Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

Adam, Ishag; Omer, El sir M.; Salih, Amel; Khamis, Ammar H.; Malik, Elfatih M.

doi:10.1007/s10389-007-0124-2

Cited by 17 publications

(19 citation statements)

References 16 publications

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“…The association of febrile illness with malaria has been known in Bangladesh for a long time [ 23 ]. This is also reiterated in this study, where the majority of the respondents mentioned fever (with shivering, at intervals) as the most common symptom of malaria and is consistent with observations from other countries [ 16 , 18 , 20 , 21 , 24 - 26 ].…”

Section: Discussionsupporting

confidence: 92%

Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviour

Ahmed

Haque

et al. 2009

Malar J

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BackgroundData on sociological and behavioural aspects of malaria, which is essential for an evidence-based design of prevention and control programmes, is lacking in Bangladesh. This paper attempts to fill this knowledge gap by using data from a population-based prevalence survey conducted during July to November 2007, in 13 endemic districts of Bangladesh.MethodsA two-stage cluster sampling technique was used to select study respondents randomly from 30 mauzas in each district for the socio-behavioural inquiry (n = 9,750). A pre-tested, semi-structured questionnaire was used to collect data in face-to-face interview by trained interviewers, after obtaining informed consent.ResultsThe overall malaria prevalence rate in the 13 endemic districts was found to be 3.1% by the Rapid Diagnostic Test 'FalciVax' (P. falciparum 2.73%, P. vivax 0.16% and mixed infection 0.19%), with highest concentration in the three hill districts (11%). Findings revealed superficial knowledge on malaria transmission, prevention and treatment by the respondents. Poverty and level of schooling were found as important determinants of malaria knowledge and practices. Allopathic treatment was uniformly advocated, but the 'know-do' gap became especially evident when in practice majority of the ill persons either did not seek any treatment (31%) or practiced self-treatment (12%). Of those who sought treatment, the majority went to the village doctors and drugstore salespeople (around 40%). Also, there was a delay beyond twenty-four hours in beginning treatment of malaria-like fever in more than half of the instances. In the survey, gender divide in knowledge and health-seeking behaviour was observed disfavouring women. There was also a geographical divide between the high endemic south-eastern area and the low-endemicnorth-eastern area, the former being disadvantaged with respect to different aspects of malaria studied.ConclusionThe respondents in this study lacked comprehensive knowledge on different aspects of malaria, which was influenced by level of poverty and education. A gender and geographical divide in knowledge was observed disfavouring women and south-eastern area respectively. They preferred allopathic treatment for malaria, although a substantial proportion did not seek any treatment or sought self-treatment for malaria-like fever. Delay in seeking care was common. The implications of these findings for programme development are discussed.

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Section: Discussionsupporting

confidence: 92%

Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviour

Ahmed

Haque

et al. 2009

Malar J

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“…The follow-up survey shows improvement in some of the knowledge indicators such as the most common symptom suggestive of malaria, comparable to other countries such as eastern Sudan [16], Nepal [17], Turkey [18] and Iran [19]. Also, the dramatic improvement in knowledge regarding the importance of insecticidal bed nets for the prevention of malaria following awareness campaigns has also been observed in other studies [17], [20].…”

Section: Discussionsupporting

confidence: 75%

Conventional or Interpersonal Communication: Which Works Best in Disseminating Malaria Information in an Endemic Rural Bangladeshi Community?

2014

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BackgroundSince 2007, BRAC has been implementing malaria prevention and control programme in 13 endemic districts of Bangladesh under the National Malaria Control Programme. This study was done to examine the role of different communication media in bringing about changes in knowledge and awareness which facilitate informed decision-making for managing malaria-like illnesses.MethodsA baseline survey in 2007 before inception of the programme, and a follow-up survey in 2012 were done to study changes in different aspects of programme interventions including the communication component. Both the surveys used the same sampling technique to select 25 households at random from each of the 30 mauza/villages in a district. A pre-tested, semi-structured questionnaire was used to collect relevant information from respondents in face-to-face interview. Analysis was done comparing the study areas at two different times. Statistical tests were done as necessary to examine the differences.ResultsThe intervention succeeded in improving knowledge in some trivial areas (e.g., most frequent symptom suggestive of malaria, importance of using insecticidal bed nets) but not in critical domains necessary for taking informed action (e.g., mode of malaria transmission, awareness about facilities providing free malaria treatment). Inequity in knowledge and practice was quite common depending upon household affluence, location of households in high or low endemic districts, and sex. Of the different media used in Information, Education and communication (IEC) campaigns during the study period, interpersonal communication with community health workers/relatives/neighbours/friends was found to be more effective in improving knowledge and practice than conventional print and audio-visual media.ConclusionThis study reiterates the fact that conventional media may not be user-friendly or culture-sensitive for this semi-literate/illiterate community where dissemination through ‘words of mouth’ is more common, and as such, interpersonal communication is more effective. This is especially important for initiating informed action by the community in managing malaria-like illnesses.

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“…It could also be due to the proximity of the chemist shops which does not require any protocols before services can be rendered. Adams et al [31] reported that managing malaria fever has been shown to be related to cost, availability and cultural beliefs about the causes of disease. The reported high patronage of chemist shops by the Kitaku clan when compared to other clans may also be linked to the convenience of service and accessibility of drugs from the patent medicine stores.…”

Section: Management Of Fevermentioning

confidence: 99%

Mothers Management of Malaria Fever among Under-Five Nomadic Fulani Children of Northeastern Nigeria

Kwabe¹,

Abdulfatai²,

Agbam³

et al. 2013

AJIDM

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Malaria is a deadly disease which is spread widely in the tropical regions of the world with holoendemicity in SubSaharan Africa. An investigation of fever management among mothers of under-five children was carried out in nomadic Fulani settlements of Adamawa State Nigeria. Management of fever was assessed through interviews and questionnaires. Nearly half of the nomadic Fulani mothers (49.47%) did not take any action within 24 hours when their children had fever. This was not significantly different (p < 0.05) with regard to age, clan and parity of the mothers. The duration between mother's recognition and management of fever showed that almost half (49.6%) of the mothers did not take time into consideration during intervention of fever. Mothers of under-five who acted within 24 hours of noticing of fever in their children were 30.6%, while those who acted after 24 hours were 12.0%. There was no significant difference (p < 0.05) between mothers recognition of fever and management based on age, clan and parity. Home management of fever by most nomadic Fulani mothers was not satisfactory. Similarly, timely intervention of fever was not considered by most nomadic Fulani mothers. There is the need for appropriate education and adoption of new strategies for timely intervention of disease causing fever among the nomadic Fulani population.

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Perceptions of the causes of malaria and of its complications, treatment and prevention among midwives and pregnant women of Eastern Sudan

Cited by 17 publications

References 16 publications

Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviour

Knowledge on the transmission, prevention and treatment of malaria among two endemic populations of Bangladesh and their health-seeking behaviour

Conventional or Interpersonal Communication: Which Works Best in Disseminating Malaria Information in an Endemic Rural Bangladeshi Community?

Mothers Management of Malaria Fever among Under-Five Nomadic Fulani Children of Northeastern Nigeria

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