{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T07:46:53Z","timestamp":1770882413542,"version":"3.50.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T00:00:00Z","timestamp":1582588800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"University of Nottingham Vice-Chancellors Scholarship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,26]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Lay diagnosis is a widely used diagnostic approach for home management of common illnesses in Nigeria. This study aimed to explore the perspectives of caregivers and healthcare professionals on lay diagnosis of childhood malaria and pneumonia. Aligned to this, the study sought to explore the feasibility of training caregivers in the Integrated Management of Childhood Illness (IMCI) guidelines for improved recognition and treatment of these diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study using individual face-to-face semi-structured interviews was conducted in Benin City, Nigeria. Participants included 13 caregivers with children under 5 years and 17 healthcare professionals (HPs). An inductive approach to thematic analysis was used to generate themes and analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Caregivers relied on lay diagnosis but recognised its limitations. The perceived severity of malaria and pneumonia significantly influenced caregivers\u2019 preference for reliance on lay diagnosis practices, health-seeking behaviour and willingness to undertake training in IMCI guidelines for home management of diseases. Safety and potential unintended misuse of medications were recognised by caregivers and HPs as the main challenges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The high level of acceptance among caregivers to receive IMCI training could help improve effective management of childhood malaria and pneumonia at the community level through early recognition and prompt treatment.<\/jats:p><\/jats:sec>","DOI":"10.1093\/pubmed\/fdaa015","type":"journal-article","created":{"date-parts":[[2020,1,7]],"date-time":"2020-01-07T12:16:12Z","timestamp":1578399372000},"page":"353-361","source":"Crossref","is-referenced-by-count":5,"title":["\u2018Everybody in Nigeria is a doctor\u2026\u2019: a qualitative study of stakeholder perspectives on lay diagnosis of malaria and pneumonia in Nigeria"],"prefix":"10.1093","volume":"42","author":[{"given":"Kelly O","family":"Elimian","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK"},{"name":"Department of Microbiology, Faculty of Life Sciences, University of Benin, P.M.B. 1154, Benin City, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Puja R","family":"Myles","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Revati","family":"Phalkey","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK"},{"name":"Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany and Public Health England, CRCE Chilton, OX11 0RQ, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayebo","family":"Sadoh","sequence":"first","affiliation":[{"name":"Institute of Child Health, University of Benin, P.M.B. 1154, Benin City, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Pritchard","sequence":"first","affiliation":[{"name":"Nottinghamshire County Council, NG15 7LA, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,2,25]]},"reference":[{"key":"2020052704201995400_ref1","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1016\/S0140-6736(16)31593-8","article-title":"Global, regional, and national causes of under-5 mortality in 2000-15: an updated systematic analysis with implications for the sustainable development goals","volume":"388","author":"Liu","year":"2016","journal-title":"Lancet (London, England)"},{"key":"2020052704201995400_ref2","volume-title":"Causes of Child Mortality, by Country, 2000\u20132010","author":"World Health Organization","year":"2014"},{"key":"2020052704201995400_ref3","volume-title":"Scaling Up Home-Based Management of Malaria: From Research to Implementation","author":"World Health Organization","year":"2004"},{"key":"2020052704201995400_ref4","doi-asserted-by":"crossref","first-page":"e100038","DOI":"10.1371\/journal.pone.0100038","article-title":"Local barriers and solutions to improve care-seeking for childhood pneumonia, diarrhoea and malaria in Kenya, Nigeria and Niger: a qualitative study. 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