Evidence map›Paper›PMID 24852787›Full record

ArticlePLoS neglected tropical diseases2014

Community knowledge and attitudes and health workers' practices regarding non-malaria febrile illnesses in eastern Tanzania.

Beatrice Chipwaza, Joseph P Mugasa, Iddy Mayumana, Mbaraka Amuri, Christina Makungu, Paul S Gwakisa

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  19. Health Beliefs and Patient Perspectives of Febrile Illness in Kilombero, Tanzania.The American journal of tropical medicine and hygiene · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Beatrice ChipwazaNelson Mandela African Institute of Science and Technology, Arusha, Tanzania; Ifakara Health Institute, Ifakara, Tanzania.
Joseph P MugasaNational Institute for Medical Research, Amani Medical Research Centre, Muheza, Tanga, Tanzania.
Iddy MayumanaIfakara Health Institute, Ifakara, Tanzania.
Mbaraka AmuriJhpiego, Dar-es-Salaam, Tanzania.
Christina MakunguIfakara Health Institute, Ifakara, Tanzania.
Paul S GwakisaNelson Mandela African Institute of Science and Technology, Arusha, Tanzania.
Ifakara Health Institute · TZNelson Mandela African Institution of Science and Technology · TZNational Institute for Medical Research · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough malaria has been the leading cause of fever for many years, with improved control regimes malaria transmission, morbidity and mortality have decreased. Recent studies have increasingly demonstrated the importance of non-malaria fevers, which have significantly improved our understanding of etiologies of febrile illnesses. A number of non-malaria febrile illnesses including Rift Valley Fever, dengue fever, Chikungunya virus infection, leptospirosis, tick-borne relapsing fever and Q-fever have been reported in Tanzania. This study aimed at assessing the awareness of communities and practices of health workers on non-malaria febrile illnesses.

methodsTwelve focus group discussions with members of communities and 14 in-depth interviews with health workers were conducted in Kilosa district, Tanzania. Transcripts were coded into different groups using MaxQDA software and analyzed through thematic content analysis.

resultsThe study revealed that the awareness of the study participants on non-malaria febrile illnesses was low and many community members believed that most instances of fever are due to malaria. In addition, the majority had inappropriate beliefs about the possible causes of fever. In most cases, non-malaria febrile illnesses were considered following a negative Malaria Rapid Diagnostic Test (mRDT) result or persistent fevers after completion of anti-malaria dosage. Therefore, in the absence of mRDTs, there is over diagnosis of malaria and under diagnosis of non-malaria illnesses. Shortages of diagnostic facilities for febrile illnesses including mRDTs were repeatedly reported as a major barrier to proper diagnosis and treatment of febrile patients.

conclusionOur results emphasize the need for creating community awareness on other causes of fever apart from malaria. Based on our study, appropriate treatment of febrile patients will require inputs geared towards strengthening of diagnostic facilities, drugs availability and optimal staffing of health facilities.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdolescentAdultCommunicable DiseasesCommunity Health ServicesCross-Sectional StudiesFemaleFeverFocus GroupsHealth PersonnelHumansMaleMiddle AgedTanzaniaYoung Adult

Identifiers

PMID24852787
PMCPMC4031176
OpenAlexW1999756102

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.