Assessment of Malawian Mothers’ Malaria Knowledge, Healthcare Preferences and Timeliness of Seeking Fever Treatments for Children Under Five

Oyekale, Abayomi Samuel

doi:10.3390/ijerph120100521

Cited by 32 publications

(32 citation statements)

References 42 publications

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“…This by implication indicates that households' that answered yes to the question of whether they use private hospital when sick had significantly higher probability of having good health when compared with their counterparts who answered no. This is in line with previous finding such as Oyekale (2015) who opined that many poor households seek free malaria treatment from public hospitals, but that should not be at the detriment of quality and efficiency. That by implication indicates that private hospitals are known to always deliver quality service than their public counterpart and this could be the reason why it enhances the respondents' health status.…”

Section: Logistic Regression Analysis Results Of Socioeconomic and Envsupporting

confidence: 92%

Farming Households’ Environment, Nutrition and Health Interplay in Southwest, Nigeria

Omotayo¹

2016

IJSRK

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The pervasive implication of environmental and socioeconomic challenge(s) poses serious threat to nutritionalhealth and agricultural sustainability in Nigeria. This study adopts the UNICEF's conceptual framework of undernutrition to investigate factors influencing farming households' nutrition and the determinants of health status in the Southwestern part of Nigeria. The results presented here relied on data collected on households' environmental, socioeconomic , nutrition and health profile through multistage random sampling of 450 households selected from the Southwest geopolitical zone of Nigeria using well-structured questionnaires, out of which 420 with complete information was carefully selected and used. Descriptive statistics {percentage, frequency, mean}, anthropometric measure {Households' Dietary Diversity Scores {HDDS}} and inferential statistics {Poisson Regression and Logistic regression model} were used for the data analysis. The result shows that the farmers were ageing, given an average highest age of farmers in Oyo state (54.60 ±11.30 years) with highest average years of farming experience (19.57± 13.04) in Osun state while the average years of schooling were highest in Ogun state (10.28 ± 5.18 years).No waste removal (27.86%), littering (21.90%) and land degradation (21.67%) were the most identified environmental problems by the farmers. Furthermore, Poisson regression model was fitted to determine factors influencing farming households' nutrition status and it produced a good fit while Logistic model indicates the determinants of health. It was concluded that socio economic and environmental factors contributes to households' nutrition and health status in the study area. Promotion of informal nutrition and environmental-health education among farmers for sustainable agricultural system was recommended among others.

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Section: Logistic Regression Analysis Results Of Socioeconomic and Envsupporting

confidence: 92%

Farming Households’ Environment, Nutrition and Health Interplay in Southwest, Nigeria

Omotayo¹

2016

IJSRK

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“…1 Previous investigations into treatment-seeking in Malawi, and other malaria-endemic nations, tended to focus solely on children younger than 5 years. 6,[20][21][22][23][24] We studied treatmentseeking among people of all ages from several different transmission settings in Malawi, and these data support the findings from several other analyses: school-age children are likely important P. falciparum transmission reservoirs in this area. We previously found that SAC have the highest prevalence of P. falciparum infections, 9 the highest prevalence of gametocytes, 25 and are the least likely to sleep under ITNs.…”

