Treating fever in children under 5 years of age: caregiver perceptions of community health worker services in Dangme West district, Ghana

M. Abbey*, L.K. Bartholomew, M. Pappoe, B. van den Borne

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background: Integrated community case management of childhood illnesses is a key strategy to help reduce mortality in children under 5 years; particularly those with difficult access to treatment. However, the success of such strategies depends on community utilization of services. This study assessed community utilization, perceptions and related factors of community health worker services. Methods: Data were gathered from a cross-sectional survey among 562 caregivers and focus group discussions among 84 caregivers. Factors related to utilization of community health workers (CHWs) for management of childhood fevers were analyzed using logistic regression and focus group discussions to explore caregiver perceptions of CHW activities. Results: Utilization of CHWs for management of fever in under-5s was 59.4%. Caregivers who were exposed to the communication intervention were about four times more likely to use the services of the CHWs compared to those who were not exposed (OR 3.79; 95% CI 2.62-5.49; p
Original languageEnglish
Pages (from-to)455-463
JournalInternational Health
Issue number6
Publication statusPublished - 1 Jan 2015

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