Rwanda Medical Journal
Rwanda Health Communication Center - Rwanda Biomedical Center (RHCC - RBC)
Vol. 78, No. 1, 2021, pp. 30-37
Bioline Code: rw21005
Full paper language: English
Document type: Research Article
Document available free of charge
Rwanda Medical Journal, Vol. 78, No. 1, 2021, pp. 30-37
© Copyright 2021 - The Author(s)
Pre-Hospital Treatment of Children with Fever: Beliefs and Practices of Caregivers in Ado-Ekiti, South-West Nigeria|
Fadare, J.O.; Olatunya, O.S.; Babatola, A.O.; Fatunla, O.; Omoniyi, E. & Taiwo, A.B.
BACKGROUND: Fever is a common complaint among children presenting in healthcare facilities
worldwide, and its timely treatment can reduce the severity and consequences of childhood
febrile diseases. This study set out to investigate the pre-hospital treatment of childhood fever in
a semi-urban town in South-west Nigeria. The main objective was to assess the practice of pre-hospital
treatment of fever among caregivers attending the children outpatients’ clinic.
METHODS: A questionnaire-based descriptive cross-sectional study was conducted among 256
caregivers who brought their febrile wards to the children outpatients` clinic during the study
RESULTS: Two-hundred and fifty-six caregivers were interviewed during the study period.
The median age of children in the study was 24 months, with males (154/60.2%) making up
the majority. Caregivers checked for fever in their wards by touching (220/85.9%) and using a
thermometer (28/10.9%). The majority (175/68.4%) of the caregivers had given the children
one form of drug treatment before presenting at the teaching hospital. Before presenting at
the hospital, the median time (delay) was two days, with most caregivers (105/59.3%) obtaining
drugs from patent medicine stores. Common medications used in the pre-hospital treatment of
fever by caregivers were paracetamol (172/51.8%), anti-malarial drugs (82/24.7%), antibiotics
(49/14.8%) and vitamins (29/8.7%).
CONCLUSION: Pre-hospital treatment of fever was a common practice among respondents in
this study. Education of caregivers on early recognition of common childhood febrile diseases and
the institution of appropriate, timely home management should be incorporated into the care
package for children presenting with febrile illnesses in Nigeria.
Home Treatment; Fever; Children; Perception; Belief; Practice; Caregivers
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