Table 2.
Codes, categories, and themes of the study
Theme | The emergence of unclassified fever as diagnosis | ||||||
---|---|---|---|---|---|---|---|
Subthemes | The meaning of “fever” | Changes in fever management | Trade-offs between follow-up recommendations | ||||
Categories | Visibility of the disease | Fever without malaria | Health workers as focal point for fever management | Renegotiating the need of medicine | Reporting raises attention | Conditional follow-up: Reducing the number of visits to health facilities | Universal follow-up as continuum of care |
Codes | Caregivers want a malaria diagnosis | Fever not only caused by malaria | HEWs as educators | Never send patients back empty handed | Giving attention to fever | Reduction in visits to health facility | Following process of disease and visibility of diagnostic outcome |
Fever expected to be malaria | Unclassified fever is no disease | Communication between HEWs and caregivers | Caregivers insist on medicine | HEWs’ desire for knowledge | Possibility for additional services and diagnosis when needed | Reduction in diagnostic uncertainty | |
Concerns about the child’s illness | Child is free of disease | HEWs play a role as health professionals | Caregivers comply with follow-up recommendation | Fever alone recognized as illness | Separation of illness cases | Possibility for additional services and diagnosis | |
Blood tests | – | HEWs give advice | Recovery of child equals correct diagnosis | Reporting as a task of HEWs | Recommendation reduces referral and costs | Facilitating mothers to return for follow-up | |
Disease could not be seen | – | – | No medicine given as treatment at health posts | Conducting follow-ups during outreach activities | – | Seeing the same child twice | |
– | – | – | Drugs as incentive to seek care at health posts | – | – | – |