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首页> 外文期刊>BMC Pediatrics >Slow progress in diarrhea case management in low and middle income countries: evidence from cross-sectional national surveys, 1985–2012
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Slow progress in diarrhea case management in low and middle income countries: evidence from cross-sectional national surveys, 1985–2012

机译：中低收入国家腹泻病例管理进展缓慢：1985-2012年横断面全国调查的证据

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Background Diarrhea remains to be a main cause of childhood mortality. Diarrhea case management indicators reflect the effectiveness of child survival interventions. We aimed to assess time trends and country-wise changes in diarrhea case management indicators among under-5 children in low-and-middle-income countries. Methods We analyzed aggregate data from Demographic and Health Surveys and Multiple Indicator Cluster Surveys done from 1986 to 2012 in low-and-middle-income countries. Two-week prevalence rates of diarrhea, caregiver’s care seeking behavior and three case management indicators were analyzed. We assessed overall time trends across the countries using panel data analyses and country-level changes between two sequential surveys. Results Overall, yearly increase in case management indicators ranged from 1?·?3 to 2?·?5%. In the year 2012, Conclusions Very limited progress has been made in the case management of childhood diarrhea. A better understanding of caregiver’s care seeking behavior and health care provider’s case management practices is needed to improve diarrhea case management in low- and-middle-income countries.
机译：背景技术腹泻仍然是儿童死亡率的主要原因。腹泻病例管理指标反映了儿童生存干预措施的有效性。我们旨在评估中低收入国家5岁以下儿童的腹泻病例管理指标的时间趋势和国家变化。方法我们分析了1986年至2012年在中低收入国家进行的人口与健康调查和多指标类集调查的汇总数据。分析了两周的腹泻患病率，看护者的就医行为以及三个病例管理指标。我们使用面板数据分析和两次连续调查之间的国家级变化评估了整个国家的总体时间趋势。结果总体而言，病例管理指标的年度增长幅度为1-3％至5％。结论在2012年，儿童腹泻的病例管理进展非常有限。为了改善中低收入国家的腹泻病例管理，需要更好地了解照护者的就医行为和医护人员的病例管理做法。

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