Comparing the accuracy of lay diagnosis of childhood malaria and pneumonia with that of the revised IMCI guidelines in Nigeria

被引:2
作者
Elimian, K. O. [1 ,2 ]
Myles, P. R. [1 ]
Phalkey, R. [1 ]
Sadoh, A. [3 ]
Pritchard, C. [1 ,4 ]
机构
[1] Univ Benin, Dept Microbiol, Fac Life Sci, Benin, Edo State, Nigeria
[2] Univ Nottingham, Div Epidemiol & Publ Hlth, Nottingham NG5 1PB, England
[3] Univ Benin, Inst Child Hlth, Benin, Edo State, Nigeria
[4] Nottinghamshire Cty Council, Nottingham, England
关键词
accuracy; IMCI guidelines; lay diagnosis; malaria; Nigeria; pneumonia;
D O I
10.1093/pubmed/fdaa103
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background Improving caregivers' recognition of childhood malaria and pneumonia is crucial to early treatment and improving outcomes. The objective of this study was to assess the accuracy and reliability of caregivers' recognition of malaria and pneumonia (lay diagnosis) as compared to the revised IMCI guidelines. Methods A cross-sectional study design was used to recruit 903 children aged 2-59 months who were assessed for malaria and pneumonia by health workers at five primary healthcare centres in Benin City, Nigeria. Accuracy of lay diagnosis as compared to the revised IMCI guidelines was assessed using sensitivity, specificity, positive and negative predictive values and area under the receiver operating characteristic curve (AUROC) values. Results The accuracy of caregivers' ability to recognise malaria (AUROC: 0.60; 95% CI: 0.57-0.64) and pneumonia (AUROC: 0.54; 95% CI: 0.50-0.58) was, respectively, moderate and poor as compared to the IMCI guidelines. Caregivers were better able to identify children without than those with malaria and pneumonia. Agreement between caregivers and the IMCI guidelines for malaria and pneumonia diagnosis was poor (k = 0.14, 95% CI: 0.09-0.19; P = 0.0001). Conclusion Caregivers' ability to recognise these childhood diseases as compared to the IMCI guidelines was poor overall, which was partly due to the approach used to ascertain lay diagnosis.
引用
收藏
页码:772 / 779
页数:8
相关论文
共 27 条
[1]  
Abodunrin OL, 2010, INT J HLTH RES, V3, P79
[2]  
[Anonymous], 2018, malaria
[3]  
[Anonymous], 2004, SCAL HOM BAS MAN MAL
[4]   Local Barriers and Solutions to Improve Care-Seeking for Childhood Pneumonia, Diarrhoea and Malaria in Kenya, Nigeria and Niger: A Qualitative Study [J].
Bedford, K. Juliet A. ;
Sharkey, Alyssa B. .
PLOS ONE, 2014, 9 (06)
[5]  
BYASS P, 1991, J TROP MED HYG, V94, P22
[6]   Economics of self-medication: theory and evidence [J].
Chang, FR ;
Trivedi, PK .
HEALTH ECONOMICS, 2003, 12 (09) :721-739
[7]   A COEFFICIENT OF AGREEMENT FOR NOMINAL SCALES [J].
COHEN, J .
EDUCATIONAL AND PSYCHOLOGICAL MEASUREMENT, 1960, 20 (01) :37-46
[8]   'Everybody in Nigeria is a doctor ... ': a qualitative study of stakeholder perspectives on lay diagnosis of malaria and pneumonia in Nigeria [J].
Elimian, Kelly O. ;
Myles, Puja R. ;
Phalkey, Revati ;
Sadoh, Ayebo ;
Pritchard, Catherine .
JOURNAL OF PUBLIC HEALTH, 2020, 42 (02) :353-361
[9]  
Ferdous Farzana, 2014, ISRN Family Med, V2014, P690315, DOI 10.1155/2014/690315
[10]  
Gordis L., 2014, Epidemiology, V5, P68