ArticleTropical medicine & international health : TM & IH2013
Comparing actual and perceived causes of fever among community members in a low malaria transmission setting in northern Tanzania.
Article in Tropical medicine & international health : TM & IH, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 50 citations in OpenAlex.
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- Understanding psychosocial determinants of malaria behaviours in low-transmission settings: a scoping review.Malaria journal · 2024Article
- Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study.BMC infectious diseases · 2023Article
- Facility-based disease surveillance and Bayesian hierarchical modeling to estimate endemic typhoid fever incidence, Kilimanjaro Region, Tanzania, 2007-2018.PLoS neglected tropical diseases · 2022Article
- The knowledge, attitude and practice of community people on dengue fever in Central Nepal: a cross-sectional study.BMC infectious diseases · 2022Article
- Dengue and Chikungunya virus circulation in Cameroon and Gabon: molecular evidence among symptomatic individuals.Access microbiology · 2022Article
- Incidence Estimates of Acute Q Fever and Spotted Fever Group Rickettsioses, Kilimanjaro, Tanzania, from 2007 to 2008 and from 2012 to 2014.The American journal of tropical medicine and hygiene · 2021Article
- Using Intersectionality to Identify Gendered Barriers to Health-Seeking for Febrile Illness in Agro-Pastoralist Settings in Tanzania.Frontiers in global women's health · 2021Article
- Health Beliefs and Patient Perspectives of Febrile Illness in Kilombero, Tanzania.The American journal of tropical medicine and hygiene · 2019Article
- Knowledge of myocardial infarction symptoms and perceptions of self-risk in Tanzania.American heart journal · 2019Article
- Effect of Supportive Supervision on Competency of Febrile Clinical Case Management in Sub-Saharan Africa.The American journal of tropical medicine and hygiene · 2019Article
- Perceptions of chest pain and healthcare seeking behavior for chest pain in northern Tanzania: A community-based survey.PloS one · 2019Article
- Management and Follow-up Practices of Children with Unclassified Fever in Rural Ethiopia: Experiences of Health Extension Workers and Caregivers.The American journal of tropical medicine and hygiene · 2018Article
- Community-based prevalence of typhoid fever, typhus, brucellosis and malaria among symptomatic individuals in Afar Region, Ethiopia.PLoS neglected tropical diseases · 2018Article
- A Combined Syndromic Approach to Examine Viral, Bacterial, and Parasitic Agents among Febrile Patients: A Pilot Study in Kilombero, Tanzania.The American journal of tropical medicine and hygiene · 2018Article
- Predictors of residual antimalarial drugs in the blood in community surveys in Tanzania.PloS one · 2018Article
- Article
- Quantifying the contribution ofeLife · 2017Article
- "It is good to take her early to the doctor" - mothers' understanding of childhood pneumonia symptoms and health care seeking in Kilimanjaro region, Tanzania.BMC international health and human rights · 2017Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 5 countries.
Funding
Abstract
objectiveTo compare actual and perceived causes of fever in northern Tanzania.
methodsIn a standardised survey, heads of households in 30 wards in Moshi, Tanzania, were asked to identify the most common cause of fever for children and for adults. Responses were compared to data from a local hospital-based fever aetiology study that used standard diagnostic techniques.
resultsOf 810 interviewees, the median (range) age was 48 (16, 102) years and 509 (62.8%) were women. Malaria was the most frequently identified cause of fever, cited by 353 (43.6%) and 459 (56.7%) as the most common cause of fever for children and adults, respectively. In contrast, malaria accounted for 8 (2.0%) of adult and 6 (1.3%) of paediatric febrile admissions in the fever aetiology study. Weather was the second most frequently cited cause of fever. Participants who identified a non-biomedical explanation such as weather as the most common cause of fever were more likely to prefer a traditional healer for treatment of febrile adults (OR 2.7, P < 0.001). Bacterial zoonoses were the most common cause of fever among inpatients, but no interviewees identified infections from animal contact as the most common cause of fever for adults; two (0.2%) identified these infections as the most common cause of fever for children.
conclusionsMalaria is perceived to be a much more common cause of fever than hospital studies indicate, whereas other important diseases are under-appreciated in northern Tanzania. Belief in non-biomedical explanations of fever is common locally and has important public health consequences.
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