ArticleThe American journal of tropical medicine and hygiene2013
Health care seeking for childhood diarrhea in developing countries: evidence from seven sites in Africa and Asia.
Article in The American journal of tropical medicine and hygiene, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
66 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Global epidemiology of diarrhea among internally displaced populations and refugee camp populations an evidence-based systematic review and meta-analysis.BMC public health · 2025Pooled it
- Treatment-seeking practices of caregivers for children aged less than five years old with diarrhoea in low- and middle-income countries: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- Prevalence of diarrheal diseases and associated factors among under five children in Africa: A meta-analysis.PloS one · 2025Pooled it
- Harmful practices in the management of childhood diarrhea in low- and middle-income countries: a systematic review.BMC public health · 2015Pooled it
- Trial
- Cholera in Kenya: A scoping review of current research, evidence gaps and future directions.PLOS global public health · 2026Article
- Development of an effective illness severity measure and assessment of the impact of perceived illness severity on formal careseeking for fatal illnesses of neonates and infants in six sub-Saharan Africa countries and Pakistan.PLOS global public health · 2026Article
- Home Based Management of Diarrhea Contributes to Health Care Seeking Delays Among Caregivers of Under Five Children in Addis Ababa, Ethiopia.Maternal and child health journal · 2025Article
- Delays in health care seeking for diarrheal disease and associated factors among caregivers of under five children in health centers of northwest Ethiopia: a mixed-method study.BMC public health · 2025Article
- Care-seeking for diarrheal illness: A systematic review and meta-analysis.PLOS global public health · 2025Article
- Care seeking for diarrheal illness: a systematic review and meta-analysis.medRxiv : the preprint server for health sciences · 2024Article
- Multilevel analysis of healthcare utilization for childhood diarrhea in high under five mortality countries.Scientific reports · 2024Article
- Diarrhea Case Surveillance in the Enterics for Global HealthOpen forum infectious diseases · 2024Article
- Article
- The Enterics for Global Health (EFGH)Open forum infectious diseases · 2024Article
- The Enterics for Global Health (EFGH)Open forum infectious diseases · 2024Article
- Change in economic burden of diarrhoea in children under-five in Bangladesh: 2007 vs. 2018.Journal of global health · 2023Article
- Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study.BMC infectious diseases · 2023Article
- Contributing factors of delay in seeking treatment for childhood diarrheal diseases in Berbere Woreda, Ethiopia: an unmatched case-control study.Journal of health, population, and nutrition · 2023Article
- Norovirus Disease Among Children <5 Years in 3 Sub-Saharan African Countries: Findings From the Vaccine Impact on Diarrhea in Africa (VIDA) Study, 2015-2018.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023Article
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We performed serial Health Care Utilization and Attitudes Surveys (HUASs) among caretakers of children ages 0-59 months randomly selected from demographically defined populations participating in the Global Enteric Multicenter Study (GEMS), a case-control study of moderate-to-severe diarrhea (MSD) in seven developing countries. The surveys aimed to estimate the proportion of children with MSD who would present to sentinel health centers (SHCs) where GEMS case recruitment would occur and provide a basis for adjusting disease incidence rates to include cases not seen at the SHCs. The proportion of children at each site reported to have had an incident episode of MSD during the 7 days preceding the survey ranged from 0.7% to 4.4% for infants (0-11 months of age), from 0.4% to 4.7% for toddlers (12-23 months of age), and from 0.3% to 2.4% for preschoolers (24-59 months of age). The proportion of MSD episodes at each site taken to an SHC within 7 days of diarrhea onset was 15-56%, 17-64%, and 7-33% in the three age strata, respectively. High cost of care and insufficient knowledge about danger signs were associated with lack of any care-seeking outside the home. Most children were not offered recommended fluids and continuing feeds at home. We have shown the utility of serial HUASs as a tool for optimizing operational and methodological issues related to the performance of a large case-control study and deriving population-based incidence rates of MSD. Moreover, the surveys suggest key targets for educational interventions that might improve the outcome of diarrheal diseases in low-resource settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.