Principles, practices and knowledge of clinicians when assessing febrile children: a qualitative study in Kenya

by Anneka M. Hooft, Kelsey Ripp, Bryson Ndenga et al.
Malaria Journal, 2017 16:381 – Published: 20 September 2017

10 pp. 989 kB
https://malariajournal.biomedcentral.com/track/pdf/10.1186/s12936-017-2021-7?
site=malariajournal.biomedcentral.com

Clinicians in low resource settings in malaria endemic regions face many challenges in diagnosing and treating febrile illnesses in children. Given the change in WHO guidelines in 2010 that recommend malaria testing prior to treatment, clinicians are now required to expand the differential when malaria testing is negative. Prior studies have indicated that resource availability, need for additional training in differentiating non-malarial illnesses, and lack of understanding within the community of when to seek care play a role in effective diagnosis and treatment. The objective of this study was to examine the various factors that influence clinician behavior in diagnosing and managing children presenting with fever to health centres in Kenya.

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