title: Health care utilization and attitudes survey in cases of moderate-to-severe diarrhea among children ages 0-59 months in the District of Manhica, southern Mozambique.
abstract: In the predominantly rural Manhiça district, in southern Mozambique, diarrhea is one of the leading causes of death among children under 5 years. Caretakers randomly selected from the Demographic Surveillance Database were invited to participate in a community-based survey on use of healthcare services for gastroenteritis. Of those caretakers reporting an episode of diarrhea during the recall period, 65.2% in the first survey and 43.8% in the second survey reported seeking care at a health facility. Independent risk factors for seeking care in health facilities in the first survey included the presence of diarrhea with fever and not knowing any sign of dehydration; having a television at home was related with an independent decreased use of the health facilities. In the second survey, the use of health services was significantly associated with diarrhea with fever and vomiting. Establishment of continuous prospective monitoring allows accounting for changes in healthcare use that may occur because of seasonality or secular events.
authors: Tacilta
authors: T
authors: Nhampossa
authors: Inacio
authors: I
authors: Mandomando
authors: Sozinho
authors: S
authors: Acacio
authors: Delino
authors: D
authors: Nhalungo
authors: Charfudin
authors: C
authors: Sacoor
authors: Ariel
authors: A
authors: Nhacolo
authors: Eusebio
authors: E
authors: Macete
authors: Arnaldo
authors: A
authors: Nhabanga
authors: Llorenç
authors: L
authors: Quintó
authors: Karen
authors: K
authors: Kotloff
authors: Myron M
authors: MM
authors: Levine
authors: Dilruba
authors: D
authors: Nasrin
authors: Tamer
authors: T
authors: Farag
authors: Quique
authors: Q
authors: Bassat
authors: Pedro
authors: P
authors: Alonso
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology*; D002675:Child, Preschool; D003968:Diarrhea, Infantile / Q000453:epidemiology* / Q000503:physiopathology / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009073:Mozambique / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D012424:Rural Population; D012720:Severity of Illness Index
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