Choices and determinants of malaria treatment seeking behaviour by rural households in Enugu state, South-East Nigeria

Urama, Chinasa E.; Manasseh, Charles O.; Ukwueze, Ezebuilo R.; Ogbuabor, Jonathan E.

doi:10.1080/14635240.2020.1730703

Cited by 7 publications

(6 citation statements)

References 49 publications

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“…Physical condition such as weakness due to illness or old age of the participants was associated with altered health care seeking behaviour. In remote areas with limited or no transport infrastructure, a long commute by foot was reported to prevent early presentation for treatment [12,40]. Such delays in malaria treatment can result in local transmission and focal outbreaks.…”

Section: Plos Onementioning

confidence: 99%

A qualitative study of knowledge, attitudes and perceptions towards malaria prevention among people living in rural upper river valleys of Nepal

et al. 2022

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Background Nepal has made significant progress in decreasing the number of malaria cases over the last two decades. Prevention and timely management of malaria are critical for the National Malaria Program in its quest for elimination. The study aimed to explore the knowledge, attitudes and behaviour towards malaria prevention and treatment among people living in rural villages of Khatyad Rural Municipality in Nepal. Methods This qualitative study collected information through virtual in-depth interviews (N = 25) with female and male participants aged between 15 and 72 years. Results More than half of the participants knew about the causes of malaria, were aware of the complications of untreated malaria and knew that anti-malarial medicines were provided for free at the public health facilities. Participants indicated that their first choice of health care were public health facilities, however limited supply of medications and diagnostics deviated patients to the private sector. While tertiary care costs were not financially viable, participants opted against traditional care for malaria. Factors such as cost of treatment, distance to the health facility and the decision making authority in households influenced health related decisions in the family. Although long-lasting insecticidal nets were distributed and indoor residual spraying was done periodically, several barriers were identified. Conclusion Increased awareness of malaria prevention and treatment among people living in malaria risk areas is important for the National Malaria Program in its quest for malaria elimination in Nepal.

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Section: Plos Onementioning

confidence: 99%

A qualitative study of knowledge, attitudes and perceptions towards malaria prevention among people living in rural upper river valleys of Nepal

et al. 2022

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“…Urban–rural disparity exists in access to optimal health facilities. It is proven that those who dwell in rural areas are usually under the exposure of a greater risk of malaria infection ( 31 ). Similarly, in the then health insurance scheme of China, NRCMS enrollees seemed to have lighter economic burden than UEBMI enrollees in terms of its original bill.…”

Section: Discussionmentioning

confidence: 99%

The economic burden of malaria inpatients and its determinants during China's elimination stage

Chen

Chen²,

Gu³

et al. 2022

Front. Public Health

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BackgroundMalaria burden is still worrisome, while empirical evidence from malaria-eliminated countries including China may provide inspiration for the world.ObjectiveThis study aimed to investigate China's malaria hospitalization costs and explore its determinants.MethodsStratified multistage sampling across provincial, municipal, and county hospitals was conducted in 2017. All the malaria medical records were retrieved from 2014 to 2016 in 70 hospitals. Parametric and non-parametric methods were employed to estimate hospitalization costs, and the non-parametric bootstrap was used to compare hospitalization costs among sample areas and assessed the uncertainty of its differences. Quantile regressions were conducted to identify the determinants of hospitalization costs.ResultsThe median hospitalization costs of 1633 malaria inpatients were 628 USD. Medication and laboratory tests accounted for over 70% of total expenditure. The median reimbursement rate was 41.87%, and this number was even lower in higher-level hospitals (<35%) and among the New Rural Cooperative Medical Scheme (<40%). Finally, health insurance type, hospital tier, clinical units, unknown fever, and comorbidity were the main determinants of hospitalization costs.ConclusionThe disparity of health protection for malaria hospitalization between rural and urban areas was noteworthy. Equivocal diagnosis and comorbidity are contributors of high cost as well. A reasonable payment system and enhanced capacities to treat malaria in a cost-effective way are suggested to reassure malaria economic burden.

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“…We found these ranged from inadequate money for transport to and from the health facility, payment for services and food while traveling or when admitted at the health facility. Other studies have noted that costs of transportation and hospital expenses were a barrier [12] [23] [57] [58]. However, where health microinsurance schemes exist covering costs of care at health facilities, hospital expenses were no longer a barrier, leaving transportation as the only concern [57].…”

Section: Understanding Barriers To Accessing Malaria Treatmentmentioning

confidence: 99%

Malaria Illness and Accessing Healthcare in an African Indigenous Population: A Qualitative Study of the Lived Experiences of Uganda’s Batwa in Kanungu District

Namanya,

Bikaitwoha,

Berrang-Ford

et al. 2023

JBM

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Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to Atlas.ti a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised How to cite this paper: Namanya, D.B.,

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Choices and determinants of malaria treatment seeking behaviour by rural households in Enugu state, South-East Nigeria

Cited by 7 publications

References 49 publications

A qualitative study of knowledge, attitudes and perceptions towards malaria prevention among people living in rural upper river valleys of Nepal

A qualitative study of knowledge, attitudes and perceptions towards malaria prevention among people living in rural upper river valleys of Nepal

The economic burden of malaria inpatients and its determinants during China's elimination stage

Malaria Illness and Accessing Healthcare in an African Indigenous Population: A Qualitative Study of the Lived Experiences of Uganda’s Batwa in Kanungu District

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