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

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The highest prevalence <strong>of</strong> fever is reported among children age 12-23 months (23 percent).<br />

Fever is least common among children age 48-59 months (12 percent).The proportion <strong>of</strong> children with<br />

fever differs by urban-rural residence, with 24 percent <strong>of</strong> urban children having fever in the two<br />

weeks before the survey as opposed to 18 percent in the rural areas. Liquiçá reported the highest<br />

proportions <strong>of</strong> children with fever (34 percent), while Ainaro had the lowest proportion (5 percent).<br />

Children older than 12 months are most likely to be given antimalarial drugs for the treatment<br />

<strong>of</strong> fever <strong>and</strong> to receive the drugs the same or the next day. There is hardly any urban-rural variation in<br />

getting antimalarial drugs. Children <strong>of</strong> mothers with no education are more likely to receive antimalarial<br />

drugs (8 percent) than children <strong>of</strong> mothers with primary <strong>and</strong> secondary education.<br />

Table 13.6 presents information on the type <strong>and</strong> timing <strong>of</strong> antimalarial drugs given to children<br />

under age 5 who had fever in the two weeks preceding the survey, by background characteristics.<br />

Fansidar is the most common antimalarial drug given to children with fever (3 percent), followed by<br />

chloroquine (2 percent), <strong>and</strong> quinine (1 percent). The very low percentage <strong>of</strong> children with fever<br />

treated with antimalarial drugs can be attributed to the revised protocol put in place since 2007 that<br />

advocates treatment for malaria upon confirmation by microscopy testing or Rapid Diagnostic Tests<br />

(RDTs). As discussed in Chapter 11, the majority <strong>of</strong> children with fever are prescribed paracetemol or<br />

antibiotics in the absence <strong>of</strong> the availability <strong>of</strong> RDTs or while waiting for the laboratory results<br />

Table 13.6 Type <strong>and</strong> timing <strong>of</strong> antimalarial drugs<br />

Among children under age 5 with fever in the two weeks preceding the survey, percentage who took specific antimalarial drugs <strong>and</strong> percentage<br />

who took each type <strong>of</strong> drug the same or next day after developing the fever, by background characteristics, <strong>Timor</strong>-<strong>Leste</strong> <strong>2009</strong>-<strong>10</strong><br />

Background<br />

characteristic<br />

SP/<br />

Fansidar<br />

Percentage <strong>of</strong> children who took drug:<br />

Chloroquine<br />

Quinine ACT<br />

Other<br />

antimalarial<br />

Percentage <strong>of</strong> children who took drug the same or<br />

next day:<br />

SP/<br />

Fansidar<br />

Chloroquine<br />

Quinine ACT<br />

Other<br />

antimalarial<br />

Number<br />

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

children<br />

with fever<br />

Age (in months)<br />

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