baidu academic
Similar articles in Baidu academic
[Alegana, Victor A.]'s Articles
[Maina, Joseph]'s Articles
[Ouma, Paul O.]'s Articles
Bing Scholar
Similar articles in Bing Scholar
[Alegana, Victor A.]'s Articles
[Maina, Joseph]'s Articles
[Ouma, Paul O.]'s Articles
Terms of Use
No data!
Social Bookmark/Share
All comments (0)
No comment.
 

Items in the repository are protected by copyright, with all rights reserved, unless otherwise indicated.