A critical review of behavioral issues related to malaria control in sub-Saharan Africa:

Williams, Holly Ann; Jones, Caroline

doi:10.1016/j.socscimed.2003.11.010

Cited by 214 publications

(249 citation statements)

References 72 publications

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“…The majority of studies were excluded as they did not report on an intervention, generally reporting instead on current practices of providers [41][42][43] and/or users [44][45][46] ; a number of papers found were literature reviews 7,11,47,48 or related to changing national drug policies 49 or wider health systems issues. 8,50 Approximately 37% (23/63) of studies that did include interventions to improve prompt and effective treatment of malaria were excluded as they did not include an appropriate evaluation method for assessing the outcomes of the intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Recent reviews have provided information on the factors that influence treatment seeking behavior 7 and behavior of certain categories of healthcare providers, [8][9][10] but to date no over-arching comparison has been made of the relative effectiveness of the various interventions to improve these behaviors or their resulting impact on the diagnosis and effective treatment of patients with malaria within the first day of their illness. If we want to reach the RBM targets, we first need to identify those interventions that are most successful at improving access to prompt and effective malaria diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

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Review: Provider Practice and User Behavior Interventions to Improve Prompt and Effective Treatment of Malaria: Do We Know What Works?

Smith

Jones²,

Meek³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

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Abstract. Effective case management of uncomplicated malaria is a cornerstone of successful malaria control. With current calls for the global elimination of malaria, all strategies to control malaria need to reach the highest achievable level of effective implementation. A systematic literature review of all interventions to improve provider-and/or userside behavior in the prompt and appropriate treatment of uncomplicated malaria (with appropriate evaluation design and Roll Back Malaria outcome indicators) found 23 studies for review. Only 16 studies targeted providers, nine in the public sector and seven in the private sector. Just four interventions were conducted at national scale. These data suggest that very little is known about what interventions work in improving prompt and effective treatment of malaria. In the context of scaling up effective malaria control and malaria elimination plans and in increasing access to artemisinin combination therapies (ACTs), increased research in this area is crucial.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Review: Provider Practice and User Behavior Interventions to Improve Prompt and Effective Treatment of Malaria: Do We Know What Works?

Smith

Jones²,

Meek³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

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“…The study focused on exploring past evidences about malaria etiology, prevention, and control. 29,30 Ultimately, the goal of this study is to elucidate these relationships and help inform the malaria control debate on better strategies to sustainably reduce the burden of the disease, especially among those most vulnerable. In the subsequent section, we describe the possible logical relationships between maternal education and childhood malaria infections.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Njau¹,

Stephenson²,

Menon³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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Abstract. The relationship between maternal education and child health has intrigued researchers for decades. This study explored the interaction between maternal education and childhood malaria infection. Cross-sectional survey data from three African countries were used. Descriptive analysis and multivariate logistic regression models were completed in line with identified correlates. Marginal effects and Oaxaca decomposition analysis on maternal education and childhood malaria infection were also estimated. Children with mothers whose education level was beyond primary school were 4.7% less likely to be malaria-positive (P 0.001). The Oaxaca decomposition analysis exhibited an 8% gap in childhood malaria infection for educated and uneducated mothers. Over 60% of the gap was explained by differences in household wealth (26%), household place of domicile (21%), malaria transmission intensities (14%), and media exposure (12%). All other correlates accounted for only 27%. The full adjusted model showed a robust and significant relationship between maternal education and childhood malaria infection.

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“…Drugs are also widely available without consultation from pharmacies, drug stores and general shops, though pharmacies are rare in rural areas. Care-seekers frequently choose such outlets over government health facilities because retailers are more accessible, have longer opening hours, provide quicker service, have more reliable drug stocks, and are perceived as relatively courteous and approachable (Williams and Jones, 2004). Drug shops sell a wide range of over-the-counter medicines, including painkillers.…”

Section: Introductionmentioning

confidence: 99%

Concentration and drug prices in the retail market for malaria treatment in rural Tanzania

et al. 2009

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The impact of market concentration has been little studied in markets for ambulatory care in the developing world, where the retail sector often accounts for a high proportion of treatments. This study begins to address this gap through an analysis of the consumer market for malaria treatment in rural areas of three districts in Tanzania. We developed methods for investigating market definition, sales volumes and concentration, and used these to explore the relationship between antimalarial retail prices and competition. The market was strongly geographically segmented and highly concentrated in terms of antimalarial sales. Antimalarial prices were positively associated with market concentration. High antimalarial prices were likely to be an important factor in the low proportion of care-seekers obtaining appropriate treatment. Retail sector distribution of subsidised antimalarials has been proposed to increase the coverage of effective treatment, but this analysis indicates that local market power may prevent such subsidies from being passed on to rural customers. Policymakers should consider the potential to maintain lower retail prices by decreasing concentration among antimalarial providers and recommending retail price levels. Copyright © 2009 John Wiley & Sons, Ltd.

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A critical review of behavioral issues related to malaria control in sub-Saharan Africa:

Cited by 214 publications

References 72 publications

Review: Provider Practice and User Behavior Interventions to Improve Prompt and Effective Treatment of Malaria: Do We Know What Works?

Review: Provider Practice and User Behavior Interventions to Improve Prompt and Effective Treatment of Malaria: Do We Know What Works?

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Concentration and drug prices in the retail market for malaria treatment in rural Tanzania

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