Utilization of Healthcare in the Typhoid Fever Surveillance in Africa Program. Utilization of Healthcare in the Typhoid Fever Surveillance in Africa Program. Suppl 1. S5. 6- 6. BACKGROUNDAssessing healthcare utilization is important to identify weaknesses of healthcare systems, to outline action points for preventive measures and interventions, and to more accurately estimate the disease burden in a population. METHODSA healthcare utilization survey was developed for the Typhoid Fever Surveillance in Africa Program (TSAP) to adjust incidences of salmonellosis determined through passive, healthcare facility- based surveillance. This cross- sectional survey was conducted at 1. Saharan African countries. Demographic data and healthcare- seeking behavior were assessed at selected households. Overall and age- stratified percentages of each study population that sought healthcare at a TSAP healthcare facility and elsewhere were determined. RESULTSOverall, 8. Polesgo and Nioko 2, Burkina Faso, respectively, and 6. Butajira, Ethiopia, sought healthcare for fever at any TSAP healthcare facility. A far smaller proportion- namely, 2. Bissau, Guinea- Bissau (1. Pikine, Senegal (1. Wad- Medani, Sudan (8. Baker S(1), Hombach J(2), Marks F(3). Author information: (1)Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme, Oxford University Clinical Research Unit, Ho Chi Minh City, Vietnam Centre for Tropical. The Global Burden of Typhoid Fever Three studies included for the burden of TF on the African continent: The Typhoid Fever Surveillance in Africa Program (TSAP) was established in 2009 to fill the data void concerning invasive Salmonella disease in sub-Saharan Africa, and to specifically estimate the burden of bloodstream.
Pietermaritzburg, South Africa (6. Imerintsiatosika and Isotry, Madagascar, respectively; and 4% (1. Typhoid Fever Surveillance In Africa ProgrammeMoshi, Tanzania- sought healthcare at a TSAP healthcare facility. Patients with fever preferred to visit pharmacies in Imerintsiatosika and Isotry, and favored self- management of fever in Moshi. Age- dependent differences in healthcare utilization were also observed within and across sites. CONCLUSIONSHealthcare utilization for fever varied greatly across sites, and revealed that not all studied populations were under optimal surveillance. This demonstrates the importance of assessing healthcare utilization. Survey data were pivotal for the adjustment of the program's estimates of salmonellosis and other conditions associated with fever. Still University. Aarhus University. Adams State University. Adelphi University. Albany College of Pharmacy and Health Sciences. Albany Medical College. Albert Einstein College of Medicine. 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