Public health facility vulnerabilities, preparedness, and health outcomes for Plasmodium falciparum and dengue virus-infected children under 5 years with acute febrile illnesses in Western Kenya

Abstract

Public health facilities are not only vulnerable but also unprepared to contain the rising climate change-driven infectious disease burden. Even though healthcare facilities are fairly able to diagnose and treat malaria, the majority lack the ability to diagnose and treat dengue fever. Longer hospitalization was highest among children diagnosed with dengue fever. There is a need for enhanced arboviral disease surveillance and policies on integrated multisectoral approaches to reduce health system vulnerabilities and increase preparedness.