Rural-urban differences in maternal responses to childhood fever in South East Nigeria.

<h4>Background</h4>Childhood fevers due to malaria remain a major cause of morbidity and mortality among under-five children in Nigeria. The degree of vulnerability perceived by mothers will affect their perception of the severity and threat of their child's fever and the patterns o...

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Autores principales:	Benjamin S C Uzochukwu, Emmanuel O Onwujekwe, Chima A Onoka, Maduka D Ughasoro
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2008
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b87f2df6630642cdb509cb745d3f2533
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spelling	oai:doaj.org-article:b87f2df6630642cdb509cb745d3f25332021-11-25T06:13:06ZRural-urban differences in maternal responses to childhood fever in South East Nigeria.1932-620310.1371/journal.pone.0001788https://doaj.org/article/b87f2df6630642cdb509cb745d3f25332008-03-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/18335058/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Childhood fevers due to malaria remain a major cause of morbidity and mortality among under-five children in Nigeria. The degree of vulnerability perceived by mothers will affect their perception of the severity and threat of their child's fever and the patterns of health care use. This study was undertaken to compare maternal responses to childhood fever in urban and rural areas of Enugu, south east Nigeria.<h4>Methodology/principal findings</h4>Data was collected with pre-tested interviewer-administered questionnaires from 276 and 124 urban and rural households respectively. In each household, only one woman aged 15-49 years who had lived in each of the urban and rural communities for at least one year and had at least one child less than 5 years old was interviewed. Malaria was mentioned as the commonest cause of childhood fevers. Rural mothers were more likely to recognize danger signs and symptoms than urban mothers. Rural mothers use more of informal than formal health services, and there is more home management of the fever with urban than rural mothers. Chloroquine, ACT, SP and Paracetamol are the main drugs given at home for childhood fevers, but the rural mothers were more likely to use leftover drugs from previous treatment to treat the fevers than urban mothers. The urban respondents were also more likely to use a preventive measure. Urban mothers sought actions faster than rural mothers and the total cost of treatment was also higher in urban areas.<h4>Conclusions/significance</h4>Both urban and rural mothers are aware that malaria is the major cause of childhood fevers. Although rural mothers recognize childhood fever and danger signs better than urban mothers, the urban mothers' responses to fever seem to be better than that for rural mothers. These responses and differences may be important for geographical targeting by policy makers for malaria interventions.Benjamin S C UzochukwuEmmanuel O OnwujekweChima A OnokaMaduka D UghasoroPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 3, Iss 3, p e1788 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Benjamin S C Uzochukwu Emmanuel O Onwujekwe Chima A Onoka Maduka D Ughasoro Rural-urban differences in maternal responses to childhood fever in South East Nigeria.
description	<h4>Background</h4>Childhood fevers due to malaria remain a major cause of morbidity and mortality among under-five children in Nigeria. The degree of vulnerability perceived by mothers will affect their perception of the severity and threat of their child's fever and the patterns of health care use. This study was undertaken to compare maternal responses to childhood fever in urban and rural areas of Enugu, south east Nigeria.<h4>Methodology/principal findings</h4>Data was collected with pre-tested interviewer-administered questionnaires from 276 and 124 urban and rural households respectively. In each household, only one woman aged 15-49 years who had lived in each of the urban and rural communities for at least one year and had at least one child less than 5 years old was interviewed. Malaria was mentioned as the commonest cause of childhood fevers. Rural mothers were more likely to recognize danger signs and symptoms than urban mothers. Rural mothers use more of informal than formal health services, and there is more home management of the fever with urban than rural mothers. Chloroquine, ACT, SP and Paracetamol are the main drugs given at home for childhood fevers, but the rural mothers were more likely to use leftover drugs from previous treatment to treat the fevers than urban mothers. The urban respondents were also more likely to use a preventive measure. Urban mothers sought actions faster than rural mothers and the total cost of treatment was also higher in urban areas.<h4>Conclusions/significance</h4>Both urban and rural mothers are aware that malaria is the major cause of childhood fevers. Although rural mothers recognize childhood fever and danger signs better than urban mothers, the urban mothers' responses to fever seem to be better than that for rural mothers. These responses and differences may be important for geographical targeting by policy makers for malaria interventions.
format	article
author	Benjamin S C Uzochukwu Emmanuel O Onwujekwe Chima A Onoka Maduka D Ughasoro
author_facet	Benjamin S C Uzochukwu Emmanuel O Onwujekwe Chima A Onoka Maduka D Ughasoro
author_sort	Benjamin S C Uzochukwu
title	Rural-urban differences in maternal responses to childhood fever in South East Nigeria.
title_short	Rural-urban differences in maternal responses to childhood fever in South East Nigeria.
title_full	Rural-urban differences in maternal responses to childhood fever in South East Nigeria.
title_fullStr	Rural-urban differences in maternal responses to childhood fever in South East Nigeria.
title_full_unstemmed	Rural-urban differences in maternal responses to childhood fever in South East Nigeria.
title_sort	rural-urban differences in maternal responses to childhood fever in south east nigeria.
publisher	Public Library of Science (PLoS)
publishDate	2008
url	https://doaj.org/article/b87f2df6630642cdb509cb745d3f2533
work_keys_str_mv	AT benjaminscuzochukwu ruralurbandifferencesinmaternalresponsestochildhoodfeverinsoutheastnigeria AT emmanueloonwujekwe ruralurbandifferencesinmaternalresponsestochildhoodfeverinsoutheastnigeria AT chimaaonoka ruralurbandifferencesinmaternalresponsestochildhoodfeverinsoutheastnigeria AT madukadughasoro ruralurbandifferencesinmaternalresponsestochildhoodfeverinsoutheastnigeria
_version_	1718414065709088768

Rural-urban differences in maternal responses to childhood fever in South East Nigeria.

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