Healthcare-use for Major Infectious Disease Syndromes in an Informal Settlement in Nairobi, Kenya.

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dc.contributor.authorBreiman, Robert F
dc.contributor.authorOlack, Beatrice
dc.contributor.authorShultz, Alvin
dc.contributor.authorRoder, Sanam
dc.contributor.authorKimani, Kabuiya
dc.contributor.authorFeikin, Daniel R
dc.contributor.authorBurke, Heather
dc.date.accessioned2016-02-20T04:15:53Z
dc.date.available2016-02-20T04:15:53Z
dc.date.issued2011-04
dc.description.abstractA healthcare-use survey was conducted in the Kibera informal settlement in Nairobi, Kenya, in July 2005 to inform subsequent surveillance in the site for infectious diseases. Sets of standardized questionnaires were administered to 1,542 caretakers and heads of households with one or more child(ren) aged less than five years. The average household-size was 5.1 (range 1-15) persons. Most (90%) resided in a single room with monthly rents of US$ 4.50-7.00. Within the previous two weeks, 49% of children (n=1,378) aged less than five years (under-five children) and 18% of persons (n=1,139) aged ≥5 years experienced febrile, diarrhoeal or respiratory illnesses. The large majority (>75%) of illnesses were associated with healthcareseeking. While licensed clinics were the most-frequently visited settings, kiosks, unlicensed care providers, and traditional healers were also frequently visited. Expense was cited most often (50%) as the reason for not seeking healthcare. Of those who sought healthcare, 34-44% of the first and/or the only visits were made with non-licensed care providers, potentially delaying opportunities for early optimal intervention. The proportions of patients accessing healthcare facilities were higher with diarrhoeal disease and fever (but not for respiratory diseases in under-five children) than those reported from a contemporaneous study conducted in a rural area in Kenya. The findings support community-based rather than facility-based surveillance in this setting to achieve objectives for comprehensive assessment of the burden of disease.en_US
dc.identifier.citationBreiman Robert F, Olack Beatrice, Shultz Alvin, Roder Sanam, Kimani Kabuiya, Feikin Daniel R, Burke Heather. Healthcare-use for Major Infectious Disease Syndromes in an Informal Settlement in Nairobi, Kenya. Journal of Health, Population and Nutrition. 2011 Apr; 29(2): 123-133.en_US
dc.identifier.issn1606-0997
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/173550
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3126984/?report=classicen_US
dc.subjectAcute respiratory infectionen_US
dc.subjectDiarrhoeal diseasesen_US
dc.subjectFebrile illnessen_US
dc.subjectHealthcare-seekingen_US
dc.subjectHealthcareuseen_US
dc.subjectInformal settlementsen_US
dc.subjectPneumoniaen_US
dc.subjectSlumsen_US
dc.subjectUrbanizationen_US
dc.subjectKenyaen_US
dc.titleHealthcare-use for Major Infectious Disease Syndromes in an Informal Settlement in Nairobi, Kenya.en_US
dc.typeArticleen_US
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