Health care switching behaviour of malaria patients in a Kenyan rural community

Nyamongo, Isaac K.

doi:10.1016/s0277-9536(01)00036-3

Cited by 166 publications

(147 citation statements)

References 18 publications

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“…For several conditions, including malaria and AIDS, the first line of treatment is often self-medication. Failure of these remedies triggers the exploration of other treatment options, which may or may not include traditional healer visits (Nyamongo 2002;Hatchett et al 2004). The time lost in that process can be crucial.…”

Section: Discussionmentioning

confidence: 99%

“…As in other developing countries, health services are often provided through several, sometimes overlapping, channels that include both modern and traditional forms of medicine and healing (Beals 1976;Feierman 1981;Kroeger 1983;Hunte and Sultana 1992;Develay et al 1996;Ngalula et al 2002;Nyamongo 2002;Hatchett et al 2004;Case et al 2005;de-Graft Aikins 2005). In Addis Ababa, the treatment with self-administered medicine (herbal or modern) and the pursuit of other alternative curative options are relatively common, despite the widespread availability of relatively cheap modern medical services (Kloos et al 1987;Gedif and Hahn 2002).…”

Section: Introductionmentioning

confidence: 99%

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Health services utilization during terminal illness in Addis Ababa, Ethiopia

Reniers¹,

Tesfai²

2009

Health Policy and Planning

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ObjectivesWe describe modern and alternative health services use in terminal illness of adults, and assess whether utilization patterns of TB/AIDS patients are distinct from those of patients suffering from other illnesses. MethodsData are from post-mortem interviews with close relatives or caretakers of the deceased. We provide descriptive statistics of health care utilization in adults and discuss their covariates in multivariate analyses. ResultsOver 85% of terminally sick patients visited a modern medical facility, but less than 40% spent more than 24 hours in a medical facility and only 25% died in one. Traditional healer (11%) and holy water (46%) visits offer a common treatment and healing alternative, but these visits do not co-vary in any consistent manner with the utilization of modern medical services. In terms of the cause of death, we find a higher contact rate with both modern and alternative medical service providers among TB/AIDS patients compared with those suffering from other medical conditions. The duration of illness seems to account for a good share of that variability. Other covariates of health services utilization are socio-economic status, education and age.Conclusions The contact rate of adults with modern medical facilities in terminal illness is almost universal, but their usage intensity is rather low. Alternative curative options are less commonly used, and do not exclude modern health services use. This suggests that both types of services are considered complements rather than alternatives for each other. Because the contact rate with health service providers is greatest for TB/AIDS patients, it is unlikely that HIV/AIDS-related stigma is an impediment to seeking care. We cannot exclude, however, that it delays health-seeking behaviour.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Reniers¹,

Tesfai²

2009

Health Policy and Planning

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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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“…While in some other places accessibility to health care services, type and severity of disease, parent's gender, education determines pattern 20 . In addition, attitude of users to the health professionals, bad transportation system, self medication are other identified problems that affected health seeking for children 20,21 . Low economic income of parents influences their ability the health care seeking for their children and this becomes worsen as the child grows older 23 .…”

Section: Determinants Of Mothers Health Seeking Behaviour For Their Cmentioning

confidence: 99%

Determinants of Mothers Health Seeking Behaviour for Their Children in a Nigerian Teaching Hospital.

2013

IOSR-JNHS

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Health care switching behaviour of malaria patients in a Kenyan rural community

Cited by 166 publications

References 18 publications

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Health services utilization during terminal illness in Addis Ababa, Ethiopia

Investigating the Important Correlates of Maternal Education and Childhood Malaria Infections

Determinants of Mothers Health Seeking Behaviour for Their Children in a Nigerian Teaching Hospital.

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