Evidence map›Paper›PMID 30637056›Full record

ArticleThe Pan African medical journal2018

Healthcare utilization for common infectious disease syndromes in Soweto and Klerksdorp, South Africa.

Karen Kai-Lun Wong, Claire von Mollendorf, Neil Martinson, Shane Norris, Stefano Tempia, Sibongile Walaza, Ebrahim Variava, Meredith Lynn McMorrow, Shabir Madhi, Cheryl Cohen and 1 more

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

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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

11 authors at 5 institutions in 2 countries.

Karen Kai-Lun WongCenters for Disease Control and Prevention, Atlanta, Georgia USA.
Claire von MollendorfNational Institute for Communicable Diseases, Johannesburg, South Africa.
Neil MartinsonMRC Developmental Pathways for Health Research Unit, University of Witwatersrand, Johannesburg, South Africa.
Shane NorrisUniversity of Witwatersrand, Johannesburg, South Africa.
Stefano TempiaCenters for Disease Control and Prevention, Atlanta, Georgia USA.
Sibongile WalazaNational Institute for Communicable Diseases, Johannesburg, South Africa.
Ebrahim VariavaUniversity of Witwatersrand, Johannesburg, South Africa.
Meredith Lynn McMorrowCenters for Disease Control and Prevention, Atlanta, Georgia USA.
Shabir MadhiNational Institute for Communicable Diseases, Johannesburg, South Africa.
Cheryl CohenNational Institute for Communicable Diseases, Johannesburg, South Africa.
Adam Lauren CohenCenters for Disease Control and Prevention, Atlanta, Georgia USA.
University of the Witwatersrand · ZAUnited States Public Health Service · USCenters for Disease Control and Prevention · USJohns Hopkins University · USNational Institute for Communicable Diseases

Funding

Research on the Epidemiology,Prevention,Vaccine Effectiveness and Treatment of Influenza and Other Respiratory Viruses in South Africa.09U01IP001048 · IP · NATIONAL HEALTH LABORATORY SERVICE · PI COHEN, CHERYL · 2016 to 2020
$19.9M
NCIRD CDC HHS U01 IP001048
6 · The paper itself

Abstract

introductionUnderstanding healthcare utilization helps characterize access to healthcare, identify barriers and improve surveillance data interpretation. We describe healthcare-seeking behaviors for common infectious syndromes and identify reasons for seeking care.

methodsWe conducted a cross-sectional survey among residents in Soweto and Klerksdorp, South Africa. Households were interviewed about demographic characteristics; recent self-reported episodes of pneumonia, influenza-like illness (ILI), chronic febrile respiratory illness and meningitis in individuals of all ages; recent diarrhea in children aged < 5 years; and consultation with healthcare facilities and providers.

resultsFrom July-October 2012, we interviewed 1,442 households in Klerksdorp and 973 households in Soweto. Public clinics were consulted most frequently for pneumonia, ILI and diarrhea in a child <5 years old at both sites; public hospitals were most frequently consulted for chronic respiratory and meningitis syndromes. Of all illness episodes reported, there were 110 (35%) in Klerksdorp and 127 (32%) in Soweto for which the person did not seek care with a licensed medical provider. Pharmacies were often consulted by individuals with pneumonia (Klerksdorp: 17, 16%; Soweto: 38, 22%) or ILI (Klerksdorp: 35, 24%; 44, 28%). Patients who did not seek care with a licensed provider reported insufficient time (Klerksdorp: 7%; Soweto, 20%) and lack of medications at the facility (Klerksdorp: 4%; Soweto: 8%) as barriers.

conclusionPublic government healthcare facilities are commonly consulted for infectious syndromes and pharmacies are frequently consulted particularly for respiratory diseases. Improving medication availability at healthcare facilities and streamlining healthcare delivery may improve access of licensed providers for serious illnesses.

Indexed as

AdolescentAdultAgedChildChild, PreschoolCommunicable DiseasesCross-Sectional StudiesDelivery of Health CareFemaleHealth FacilitiesHealth Services AccessibilityHumansInfantMaleMiddle AgedPatient Acceptance of Health CareDiarrheahealth servicesmeningitisrespiratory tract infectionsSouth Africa

Identifiers

PMID30637056
PMCPMC6317391
OpenAlexW2887650392

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.