Seasonality of childhood infectious diseases in Niono, Mali

Findley, Sally E.; Medina, Daniel C.; Sogoba, Nafomon; Guindo, Boubacary; Doumbia, Seydou

doi:10.1080/17441690903352572

Cited by 9 publications

(8 citation statements)

References 24 publications

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“…One of the probable reasons for higher occurrence of URTI in the winter is low humidity and increased dust, which may potentially damage immune barriers and 'carry' pathogens, respectively, further increasing the infection risk. 8,9 It was found that 27% of the total medicines were cough and cold combination and only 5% of the total medicines were prescribed as antibiotics. The results of the study carried out by Das et.…”

Section: Discussionmentioning

confidence: 99%

Prescription practice in patients of upper respiratory tract infection at a pediatric outpatient clinic in Punjab

Tiwari¹,

Ahlawat²,

Gupta³

2014

IJOPP

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Upper respiratory tract infections (URTI) are the most common and frequently occurring infections in the paediatric population. Often, it has a viral origin and requires only symptomatic treatment. Very few patients require antibiotics. The prescriptions of children, diagnosed with URTI, over one year period of time, were studied to assess the utilization of drugs. Of 2981 patients, only 1078 patients were diagnosed to have URTI. This consisted of 598 male & 480 female patients. It was found that URTI was most common in the age group of 12-60 months (51%) followed by 1day-12 months (20%). URTI was found to be affect the patients mostly in winter (35%) followed by autumn (25%). Cough and cold combinations were the most commonly prescribed medicines in URTI (27% of total drugs prescribed) followed by antipyretics (21%), herbal cough and cold medicine (18%), saline nasal drops (15%), bronchodilators (8%), antihistamine (6%) and antibiotics (5%). It was found that 12% of the patients were prescribed an antibiotic. Amongst antibiotics, azithromycin was the most commonly prescribed followed by amoxicillin+clavulanic acid combination (61% and 31%). In this study, children less than 5 years of age were the ones diagnosed with URTI and this was highest during the winter season. Azithromycin was most commonly prescribed antibiotic. The antibiotic usage pattern reflects judicious choice of the prescriber.

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Section: Discussionmentioning

confidence: 99%

Prescription practice in patients of upper respiratory tract infection at a pediatric outpatient clinic in Punjab

Tiwari¹,

Ahlawat²,

Gupta³

2014

IJOPP

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“…In a study following community health centres in two towns in the central Mopti region, presumptive malaria accounted for 33.8% (N ¼ 10,123) of all recorded consultation diagnoses between (Rose-Wood et al, 2010. The effects are particularly severe in Sahelian zones like Koulikoro, where the annual rainy season is accompanied by 6 months of high malaria transmission from June to November (Findley et al, 2010). The effects are particularly severe in Sahelian zones like Koulikoro, where the annual rainy season is accompanied by 6 months of high malaria transmission from June to November (Findley et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…In 2009, 68% of reported deaths of Malian children under five were attributed to malaria (PMI, 2011). The effects are particularly severe in Sahelian zones like Koulikoro, where the annual rainy season is accompanied by 6 months of high malaria transmission from June to November (Findley et al, 2010). A study mapping West Africa's geographic risk profile for anaemia, to which malaria is a major contributor, identified a large spatial cluster of low mean haemoglobin concentration (<80 g/l) and maximal risk of anaemia (>95%) over an area abutting Koulikoro Region, where the risk was nearly as high (Soares Magalhães & Clements, 2011).…”

Section: Introductionmentioning

confidence: 99%

Household Roles and Care-Seeking Behaviours in Response to Severe Childhood Illness in Mali

et al. 2013

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Malaria is a major cause of under-five mortality in Mali and many other developing countries. Malaria control programmes rely on households to identify sick children and either care for them in the home or seek treatment at a health facility in the case of severe illness. This study examines the involvement of mothers and other household members in identifying and treating severely ill children through case studies of 25 rural Malian households. A wide range of intra-household responses to severe illness were observed among household members, both exemplifying and contravening stated social norms about household roles. Given their close contact with children, mothers were frequently the first to identify illness symptoms. However, decisions about care-seeking were often taken by fathers and senior members of the household. As stewards of the family resources, fathers usually paid for care and thus significantly determined when and where treatment was sought. Grandparents were frequently involved in diagnosing illnesses and directing care towards traditional healers or health facilities. Relationships between household members during the illness episode were found to vary from highly collaborative to highly conflictive, with critical effects on how quickly and from where treatment for sick children was sought. These findings have implications for the design and targeting of malaria and child survival programming in the greater West African region.

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“…In 2009, 68% of reported deaths of Malian children under 5 were attributed to malaria [2]. The effects are particularly severe in Koulikoro and other Sahelian zones, where the rainy season brings six months of high malaria transmission from June to November [3]. A study mapping West Africa’s geographic risk profile for anaemia, to which malaria is a major contributor, identified a large spatial cluster of maximal risk of anaemia (>95%) over an area abutting Koulikoro region, where the risk was nearly as high [4].…”

Section: Introductionmentioning

confidence: 99%

Treatment actions and treatment failure: case studies in the response to severe childhood febrile illness in Mali

et al. 2012

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BackgroundAppropriate home management of illness is vital to efforts to control malaria. The strategy of home management relies on caregivers to recognize malaria symptoms, assess severity and promptly seek appropriate care at a health facility if necessary. This paper examines the management of severe febrile illness (presumed malaria) among children under the age of five in rural Koulikoro Region, Mali.MethodsThis research examines in-depth case studies of twenty-five households in which a child recently experienced a severe febrile illness, as well as key informant interviews and focus group discussions with community members. These techniques were used to explore the sequence of treatment steps taken during a severe illness episode and the context in which decisions were made pertaining to pursing treatments and sources of care, while incorporating the perspective and input of the mother as well as the larger household.ResultsEighty-one participants were recruited in 25 households meeting inclusion criteria. Children's illness episodes involved multiple treatment steps, with an average of 4.4 treatment steps per episode (range: 2–10). For 76% of children, treatment began in the home, but 80% were treated outside the home as a second recourse. Most families used both traditional and modern treatments, administered either inside the home by family members, or by traditional or modern healers. Participants’ stated preference was for modern care, despite high rates of reported treatment failure (52%, n=12), however, traditional treatments were also often deemed appropriate and effective. The most commonly cited barrier to seeking care at health facilities was cost, especially during the rainy season. Financial constraints often led families to use traditional treatments.ConclusionsHouseholds have few options available to them in moments of overlapping health and economic crises. Public health research and policy should focus on the reducing barriers that inhibit poor households from promptly seeking appropriate health care. Enhancing the quality of care provided at community health facilities and supporting mechanisms by which treatment failures are quickly identified and addressed can contribute to reducing subsequent treatment delays and avoid inappropriate recourse to traditional treatments.

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Seasonality of childhood infectious diseases in Niono, Mali

Cited by 9 publications

References 24 publications

Prescription practice in patients of upper respiratory tract infection at a pediatric outpatient clinic in Punjab

Prescription practice in patients of upper respiratory tract infection at a pediatric outpatient clinic in Punjab

Household Roles and Care-Seeking Behaviours in Response to Severe Childhood Illness in Mali

Treatment actions and treatment failure: case studies in the response to severe childhood febrile illness in Mali

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