Caregivers' perceived treatment failure in home-based management of fever among Ugandan children aged less than five years.
BACKGROUND
Home-based management of fever (HBMF) could improve prompt access to antimalarial medicines for African children. However, the perception of treatment failure by caregivers has not been assessed.


METHODS
Caregiver's perceived treatment outcome in HBMF and in alternative sources of fever treatment was assessed in a rural Ugandan setting using nine hundred and seventy eight (978) caregivers of children between two and 59 months of age, who had reported fever within two weeks prior to the study.


RESULTS
Lower caregivers' perceived treatment failure (15% and 23%) was observed in the formal health facilities and in HBMF, compared to private clinics (38%), drug shops (55%) or among those who used herbs (56%). Under HBMF, starting treatment within 24 hours of symptoms onset and taking treatment for the recommended three days duration was associated with a lower perceived treatment failure. Conversely, vomiting, convulsions and any illness in the month prior to the fever episode was associated with a higher perceived treatment failure.


CONCLUSIONS
In this medium malaria transmission setting, caregiver's perceived treatment outcome was better in HBMF compared to alternative informal sources of treatment.
Malimbo
Mugagga
M
Ministry Health, Epidemiological Surveillance Division, Po Box 7272, Kampala, Uganda. malimbom@yahoo.co.uk <malimbom@yahoo.co.uk>
Mugisha
Erieza
E
Kato
Fred
F
Karamagi
Charles
C
Talisuna
Ambrose O
AO
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005334:Fever / Q000188:drug therapy* / Q000209:etiology; D006297:Health Services Accessibility; D006701:Home Nursing / Q000523:psychology*; D006801:Humans; D007223:Infant; D008288:Malaria / Q000150:complications; D008297:Male; D008875:Middle Aged; D017211:Treatment Failure; D014454:Uganda