dc.contributor.author | Wiens, Matthew O | |
dc.contributor.author | Gan, Heng | |
dc.contributor.author | Barigye, Celestine | |
dc.contributor.author | Zhou, Guohai | |
dc.contributor.author | Kumbakumba, Elias | |
dc.contributor.author | Kabakyenga, Jerome | |
dc.contributor.author | Kissoon, Niranjan | |
dc.contributor.author | Ansermino, J. Mark | |
dc.contributor.author | Karlen, Walter | |
dc.contributor.author | Larson, Charles P | |
dc.contributor.author | MacLeod, Stuart M | |
dc.date.accessioned | 2022-01-20T13:15:55Z | |
dc.date.available | 2022-01-20T13:15:55Z | |
dc.date.issued | 2015-01-30 | |
dc.identifier.citation | Wiens MO, Gan H, Barigye C, Zhou G, Kumbakumba E, Kabakyenga J, et al. (2015) A Cohort Study of Morbidity, Mortality and Health Seeking Behavior following Rural Health Center Visits by Children under 12 in Southwestern Uganda. PLoS ONE 10(1): e0118055. doi:10.1371/journal. pone.0118055 | en_US |
dc.identifier.uri | http://ir.must.ac.ug/xmlui/handle/123456789/1245 | |
dc.description.abstract | Background
Children discharged from hospitals in developing countries are at high risk of morbidity and
mortality. However, few data describe these outcomes among children seen and discharged
from rural outpatient centers.
Objective
The objective of this exploratory study was to identify predictors of immediate and follow-up
morbidity and mortality among children visiting a rural health center in Uganda.
Methods
Subjects 0–12 years of age seeking care with a caregiver were consecutively enrolled from
a single rural health center in Southwestern Uganda. Baseline variables were collected by
research nurses and outcomes of referral, admission or death were recorded (immediate
events). Death, hospital admission and health seeking occurring during the 30 days following
the clinic visit were also determined (follow-up events). Univariate logistic regression
was performed to identify baseline variables associated with immediate outcome and follow-
up outcomes.
Results
Over the four-month recruitment period 717 subjects were enrolled. There were 85 (11.9%)
immediate events (10.1% were admitted, 2.2% were referred, none died). Forty-seven
(7.8%) events occurred within 30 days after the visit (7.3% sought care from a health provider,
1.5% were admitted and 0.5% died). Variables associated with immediate events included
living more than 30 minutes from the health center, age older than 5 years, having
received an antimalarial prior to the visit, having seen a community health worker prior to
the visit, elevated respiratory rate or temperature, and depressed weight-for-age z score or
decreased oxygen saturation. These variables were not associated with follow-up events.
Conclusions
Sick-child visits at a rural health center in South Western Uganda were associated with
rates of mortality and subsequent admission of less than 2% in the period following the sick
child visits. Other types of health seeking behavior occurred in approximately 7% of subjects
during this same period. Several variables were associated with immediate events but
there were no reliable predictors of follow-up events, possibly due to low statistical power | en_US |
dc.description.sponsorship | Some funds were provided through the
Global Health Research Initiative of the Canadian
government (Canadian Institutes for Health
Research, International Development Research
Centre, Canadian International Development Agency
and Public Health Agency of Canada). Some funds
were provided by the Pediatric Anesthesia Research
Team, University of British Columbia. M. Wiens isfunded through fellowships from the Canadian
Institutes of Health Research, the Michael Smith
Foundation for Health Research and the Canadian
Child Health Clinician Scientist Program. The funders
had no role in study design, data collection and
analysis, decision to publish, or preparation of the
manuscript. | en_US |
dc.language.iso | en | en_US |
dc.title | A cohort study of morbidity, mortality and Health seeking behavior following rural Health center visits by children under 12 in Southwestern Uganda | en_US |
dc.type | Article | en_US |