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Referral of children seeking care at private health facilities in Uganda

Overview of attention for article published in Malaria Journal, February 2017
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2 tweeters

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6 Dimensions

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53 Mendeley
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Title
Referral of children seeking care at private health facilities in Uganda
Published in
Malaria Journal, February 2017
DOI 10.1186/s12936-017-1723-1
Pubmed ID
Authors

Anthony K. Mbonye, Esther Buregyeya, Elizeus Rutebemberwa, Siân E. Clarke, Sham Lal, Kristian S. Hansen, Pascal Magnussen, Philip LaRussa

Abstract

In Uganda, referral of sick children seeking care at public health facilities is poor and widely reported. However, studies focusing on the private health sector are scanty. The main objective of this study was to assess referral practices for sick children seeking care at private health facilities in order to explore ways of improving treatment and referral of sick children in this sector. A survey was conducted from August to October 2014 in Mukono district, central Uganda. Data was collected using a structured questionnaire supplemented by Focus Group Discussions and Key Informant interviews with private providers and community members. A total of 241 private health facilities were surveyed; 170 (70.5%) were registered drug shops, 59 (24.5%) private clinics and 12 (5.0%) pharmacies. Overall, 104/241 (43.2%) of the private health facilities reported that they had referred sick children to higher levels of care in the two weeks prior to the survey. The main constraints to follow referral advice as perceived by caretakers were: not appreciating the importance of referral, gender-related decision-making and negotiations at household level, poor quality of care at referral facilities, inadequate finances at household level; while the perception that referral leads to loss of prestige and profit was a major constraint to private providers. In conclusion, the results show that referral of sick children at private health facilities faces many challenges at provider, caretaker, household and community levels. Thus, interventions to address constraints to referral of sick children are urgently needed.

Twitter Demographics

The data shown below were collected from the profiles of 2 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 53 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 19%
Researcher 9 17%
Student > Ph. D. Student 5 9%
Student > Postgraduate 3 6%
Student > Bachelor 3 6%
Other 10 19%
Unknown 13 25%
Readers by discipline Count As %
Medicine and Dentistry 12 23%
Social Sciences 8 15%
Nursing and Health Professions 6 11%
Pharmacology, Toxicology and Pharmaceutical Science 4 8%
Unspecified 2 4%
Other 4 8%
Unknown 17 32%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 February 2017.
All research outputs
#4,923,837
of 9,065,030 outputs
Outputs from Malaria Journal
#2,294
of 3,153 outputs
Outputs of similar age
#179,122
of 316,410 outputs
Outputs of similar age from Malaria Journal
#101
of 130 outputs
Altmetric has tracked 9,065,030 research outputs across all sources so far. This one is in the 27th percentile – i.e., 27% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,153 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.1. This one is in the 20th percentile – i.e., 20% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 316,410 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 130 others from the same source and published within six weeks on either side of this one. This one is in the 13th percentile – i.e., 13% of its contemporaries scored the same or lower than it.