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The Journal of Health, Population and Nutrition
icddr,b
ISSN: 1606-0997 EISSN: 1606-0997
Vol. 22, No. 2, 2004, pp. 104-112
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Bioline Code: hn04015
Full paper language: English
Document type: Research Article
Document available free of charge
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The Journal of Health, Population and Nutrition, Vol. 22, No. 2, 2004, pp. 104-112
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A Community-based Cluster Survey on Preferences for Treatment of Diarrhoea and Dysentery in Zhengding County, Hebei Province, China
Xuan-yi, Wang; von Seidlein, Lorenz; Robertson, Susan E.; Jin-Cheng, Ma; Chang-Quan, Han; Ying-Lin, Zhang; Lee, Hyejon; Wei, Liu; Ali, Mohammad; Clemens, John D. & Zhi-Yi, Xu
Abstract
Passive surveillance on the burden of disease due to diarrhoea will underestimate the burden if families
use healthcare providers outside the surveillance system. To study this issue, a community-based
cluster survey was conducted duging October 2001 in the catchment area for a passive surveillance
study in Zhengding county, a rural area of northern China. Interviews were conducted at 7 randomlyselected
households in each of 39 study villages. The respondents indicated where they sought initial
care for cases of diarrhoea or dysentery among children or adults. In the absence of diarrhoea and
dysentery cases in the household in the preceding four weeks, the respondents were asked about
healthcare use for a hypothetical case. Overall, 80% (95% confidence interval [CI] 67-93%) would
chose the village clinic, 11% village pharmacy (95% CI 1-22%), 4% township hospital (95% CI -1-10%),
4% self-treatment (95% CI 1-8%), and 1% county hospital (95% CI 0-2%). Approximately, 84% of
patients would seek treatment for diarrhoea and dysentery at centres participating in passive
surveillance, suggesting that passive surveillance will provide a relatively accurate assessment of
burden of diarrhoea in Zhengding county.
Keywords
Diarrhoea; Dysentery; Cluster survey; Passive surveillance; Healthcare-seeking behaviour; China
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