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Demographic and Health Survey 2009-10 - Timor-Leste Ministry of ...

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138 | Child <strong>Health</strong><br />

Seventy-three percent <strong>of</strong> children with a fever were taken to a health facility or provider for<br />

treatment. Six percent <strong>of</strong> children under age 5 with fever in the two weeks preceding the survey were<br />

given antimalarial drugs, <strong>and</strong> 36 percent received antibiotics. According to the Integrated<br />

Management <strong>of</strong> Childhood Illness (IMCI) <strong>and</strong> the national malaria treatment guidelines, all children<br />

with fever should be tested for malaria parasites using either a microscope or rapid diagnostic test<br />

(RDT) for final diagnosis or classification. Thus, not all children with fever are treated with<br />

antimalarial drugs. Treatment <strong>of</strong> malaria is also dependent on the availability <strong>of</strong> appropriate<br />

antimalarial drugs, RDTs, <strong>and</strong> microscopy tests in health facilities or at SISCa. However, in the<br />

absence <strong>of</strong> the primary use <strong>of</strong> RDTs, the use <strong>of</strong> microscopy testing is promoted in health facilities, <strong>and</strong><br />

patients with fever are immediately prescribed paracetamol or antibiotics even before the malaria test<br />

results are returned (see detailed discussion in Chapter 13). Differentials in the percentage <strong>of</strong> children<br />

for whom advice or treatment is sought by background characteristics such as mother’s education <strong>and</strong><br />

wealth status are minimal.<br />

Table 11.6 Prevalence <strong>and</strong> treatment <strong>of</strong> fever<br />

Among children under age 5, the percentage who had a fever in the two weeks preceding the survey; <strong>and</strong><br />

among children with fever, the percentage <strong>of</strong> children for whom treatment was sought from a health facility or<br />

provider, the percentage who took antimalarial drugs, <strong>and</strong> the percentage who took antibiotic drugs, by<br />

background characteristics, <strong>Timor</strong>-<strong>Leste</strong> <strong>2009</strong>-<strong>10</strong><br />

Among children under<br />

age 5: Children under age 5 with fever<br />

Background<br />

characteristic<br />

Percentage<br />

with fever<br />

Number <strong>of</strong><br />

children<br />

Percentage<br />

for whom<br />

advice or<br />

treatment<br />

was sought<br />

from a health<br />

facility or<br />

provider 1<br />

Percentage<br />

who took<br />

antimalarial<br />

drugs<br />

Percentage<br />

who took<br />

antibiotic<br />

drugs<br />

Number <strong>of</strong><br />

children<br />

Age in months<br />

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