A community-based cluster survey on preferences for treatment of diarrhoea and dysentery in Zhengding county, Hebei province, China


Wang, XY; von Seidlein, L; Robertson, SE; Ma, JC; Han, CQ; Zhang, YL; Lee, H; Liu, W; Ali, M; Clemens, JD; Xu, ZY; (2004) A community-based cluster survey on preferences for treatment of diarrhoea and dysentery in Zhengding county, Hebei province, China. Journal of health, population, and nutrition, 22 (2). pp. 104-12. ISSN 1606-0997

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Abstract

Passive surveillance on the burden of disease due to diarrhoea will underestimate the burden if families use healthcare providers outside the surveillance system. To study this issue, a community-based cluster survey was conducted during October 2001 in the catchment area for a passive surveillance study in Zhengding county, a rural area of northern China. Interviews were conducted at 7 randomly-selected households in each of 39 study villages. The respondents indicated where they sought initial care for cases of diarrhoea or dysentery among children or adults. In the absence of diarrhoea and dysentery cases in the household in the preceding four weeks, the respondents were asked about healthcare use for a hypothetical case. Overall, 80% (95% confidence interval [CI] 67-93%) would chose the village clinic, 11% village pharmacy (95% CI 1-22%), 4% township hospital (95% CI -1-10%), 4% self-treatment (95% CI 1-8%), and 1% county hospital (95% CI 0-2%). Approximately, 84% of patients would seek treatment for diarrhoea and dysentery at centres participating in passive surveillance, suggesting that passive surveillance will provide a relatively accurate assessment of burden of diarrhoea in Zhengding county.

Item Type: Article
Keywords: Adult, Aged, Aged, 80 and over, China/epidemiology, Cluster Analysis, Diarrhea/epidemiology/*therapy, Dysentery/epidemiology/*therapy, Female, *Health Care Surveys, Humans, Male, Middle Aged, *Population Surveillance, Rural Population, Adult, Aged, Aged, 80 and over, China, epidemiology, Cluster Analysis, Diarrhea, epidemiology, therapy, Dysentery, epidemiology, therapy, Female, Health Care Surveys, Humans, Male, Middle Aged, Population Surveillance, Rural Population
Faculty and Department: Faculty of Infectious and Tropical Diseases > Dept of Disease Control
PubMed ID: 15473513
Web of Science ID: 223961900002
URI: http://researchonline.lshtm.ac.uk/id/eprint/10249

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