{
  "abstract": "Objective\n\nTo describe the development of a health education package promoting recognition of childhood pneumonia danger signs and to assess its influence on caregivers' health-seeking behavior (HSB) in the Philippines.Results\n\nThe Risk Education for high-risk groups in the Community (REC) for acute respiratory infection (ARI) was developed using local pneumonia surveillance data. Community health workers in Caibiran and Kawayan, Biliran Island, were trained to deliver REC messages to caregivers of cohort children under five years of age. During the intervention period, cohort children experienced 3.77 ARI episodes and 0.81 pneumonia episodes per 10,000 child-years, both lower than during the pre-intervention period. The proportion of consultations diagnosed as fast-breathing pneumonia (14.9%) and severe pneumonia (1.2%) increased compared to the pre-intervention period. Caregivers reported cough, colds, and fast breathing as main symptoms prompting health facility consultation. More than half of children with fast-breathing pneumonia (53%) and chest-in-drawing pneumonia (53%) sought care at the rural health unit. These findings suggest that community-based risk communication may improve caregivers' recognition of pneumonia danger signs and encourage timely care seeking. A broader understanding of the social and contextual factors shaping HSB is needed to strengthen long-term strategies for reducing childhood pneumonia morbidity and mortality.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine-Department of Health, 9002 Research Drive, Filinvest Corporate City, Alabang, Muntinlupa, 1781, Philippines. drmarkdonaldrn@gmail.com.",
    "Heidelberg Institute of Global Health, Faculty of Medicine and University Hospital, Heidelberg University, Heidelberg, Germany. drmarkdonaldrn@gmail.com.",
    "Department of Epidemiology and Biostatistics, Research Institute for Tropical Medicine-Department of Health, 9002 Research Drive, Filinvest Corporate City, Alabang, Muntinlupa, 1781, Philippines.",
    "Department of Global Health and Infectious Diseases, Graduate School of Medicine, Tohoku University, Sendai, Japan.",
    "Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.",
    "Research Institute for Tropical Medicine-Department of Health, Muntinlupa, Philippines."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Mark Donald C Reñosa",
      "orcid": "0000-0002-7414-7174"
    },
    {
      "affs": [
        2
      ],
      "name": "Alvin G Tan"
    },
    {
      "affs": [
        3
      ],
      "name": "Clyde P Dapat"
    },
    {
      "affs": [
        2
      ],
      "name": "Jhoys M Landicho-Guevarra"
    },
    {
      "affs": [
        4
      ],
      "name": "Raita Tamaki"
    },
    {
      "affs": [
        3
      ],
      "name": "Hitoshi Oshitani"
    },
    {
      "affs": [
        2
      ],
      "name": "Veronica L Tallo"
    },
    {
      "affs": [
        5
      ],
      "name": "Socorro P Lupisan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a8z6shs58xvmz.bib",
  "cited_by": 0,
  "doi": "10.1186/s13104-026-07968-3",
  "fulltext_url": "https://europepmc.org/articles/PMC13729570",
  "id": "a8z6shs58xvmz",
  "issns": [
    "1756-0500"
  ],
  "landing_url": "https://europepmc.org/article/MED/42972420",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research Note"
    ],
    [
      "openalex",
      "2713|Pneumonia and Respiratory Infections"
    ]
  ],
  "openalex": "W7196944190",
  "pdf_url": "https://europepmc.org/articles/PMC13729570?pdf=render",
  "pmcid": "PMC13729570",
  "pmid": "42972420",
  "published": "2026-08-06",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/a8z6shs58xvmz.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:49Z",
      "native_id": "MED:42972420",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42972420"
    },
    {
      "first_seen": "2026-11-07T12:22:18Z",
      "native_id": "PMC13729570",
      "source": "pmc",
      "url": "https://doi.org/10.1186/s13104-026-07968-3"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Pneumonia and Respiratory Infections",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Reinforcing recognition of danger signs of childhood pneumonia: results of a pilot health education intervention study in Biliran Island, Philippines.",
  "title_text": "Reinforcing recognition of danger signs of childhood pneumonia: results of a pilot health education intervention study in Biliran Island, Philippines.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:18Z",
  "url": "https://research.draconitic.com/paper/a8z6shs58xvmz",
  "venue": "BMC research notes",
  "versions": []
}