文摘

有下降趋势在乌干达儿童健康指标尽管强化计划努力提高儿童保育。例如,婴儿死亡率从1995年81/1,000 88/1,000增加在2000年。本文提出的一项研究结果,评估因素负责这一趋势。目标是评估儿童疾病的患病率和求医行为对孩子发烧、腹泻和上呼吸道感染(URTI) Sembabule区中央乌干达。横断面调查,使用30整群抽样技术,用于获取数据和小于2岁儿童300名女性。儿童期疾病患病率和求医行为获得使用一个结构化的问卷辅以深度访谈。结果表明,其中300名妇女采访有323儿童有37.9%的一集发烧前2周的调查,有40.3%的腹泻,URTI的占37.4%,26.8%是完全免疫。大多数的女性,82.7%认为发烧是孩子最严重的健康问题。URTI,腹泻,和麻疹被视为严重的女性的比例较低。尽管该研究表明高感知的儿童期疾病,母亲寻求照顾生病的儿童的比例很低,表明有障碍访问护理。 For example, 44.7% of women sought care when their children had fever, 35.0% when children had URTI, and 31.3% when children had diarrhea. However, most children with fever, diarrhea, and URTI were treated at home and taken to health units only when they developed life-threatening symptoms. This late referral to health units was complicated by high costs of care, long distances to health units, poor attitude of health workers, lack of drugs at health units, and limited involvement of fathers in care of the children.The results of this study showed that although the perceptions of childhood diseases were high, the care-seeking practices were poor. In order to improve child care in this district, there is a need to address barriers to quality of care and to conduct further research to assess the role of cultural factors and male involvement in child care.