Determinants of delay in malaria care-seeking behaviour for children 15 years and under in Bata district, Equatorial Guinea

Romay‐Barja, María; Cano, Jorge; Ncogo, Policarpo; Nseng, Gloria; Santana-Morales, Maria A.; Valladares, Basilio; Riloha, Matilde; Benito, Agustín

doi:10.1186/s12936-016-1239-0

Cited by 56 publications

(63 citation statements)

References 27 publications

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“…Some other studies highlighted that knowledge about malaria symptoms may not be enough to explain prompt and adequate care seeking alone [17, 19, 41, 42]. The current finding is consistent with a previous study that reported malaria knowledge could improve malaria health related behaviours independent of other factors [19].…”

Section: Discussionsupporting

confidence: 91%

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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Section: Discussionsupporting

confidence: 91%

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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“…The financial dependence of women in sub-Saharan Africa may lead the latter to wait until the husband pays the costs of consultation and travel to go to a health facility. The role of monogamous marriage in the late treatment of malaria in our study, where 78% of the married mothers or babysitters were concerned, was reported by other results in Africa [24].…”

Section: 3 Determinants Of Delays In Hcumt In Childrensupporting

confidence: 75%

Determinants of Delays in Health Care Utilization for Malaria Treatment (HCUMT) in Children under Five in Benin Southern Setting

Paraïso¹,

Kpozéhouen²,

Ahanhanzo³

et al. 2019

ujph

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Untreated or poorly treated malaria case is reported to progress to the severe form over time. Studies showed a high prevalence of untimely utilization of health service in low-income countries. The objective was to identify the determinants of late use of malaria treatment in children under five years of age in Ouidah, Benin. The study was cross-sectional and carried out during June 2017. Data on sociodemographic characteristics and malaria management were collected in randomly selected 450 couple mother-child pairs using a questionnaire. A multivariate analysis using a logistic regression and the stepwise digressive method was used to identify the determinants of late use of malaria treatment in children under five years of age. The prevalence of delayed utilization of health facilities for malaria management in children under 5 years was 87.8% (95% CI: 81.6% -92.8). Delays in health care utilization depended on whether mothers were married (OR = 4.4, 95% CI: 2.2-8.8), they used the motorcycle as a means of travel to health facilities (OR = 2.3, 95% CI: 1.1-5.2), complained about the high cost of transport (OR = 2.4, 95% CI 1.2-4.7), or believed in the possibility of preventing malaria (OR = 2.4, 95% CI: 1.2 -4.7). When health care costs are paid by both the parents or by grandparents at the same time, then children were less likely to experience a delay (OR = 0.4, 95% CI: 0.2 -0.7). The prevalence of delays in health care utilization for malaria treatment (HCUMT) in children under five years is high in Ouidah in Benin south setting. Organization of simple malaria management through community training, regular and continuous supply of inputs (medicines and diagnostic tests) for malaria control would reduce the delays in HCUMT in children in Ouidah, Benin.

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“…Although rural caregivers had 3 times lower odds of mentioning fever as a symptom, they had 4 times the odds of mentioning convulsions compared to urban caregivers. In Bata district, delay in seeking treatment for children with malaria is more frequently in rural households [22] and this delay could be responsible for the more frequent reports of convulsions in that area. However, the occurrence of convulsions in Bata district seems not to be linked to a prompt or different pattern in seeking treatment [19], suggesting that there is a need for more study about caregiver awareness of malaria convulsions and disease severity in children.…”

Section: Discussionmentioning

confidence: 99%

“…As described in detail previously [22], the District’s public health facilities comprise a network of ten health centres, two rural and eight urban, and one regional hospital located in the city of Bata. There are also private health facilities in the Bata District, including two hospitals, and about 23 clinics, all in the urban area of Bata city.…”

Section: Methodsmentioning

confidence: 99%

Caregivers’ Malaria Knowledge, Beliefs and Attitudes, and Related Factors in the Bata District, Equatorial Guinea

et al. 2016

Self Cite

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ObjectivesAdequate community knowledge about malaria is crucial in order to improve prevention by reducing exposure to the disease. Malaria is a major cause of morbidity and mortality among children of less than five years of age in Equatorial Guinea. However, information concerning the accuracy of community knowledge is insufficient. This study aimed at assessing the depth of caregivers’ knowledge of malaria, their beliefs and attitudes about this disease, and their socioeconomic determinants in the Bata district of Equatorial Guinea.MethodologyA cross-sectional study was conducted in the district of Bata, involving 440 houses selected from 18 rural villages and 26 urban neighbourhoods. A combined "Malaria Knowledge Score" was generated based on caregivers’ knowledge about transmission, symptoms, prevention, the treatment of children, and best place to seek treatment. Multivariate logistic regressions analyses were performed to assess those factors that are associated with knowledge about malaria.ResultsA total of 428 caregivers were interviewed; 255 (59.6%) and 173 (40.4%) lived in urban and rural areas respectively. Significant differences between rural and urban households were observed in caregivers’ malaria knowledges and beliefs. Almost 42% of urban and 65% of rural caregivers were unaware as to how malaria is transmitted (OR = 2.69; 95% CI: 1.78–4.05). Together with rurality, the factors most significantly associated with the Malaria Knowledge were the level of education of the caregiver and the socioeconomic status of the household.ConclusionsImprovements in educational programs are needed to empower the most vulnerable households such that they can pro-actively implement malaria control measures. This could be achieved by a comprehensive communication strategy aimed at changing individual and community behaviours, and delivered by suitably trained community health workers and indoor residual spraying personnel.

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Determinants of delay in malaria care-seeking behaviour for children 15 years and under in Bata district, Equatorial Guinea

Cited by 56 publications

References 27 publications

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

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

Determinants of Delays in Health Care Utilization for Malaria Treatment (HCUMT) in Children under Five in Benin Southern Setting

Caregivers’ Malaria Knowledge, Beliefs and Attitudes, and Related Factors in the Bata District, Equatorial Guinea

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