Household Survey Report (Baseline), Uganda, 03/09 - 04/09
(2009; 29 pages)

The household survey is one of the ACTwatch research components. The objective of the household survey component is to monitor consumer treatment-seeking behaviour including choice of antimalarial and price paid for treatment. Data from the household survey are also used to identify determinants of appropriate treatment behaviour.

This report presents indicators on knowledge, beliefs, experiences and behaviour with respect to seeking treatment for fever in children under five years of age. A set of core indicators related to prompt and effective treatment and cost of antimalarials for treatment of children is presented first. A second expanded section contains indicators on treatment-seeking behaviour; caregiver knowledge, practices and beliefs; and information on acquired antimalarials including source and relative volumes. Indicators are presented at the child, caregiver and treatment (antimalarial drug) levels. Core indicators are presented across household wealth quintiles, high/low endemicity, caregiver knowledge and child age.

Household inclusion criteria for this study included presence of a household member under five years of age that experienced fever in the past 2 weeks. However, data were collected on treatment-seeking behaviour and experiences for all fevers that occurred among household members of all ages in the past 2 weeks. As such, data are presented for children under five in the main body of the report, and for people age five and above in Appendix A. Results for people age five and above should be interpreted with caution given the sampling design.

This study uses data from a cross-sectional household survey of children’s caregivers. A nationally-representative sample of households in Uganda was drawn using low/high endemic equal allocation stratification and three-stage cluster sampling, probability proportional to size (PPS)... Data were collected during the rainy season, from 16th March to 2nd April 2009. A total of 2,170 households were screened and 1,509 households met inclusion criteria and agreed to participate in the study. Among these households, 1,453 caregivers were interviewed regarding 1,752 children with fever in the two weeks preceding the survey. Additionally, caregivers and other household members were interviewed on episodes of fever among 572 people age five and above.

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