Evidence map›Paper›PMID 36900933›Full record

ArticleInternational journal of environmental research and public health2023

Improving the Management of Children with Fevers by Healers in Native Rural Areas in the South of Ecuador.

Estefanía Bautista-Valarezo, Maria Elena Espinosa, Narciza Eugenia Arce Guerrero, Veronique Verhoeven, Kristin Hendrickx, Nele R M Michels

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Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 98% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 4 institutions in 3 countries.

Estefanía Bautista-ValarezoFacultad de Ciencias de la Salud, Universidad Técnica Particular de Loja, Loja 1101608, Ecuador.ORCID 0000-0002-6012-3403
Maria Elena EspinosaFacultad de Ciencias de la Salud, Universidad Técnica Particular de Loja, Loja 1101608, Ecuador.
Narciza Eugenia Arce GuerreroFacultad de Ciencias Médicas, Universidad de Cuenca, Cuenca 010203, Ecuador.
Veronique VerhoevenDepartment of Family Medicine and Population Health, School of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.ORCID 0000-0002-3708-6501
Kristin HendrickxPrograma de Doctorado en Ciencias Médicas, Universidad de la Frontera, Temuco 4811230, Chile.
Nele R M MichelsDepartment of Family Medicine and Population Health, School of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium.ORCID 0000-0003-1971-0793
Universidad Técnica Particular de Loja · ECUniversity of Antwerp · BEUniversidad de La Frontera · CLUniversity of Cuenca · EC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndigenous populations are represented among the poor and disadvantaged in rural areas. High rates of infectious diseases are observed in indigenous child populations, and fever as a general symptom is common.

objectiveWe aim to improve the skills of healers in rural indigenous areas in the South of Ecuador for managing children with fevers.

methodWe performed participatory action research (PAR) for this study with 65 healers.

resultsThe PAR focused on the following four phases: (1) 'observation,' eight focus groups were used. (2) 'planning' phase was developed, and with culturally reflective peer group sessions, a culturally adapted flowchart was constructed titled "Management of children with fever." In phase (3): 'action', the healers were trained to manage children with fever. Phase (4): 'evaluation', 50% of the healers used the flowchart.

conclusionsExplicit recognition of the need for traditional healers and health professionals in indigenous communities to work together to improve health indicators such as infant mortality exists. Additionally, strengthening the transfer system in rural areas is based on knowledge and cooperation between the community and the biomedical system.

Indexed as

FeverTraditional Medicine PractitionersChildEcuadorHumansalarm signschildrenfeversocioeconomic factorstraditional medicine

Identifiers

PMID36900933
PMCPMC10001595
OpenAlexW4321599176

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read4
measurements read7
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.