A community-based cluster survey on preferences for treatment of diarrhoea and dysentery in Zhengding County, Hebei Province, China

Wang Xuan-Yi, Lorenz von Seidlein, Susan E. Robertson, Ma Jin-Cheng, Han Chang-Quan, Zhang Ying-Lin, Hyejon Lee, Liu Wei, Mohammand Ali, John D. Clemens, Xu Zhi-Yi

Research output: Contribution to journalArticlepeer-review

Abstract

Passive surveillance on the burden of disease due to diarrhoea will underestimate the burden if families use healthcare providers outside the surveillance system. To study this issue, a community-based cluster survey was conducted duging October 2001 in the catchment area for a passive surveillance study in Zhengding county, a rural area of northern China. Interviews were conducted at 7 randomly-selected households in each of 39 study villages. The respondents indicated where they sought initial care for cases of diarrhoea or dysentery among children or adults. In the absence of diarrhoea and dysentery cases in the household in the preceding four weeks, the respondents were asked about healthcare use for a hypothetical case. Overall, 80% (95% confidence interval [CI] 67-93%) would chose the village clinic, 11% village pharmacy (95% CI 1-22%), 4% township hospital (95% CI-1-10%), 4% self-treatment (95%, CI 1-8%), and 1% county hospital (95% CI 0-2%). Approximately, 84% of patients would seek treatment for diarrhoea and dysentery at centres participating in passive surveillance, suggesting that passive surveillance will provide a relatively accurate assessment of burden of diarrhoea in Zhengding county.

Original languageEnglish (US)
Pages (from-to)104-112
Number of pages9
JournalJournal of Health, Population and Nutrition
Volume22
Issue number2
StatePublished - Jun 1 2004

Keywords

  • China
  • Cluster survey
  • Diarrhoea
  • Dysentery
  • Healthcare-seeking behaviour
  • Passive surveillance

ASJC Scopus subject areas

  • Food Science
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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