Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study Khun, Sokrin Manderson, Lenore 2010-06-17T20:45:40Z 2010-06-17T20:45:40Z 2007-09
dc.description Refereed
dc.description.abstract Background: The continuing contribution of dengue fever to the hospitalization and deaths in hospital of infants and small children in Cambodia is associated with delays in presentation for medical attention, diagnosis and appropriate care. It is important to identify the reasons that influence these delays, in order to develop appropriate interventions to redress the impact of dengue. Methods: Data on health seeking were collected during an ethnographic study conducted in two villages in the eastern province of Kampong Cham, Cambodia in 2004. Interviews were conducted with mothers whose children had been infected with suspected dengue fever, or who had been sick for other reasons, in 2003 and 2004. Results: Women selected a therapeutic option based on perceptions of the severity of the child's condition, confidence in the particular modality, service or practitioner, and affordability of the therapy. While they knew what type of health care was required, poverty in combination with limited availability and perceptions of the poor quality of care at village health centers and public referral hospitals deterred them from doing so. Women initially used home remedies, then sought advice from public and private providers, shifting from one sector to another in a pragmatic response to the child's illness. Conclusion: The lack of availability of financial resources for poor people and their continuing lack of confidence in the care provided by government centres combine to delay help seeking and inappropriate treatment of children sick with dengue.
dc.description.sponsorship UNICEF–UNDP–World Bank–WHO Special Programme for Research and Training in Tropical Diseases (WHO/TDR)
dc.identifier.citation Khun, Sokrin and Lenore Manderson. 2007. Health Seeking and Access to Care for Children with Suspected Dengue in Cambodia: An Ethnographic Study. BMC Public Health 7(262).
dc.identifier.issn 1471-2458
dc.identifier.other Former Mana'o EPrint ID111
dc.publisher BioMed Central
dc.relation 10.1186/1471-2458-7-262
dc.subject Kampong Cham Province
dc.subject Cambodia
dc.subject dengue
dc.subject children
dc.subject medical anthropology
dc.subject public health
dc.subject care-seeking behavior
dc.subject.lcsh Cambodia
dc.subject.lcsh Ethnology
dc.title Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study
dc.type Article
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