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A household survey on morbidity and treatment of acute respiratory infections in communities in Vietnam
Environmental Health and Preventive Medicine volume 7, pages 151–155 (2002)
Abstract
Objective
To ascertain the extent of under-utilization and insufficiency or inappropriateness in provision of health services as one of the possible causes of high mortality from pediatric pneumonia in pilot areas in Vietnam.
Method
The household survey on morbidity and treatment of acute respiratory infections, simple cough, and cold and pneumonia, was conducted in two communities with 10% sampling of the child population.
Results
Both under-treatment of “fast breathing”, a proxy for pneumonia, and over-treatment of simple cough and cold with antimicrobials by health workers, mothers, and private practitioners were common.
Conclusions
A household survey on morbidity and treatment was found to be useful to clarify actual practices in the treatment of acute respiratory infections in the community, which cannot be obtained by mere interview with health workers or mothers. Since a change of knowledge did not automatically lead to change of practice, the training of health workers, health education of mothers and provision of antimicrobials at village health stations would not guarantee improved practice of health workers and mothers. Therefore, constant supervision for health workers, continued health education of mothers and involvement of private practitioners are needed to improve the situation.
References
World Health Organization. Program for control of acute respiratory infections. Fifth Program Report 1990–1991, 1–2. Geneva: World Health Organization, 1992.
World Health Organization. Report on Regional Workshop on Acute Respiratory Infections, Manila, Philippines, 10–14 November 1986, 3, Manila: World Health Organization Regional Office for the Western Pacific, 1987.
World Health Organization. Western Pacific Region Data Bank on Socioeconomic and Health Indicators. Manila: World Health Organization Regional Office for the Western Pacific. 1990.
Tupasi TE, Mangubat NV, Sunico MES. Malnutrition and acute respiratory infections in Filipino Children. Rev. Infect. Dis. 1990; 12 (suppl 8): S1047–1054.
Datta N, Kumar V, Kumar L, Shingi S. Application of case management to the control of acute respiratory infections in low-birth-weight infants: a feasibility study. Bull. World Health Organ. 1987; 65: 77–82.
Briend A, Wojtyniak B, Rowland MGM. Breast feeding, nutritional state, and child survival in rural Bangladesh. Br. Med. J. 1988; 296: 879–882.
de Koning HW, Smith KR, Last JM. Biomass fuel combustion and health. Bull. World Health Organ. 1985; 63: 11–26.
Tupasi TE, de Leon LE, Lupisan S, Torres CU, Leonor ZA, Sunico MAS, Mangubat N, Miguel CA, Medalla F, Tan ST, Dayrit M. Patterns of acute respiratory infections in children: a longitudinal study in a depressed community in Metro Manila. Rev. Infect. Dis. 1990; 12 (suppl 8): S940-S949.
Bloem M, Wedel M, Egger R, Speek AJ, Schrijver J, Saowakontha S, Schreurs WHP. Mild vitamin A deficiency and risk of respiratory diseases and diarrhoea in preschool and school children in northern Thailand. Am. J. Epidemiol. 1990; 131: 332–339.
Gray BM, Dillon HC. Natural history of pneumococcal infections. Pediatr. Infect. Dis. J. 1989; 8:683–686.
Montgomery JM, Lehmann D, Smith T, Michael A, Joseph B, Lupiwa T, Coakley C, Spooner Y, Best B, Riley I, Alpers MP. Bacterial colonization of the upper respiratory infections in Highland children. Rev. Infect. Dis. 1990; 12 (suppl 8): S1006–1016.
World Health Organization. Technical bases for the WHO recommendations on the management of pneumonia in children at first-level health facilities, Program for the Control of Acute Respiratory Infections, Geneva: WHO. 1991.
World Health Organization. Outpatient Management of Young Children with Acute Respiratory Infections: A Four Day Clinical Course. Program for the Control of Acute Respiratory Infections, World Health Organization. Geneva: WHO, 1992.
Lang T, Lafaix C, Fassin D, Arnault I, Salmon B, Baudon D, Ezekiel J. Acute respiratory infections: a longitudinal study of 151 children in Burkina-Faso. Int J. Epidemiol. 1986; 15(4): 553–560.
Shimouchi A, Dai Y, Zhu Z, Rabukawaqa VB. Effectiveness of Control Programs for Pneumonia Among Children in China and Fiji. Clin. Infect. Dis. 21 (Supple 3): S213–S217.
Borrero I, Fajardo L, Bedoya A, Zea A, Carmona F, de Borrero MF. Actite respiratory tract infections in a birth cohort of children through 17 months of life: Cali, Colombia. Rev. Infect. Dis. 1990; 2 (suppl 8): S950-S956.
Selwyn BJ. The epidemiology of acute respiratory tract infection in young children: comparison of findings from several developing countries. Rev Infect Dis, 1990; 12 (suppl 8): S870-S888.
Shimouchi A. Report on a field visit to Vietnam 1–13 April 1990, World Health Organization, Regional Office for the Western Pacific, Manila: WHO, 1990.
Shimouchi A. Report on a field visit to Vietnam 21 May-1 June 1991, World Health Organization, Regional Office for the Western Pacific, Manila: WHO, 1991.
Stewart K, Parker B, Chakraborty J, Begum H. Acute Respiratory Infections in Rural Bangladesh: Perceptions and Practices. Med. Anthropol. 1994; 15: 377–394.
Gove S, Pelto C. Focused Ethnographic studies in the WHO program for the control of acute respiratory infections. Med. Anthropol. 1994, 15, 409–424.
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Shimouchi, A., Huong, N.D., Hiep, H. et al. A household survey on morbidity and treatment of acute respiratory infections in communities in Vietnam. Environ Health Prev Med 7, 151–155 (2002). https://doi.org/10.1007/BF02897943
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DOI: https://doi.org/10.1007/BF02897943