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Utilization and accessibility of healthcare on Pemba Island, Tanzania: implications for health outcomes and disease surveillance for typhoid fever

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dc.contributor.author Kaljee, L. M.
dc.contributor.author Pach, A.
dc.contributor.author Thriemer, K.
dc.contributor.author Ley, B.
dc.contributor.author Ali, S. M.
dc.contributor.author Jiddawi, M.
dc.contributor.author Puri, M.
dc.contributor.author von Seidlein, L.
dc.contributor.author Deen, J.
dc.contributor.author Ochiai, L.
dc.contributor.author Wierzba, T.
dc.contributor.author Clemens, J.
dc.date.accessioned 2013-03-29T13:32:33Z
dc.date.available 2013-03-29T13:32:33Z
dc.date.issued 2013
dc.identifier.issn 0002-9637
dc.identifier.doi http://dx.doi.org/10.4269/ajtmh.2012.12-0288
dc.identifier.other ITG-C3B
dc.identifier.other DCS
dc.identifier.other U-TROPIC
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other Abstract
dc.identifier.other UPD55
dc.identifier.uri http://hdl.handle.net/10390/7407
dc.description.abstract Salmonella enterica serotype Typhi (S. Typhi) was estimated to cause over 200,000 deaths and more than 21 million illnesses worldwide, including over 400,000 illnesses in Africa. The current study was conducted in four villages on Pemba Island, Zanzibar, in 2010. We present data on policy makers', health administrators', and village residents' and leaders' perceptions of typhoid fever, and hypothetical and actual health care use among village residents for typhoid fever. Qualitative data provided descriptions of home-based treatment practices and use of western pharmaceuticals, and actual healthcare use for culture-confirmed typhoid fever. Survey data indicate health facility use was associated with gender, education, residency, and perceptions of severity for symptoms associated with typhoid fever. Data have implications for education of policy makers and health administrators, design and implementation of surveillance studies, and community-based interventions to prevent disease outbreaks, decrease risks of complications, and provide information about disease recognition, diagnosis, and treatment. en
dc.language English en
dc.subject Bacterial diseases en
dc.subject Typhoid fever en
dc.subject Salmonella enterica en
dc.subject Salmonella typhi en
dc.subject Health care en
dc.subject Accessibility en
dc.subject Utilization en
dc.subject Perceptions en
dc.subject Health workers en
dc.subject Patients en
dc.subject Home-based care en
dc.subject Practices en
dc.subject Pharmaceutical products en
dc.subject Associations en
dc.subject Gender en
dc.subject Educational status en
dc.subject Severity en
dc.subject Symptoms en
dc.subject Health care seeking behavior en
dc.subject Tanzania en
dc.subject Africa, East en
dc.subject Indian Ocean en
dc.title Utilization and accessibility of healthcare on Pemba Island, Tanzania: implications for health outcomes and disease surveillance for typhoid fever en
dc.type Article en
dc.citation.issue 1 en
dc.citation.jtitle American Journal of Tropical Medicine and Hygiene en
dc.citation.volume 88 en
dc.citation.pages 144-152 en
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/23208887
dc.citation.jabbreviation Am J Trop Med Hyg en


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