Inequities among the very poor: health care for children in rural southern Tanzania

摘要: Summary Background Few studies have been done to assess socioeconomic inequities in health African countries. We sought evidence of care by sex and status for young children living a poor rural area southern Tanzania. Methods In baseline household survey Tanzania early the implementation phase integrated management childhood illness (IMCI), we included cluster samples 2006 younger than 5 years four districts. Questions focused on extent which carers' knowledge illness, care-seeking outside home, facilities were consistent with IMCI guidelines messages. used principal components analysis develop relative index status, weighted scores information income sources, education head, assets. Findings 1026 (52%) 1968 reported having ill 2 weeks before survey. Carers 415 (41%) 1014 these had first from an appropriate provider. 71 (26%) carers families wealthiest quintile knew ⩾2 danger signs compared 48 (20%) those poorest (p=0·03 linear trend across quintiles) wealthier more likely bring their sick facility (p=0·02). Their poorer received antimalarials, antibiotics pneumonia (p=0·0001 0·0048, respectively). Interpretation Care-seeking behaviour is worse relatively rich families, even within society that might easily be assumed uniformly poor. http://image.thelancet.com/extras/02art2280web.pdf