Preferences for Treatment of Diarrhoea and Dysentery in Kaengkhoi District, Saraburi Province, Thailand

To estimate the proportion of cases missed in a passive surveillance study of diarrhoea and dysentery at health centres and hospitals in Kaengkhoi district, Saraburi province, Thailand, a community-based cluster survey of treatment-seeking behaviours was conducted during 21-23 June 2002. Interviews...

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Veröffentlicht in:Journal of health, population and nutrition population and nutrition, 2013-10, Vol.22 (2)
Hauptverfasser: Samosornsuk, Seksun, Jitsanguansuk, Supot, Sirima, Nunta, Sudjai, Sanit, Tapchaisri, Pramuan, Chompook, Pornthip, von Seidlein, Lorenz, Robertson, Susan E, Ali, Mohammad, Clemens, John D, Chaicumpa, Wanpen
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container_issue 2
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container_title Journal of health, population and nutrition
container_volume 22
creator Samosornsuk, Seksun
Jitsanguansuk, Supot
Sirima, Nunta
Sudjai, Sanit
Tapchaisri, Pramuan
Chompook, Pornthip
von Seidlein, Lorenz
Robertson, Susan E
Ali, Mohammad
Clemens, John D
Chaicumpa, Wanpen
description To estimate the proportion of cases missed in a passive surveillance study of diarrhoea and dysentery at health centres and hospitals in Kaengkhoi district, Saraburi province, Thailand, a community-based cluster survey of treatment-seeking behaviours was conducted during 21-23 June 2002. Interviews were conducted at 224 households among a study population of 78,744. The respondents reported where they sought care for diarrhoea and dysentery in children aged less than five years and adults aged over 15 years. Health centres or hospitals were the first treatment choice for 78% of children with dysentery (95% confidence interval [CI] 63-94%), 64% of children with diarrhoea (95% CI 54-74%), 61% of adults with dysentery (95% CI 40-82%), and 35% of adults with diarrhoea (95% CI 17-54%). Ahigh degree of heterogeneity in responses resulted in a relatively large design effect (D=3.9) and poor intra-cluster correlation (rho=0.3). The community survey suggests that passive surveillance estimates of disease incidence will need to be interpreted with caution, since this method will miss nearly a quarter of dysentery cases in children and nearly two-thirds of diarrhoea cases in adults.
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subjects Cluster survey
Diarrhoea
Dysentery
Healthcare-seeking behaviour
Passive surveillance
Thailand
title Preferences for Treatment of Diarrhoea and Dysentery in Kaengkhoi District, Saraburi Province, Thailand
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