Improving equity in malaria treatment: Relationship of socio-economic status with health seeking as well as with perceptions of ease of using the services of different providers for the treatment of malaria in Nigeria

Onwujekwe, Obinna; Uzochukwu, Benjamin; Eze, Soludo; Obikeze, Eric; Okoli, C. O.; Ochonma, Ogbonnia

doi:10.1186/1475-2875-7-5

Cited by 55 publications

(50 citation statements)

References 19 publications

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“…Onwujekwe et al, [30] 2008 Cost analysis Malaria tx For the Inyi, Udi, Oji and Nachi communities, there was a significant difference in tx costs across SES groups (most poor, average and least poor); mean total financial costs associated with malaria tx ranged from NGN196 (SD 334.5) to NGN935.3 (SD 3324.5)…”

Section: Extent and Trend Of Health Economic Studiesmentioning

confidence: 97%

The State of Health Economic Evaluation Research in Nigeria

et al. 2010

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This study assessed the state of health economic evaluation (including pharmacoeconomic) research in Nigeria. A literature search was conducted to identify health economic articles pertaining to Nigeria. Two reviewers independently scored each article in the final sample using a data collection form designed for the study. A total of 44 studies investigating a wide variety of diseases were included in the review. These articles were published in 34 different journals, mostly based outside of Nigeria, between 1988 and 2009. On average, each article was written by four authors. Most first authors had medical/clinical affiliations and resided in Nigeria at the time of publication of the study. Based on a 1 to 10 scale, with 10 indicating the highest quality, the mean quality score for all studies was 7.29 (SD 1.21) and 59% of the articles were of fair quality (score 5-7); 5% were of even lower quality. The quality of articles was statistically significantly (p < or = 0.05) related to the country of residence of the primary author (non-Nigeria = higher), country of the journal (non-Nigeria = higher), primary objective of the study (economic analysis = higher) and type of economic analysis conducted (economic evaluations higher than cost studies). The conduct of health economic (including pharmacoeconomic) research in Nigeria was limited and about two-thirds of published articles were of sub-optimal quality. More and better quality health economic research in Nigeria is warranted.

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Section: Extent and Trend Of Health Economic Studiesmentioning

confidence: 97%

The State of Health Economic Evaluation Research in Nigeria

et al. 2010

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“…Nigeria like many other Sub-Saharan African countries is bedeviled with the problem of low level of access to proper treatment especially of common illness like malaria. (Onwujekwe, Uzochukwu, et al 2008). This is due mainly to the general poor state of the health system, high cost of health services, lopsided distribution of health facilities in favor of the urban areas and gross underfunding of the health sector resulting in lack of subsidies and exemptions to the poor.…”

Section: Malaria In Nigeriamentioning

confidence: 99%

“…In the Sub-Saharan Africa in general, a large proportion of the drugs consumed by the people are supplied by PMDs, . Other studies in Nigeria have shown that upon recognition of malaria symptoms, most people go to PMDs for treatment as they are the easily accessible, (Onwujekwe, et al, 2008, Oladepo, et al, 2008, and Khumbulani, et al, 2011.…”

Section: Most Preferred Alternatives Base On Utility Functionmentioning

confidence: 99%

“…However, there is a possibility that the poor and rural dwellers do not have access to appropriate treatment due to the limited number of trained healthcare providers and inequities in the distribution of these healthcare providers in favour of the urban areas, (Onwujekwe, et al, 2008). A study in Anambra state, Nigeria by Onwujekwe, et al, 2008, showed that urban-rural geographic differentials exist which determine the choice of the malaria treatment services, increasing the vulnerability of the rural dwellers to consuming inappropriate treatment which is likely to worsen their disease burden.…”

Section: Influence Of the Environmentmentioning

confidence: 99%

“…A study in Anambra state, Nigeria by Onwujekwe, et al, 2008, showed that urban-rural geographic differentials exist which determine the choice of the malaria treatment services, increasing the vulnerability of the rural dwellers to consuming inappropriate treatment which is likely to worsen their disease burden. For instance, the pattern of drug use that was found in this study has equity implications for appropriate treatment of malaria in Anambra state and even Nigeria because the two main failing drugs were used more by rural dwellers.…”

Section: Influence Of the Environmentmentioning

confidence: 99%

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Rational Choice Theory and the Choice of Healthcare Services in the Treatment of Malaria in Nigeria

Owumi

2013

JSR

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This paper is on the rational choice theory and the choice of healthcare services for the treatment of malaria in Nigeria. It focuses on the factors that influence or determine the choice malaria treatment using the rational choice theory as the basis. It was discovered that there were many determinants of what informs the maximum utility but it is all wrapped up in the organization of the health care system. Hence, in choosing treatment for malaria, factors like; perceived and actual quality of care, proximity of the services, accessibility, cost of treatment, socio-economic status of the patients, availability of services, etc., are important.These factors in many occasions constitute constraints which in turn makes choices explicit and then patients makes trade-offs between alternatives.

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