Section: Discussionsupporting

confidence: 61%

Challenges in Treatment for Fever among School-Age Children and Adults in Malawi

Coalson

Cohee

Walldorf

et al. 2019

The American Journal of Tropical Medicine and Hygiene

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Prompt and effective treatment is key to malaria control and prevention, as it reduces disease morbidity and mortality and minimizes the number of transmission reservoirs. Transmission reduction may be particularly important among school-age children (SAC, 5-15 years old), who have the highest prevalence of Plasmodium falciparum infection in southern Malawi. We hypothesized that one factor contributing to this difference in prevalence is that SAC are less likely to seek appropriate treatment for fever than children younger than 5 years. In this study, we assessed treatment-seeking behaviors of people of all ages between 2012 and 2014 in Malawi. During each of the five cross-sectional surveys, all members of ∼900 households reported on fever and treatment-seeking in the previous 2 weeks. Multilevel logistic regression was used to analyze predictors of whether febrile people sought treatment and whether they did so at formal (government/private clinics) or informal sources (primarily shops). Twenty-two percent of participants (3,579/16,621) reported fever, and 2,715 of those (75.9%) sought treatment. Seeking treatment exclusively from local shops remains a common practice, although use of recommended diagnostic testing and antimalarial drugs was infrequently reported there. Although SAC were not significantly less likely than children aged < 5 years to seek treatment, SAC and adults (age ³ 16 years) were significantly less likely to use formal sources. Our results indicate that encouraging treatment at government/private clinics and increasing retail access to appropriate antimalarial testing and treatment, especially among SAC, could help remedy inadequate treatment of symptomatic disease and potentially reduce Plasmodium transmission in Malawi.

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“…Early treatment of childhood malaria depends upon mothers’ perception about malaria and prompt recognition of signs and symptoms of the disease and treatment-seeking behaviour [10, 11]. Studies have reported poor practice of health seeking among caregivers of under five children mainly due to caregivers not recognizing signs of childhood illness for seeking care immediately for common childhood illnesses including fever [12].…”

Section: Introductionmentioning

confidence: 99%

Caregivers’ perception of malaria and treatment-seeking behaviour for under five children in Mandura District, West Ethiopia: a cross-sectional study

Mitiku

Assefa

2017

Malar J

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BackgroundEarly diagnosis and prompt malaria treatment is essential to reduce progression of the illness to severe disease and, therefore, decrease mortality particularly among children under 5 years of age. This study assessed perception of malaria and treatment-seeking behaviour for children under five with fever in the last 2 weeks in Mandura District, West Ethiopia.MethodsA community based cross-sectional study was conducted among 491 caregivers of children under five in Mandura District, West Ethiopia in December 2014. Data were collected using interviewer-administered questionnaires. Data were entered into Epi Info version 7 and analysed using SPSS version 20. Multiple logistic regression analyses were conducted to identify the determinants of caregivers’ treatment-seeking behaviour.ResultsOverall, 94.1% of the respondents perceived that fever is the most common symptom and 70% associated mosquito bite with the occurrence of malaria. Of 197 caregivers with under five children with fever in the last 2 weeks preceding the study 87.8% sought treatment. However, only 38.7% received treatment within 24 h of onset of fever. Determinants of treatment-seeking include place of residence (rural/urban) (AOR 2.80, 95% CI 1.01–7.70), caregivers age (AOR 3.40, 95% CI 1.27–9.10), knowledge of malaria (AOR 4.65, 95% CI 1.38–15.64), perceived susceptibility to malaria (AOR 3.63, 95% CI 1.21–10.88), and perceived barrier to seek treatment (AOR 0.18, 95% CI 0.06–0.52).ConclusionsMajority of the respondents of this study sought treatment for their under five children. However, a considerable number of caregivers first consulted traditional healers and tried home treatment, thus, sought treatment late. Living in rural village, caregivers’ age, malaria knowledge, perceived susceptibility to malaria and perceived barrier to seek treatment were important factors in seeking health care. There is a need to focus on targeted interventions, promote awareness and prevention, and address misconceptions about childhood febrile illness.

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Assessment of Malawian Mothers’ Malaria Knowledge, Healthcare Preferences and Timeliness of Seeking Fever Treatments for Children Under Five

Cited by 32 publications

References 42 publications

Farming Households’ Environment, Nutrition and Health Interplay in Southwest, Nigeria

Farming Households’ Environment, Nutrition and Health Interplay in Southwest, Nigeria

Challenges in Treatment for Fever among School-Age Children and Adults in Malawi

Caregivers’ perception of malaria and treatment-seeking behaviour for under five children in Mandura District, West Ethiopia: a cross-sectional study

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