Care seeking and management of common childhood illnesses in Tanzania: Questioning the quality of primary care services
Doctoral thesis, Peer reviewed
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Mild cases of malaria, pneumonia and diarrhea can be effectively treated with cheap and widely available first-line drugs at the primary care level if care is sought at an early disease stage and the infection is correctly diagnosed and managed by the attending care provider. Tanzania has an extensive network of primary health care (PHC) facilities and substantial child survival gains might result if these facilities could provide quality care and are properly utilized by the populations they are intended to serve. However, several studies have reported poor quality of services at the primary care level in Tanzania and mismanagements of sick children, resulting into some care seekers to bypass such facilities while seeking child care and other health care services. Few studies have explored in-depth, the actual users’ experiences in relation to the reported deficiencies at the primary care level in Tanzania. The current thesis sought to explore PHC utilization for child care and caretakers’ expectations versus experiences from services offered to their underfive children at this level of care.
Has partsPaper I: Kahabuka C, Kvåle G, Moland KM, Hinderaker SG: Why caretakers bypass Primary Health Care facilities for child care? - A case from rural Tanzania. BMC health services research 2011, 11(1):315, November 2011. The article is available at: http://hdl.handle.net/1956/6694
Paper II: Kahabuka C, Moland KM, Kvåle G, Hinderaker SG: Unfulfilled expectations to services offered at primary health care facilities: Experiences of caretakers of underfive children in rural Tanzania. BMC health services research 2012, 12(1):158, June 2012. The article is available at: http://hdl.handle.net/1956/6676
Paper III: Kahabuka C, Kvåle G, Hinderaker SG: Factors associated with severe disease from malaria, pneumonia and diarrhea among children in rural Tanzania—A hospital-based cross-sectional study. BMC Infectious Diseases 2012, 12(1):219, September 2012. The article is available at: http://hdl.handle.net/1956/6695
Paper IV: Kahabuka C, Kvåle G, Hinderaker SG: Care-seeking and management of common childhood illnesses in Tanzania – Results from the 2010 Demographic and Health Survey. PLoS ONE 8(3): e58789, March 2013. The article is available at: http://hdl.handle.net/1956/6696