The impact of primary health care on malaria morbidity--defining access by disease burden.
OBJECTIVES: Primary care facilities are increasingly becoming the focal point for distribution of malaria intervention strategies, but physical access to these facilities may limit the extent to which communities can be reached. To investigate the impact of travel time to primary care on the incide...
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
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2009
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| _version_ | 1826266972467232768 |
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| author | O'Meara, W Noor, A Gatakaa, H Tsofa, B McKenzie, F Marsh, K |
| author_facet | O'Meara, W Noor, A Gatakaa, H Tsofa, B McKenzie, F Marsh, K |
| author_sort | O'Meara, W |
| collection | OXFORD |
| description | OBJECTIVES: Primary care facilities are increasingly becoming the focal point for distribution of malaria intervention strategies, but physical access to these facilities may limit the extent to which communities can be reached. To investigate the impact of travel time to primary care on the incidence of hospitalized malaria episodes in a rural district in Kenya. METHODS: The incidence of hospitalized malaria in a population under continuous demographic surveillance was recorded over 3 years. The time to travel to the nearest primary health care facility was calculated for every child between birth and 5 years of age and trends in incidence of hospitalized malaria as a function of travel time were evaluated. RESULTS: The incidence of hospitalized malaria more than doubled as travel time to the nearest primary care facility increased from 10 min to 2 h. Good access to primary health facilities may reduce the burden of disease by as much as 66%. CONCLUSIONS: Our results highlight both the potential of the primary health care system in reaching those most at risk and reducing the disease burden. Insufficient access is an important risk factor, one that may be inequitably distributed to the poorest households. |
| first_indexed | 2024-03-06T20:47:03Z |
| format | Journal article |
| id | oxford-uuid:364301d0-0f66-4d5d-95a5-e9b140ded042 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:47:03Z |
| publishDate | 2009 |
| record_format | dspace |
| spelling | oxford-uuid:364301d0-0f66-4d5d-95a5-e9b140ded0422022-03-26T13:36:46ZThe impact of primary health care on malaria morbidity--defining access by disease burden.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:364301d0-0f66-4d5d-95a5-e9b140ded042EnglishSymplectic Elements at Oxford2009O'Meara, WNoor, AGatakaa, HTsofa, BMcKenzie, FMarsh, K OBJECTIVES: Primary care facilities are increasingly becoming the focal point for distribution of malaria intervention strategies, but physical access to these facilities may limit the extent to which communities can be reached. To investigate the impact of travel time to primary care on the incidence of hospitalized malaria episodes in a rural district in Kenya. METHODS: The incidence of hospitalized malaria in a population under continuous demographic surveillance was recorded over 3 years. The time to travel to the nearest primary health care facility was calculated for every child between birth and 5 years of age and trends in incidence of hospitalized malaria as a function of travel time were evaluated. RESULTS: The incidence of hospitalized malaria more than doubled as travel time to the nearest primary care facility increased from 10 min to 2 h. Good access to primary health facilities may reduce the burden of disease by as much as 66%. CONCLUSIONS: Our results highlight both the potential of the primary health care system in reaching those most at risk and reducing the disease burden. Insufficient access is an important risk factor, one that may be inequitably distributed to the poorest households. |
| spellingShingle | O'Meara, W Noor, A Gatakaa, H Tsofa, B McKenzie, F Marsh, K The impact of primary health care on malaria morbidity--defining access by disease burden. |
| title | The impact of primary health care on malaria morbidity--defining access by disease burden. |
| title_full | The impact of primary health care on malaria morbidity--defining access by disease burden. |
| title_fullStr | The impact of primary health care on malaria morbidity--defining access by disease burden. |
| title_full_unstemmed | The impact of primary health care on malaria morbidity--defining access by disease burden. |
| title_short | The impact of primary health care on malaria morbidity--defining access by disease burden. |
| title_sort | impact of primary health care on malaria morbidity defining access by disease burden |
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