Reviewing the literature on access to prompt and effective malaria treatment in Kenya: implications for meeting the Abuja targets

Chuma, Jane; Abuya, Timothy; Memusi, Dorothy; Juma, Elizabeth; Akhwale, Willis; Ntwiga, Janet; Nyandigisi, Andrew; Tetteh, G; Shretta, Rima; Amin, Abdinasir A

doi:10.1186/1475-2875-8-243

Cited by 73 publications

(86 citation statements)

References 49 publications

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“…Chuma and others 24 categorize the factors which influence access to care as demand-side (e.g., perceptions of illness causation, perceived effectiveness of therapy, ability to pay), supply-side (e.g., distance to health facilities, medication availability), and policy-level determinants (e.g., national drug policy, abolishing user fees). In a recent systematic analysis, utilizing qualitative data, such factors were also found to inform care-seeking behavior; however, researchers note that care-seeking decision making is a "dynamic process" consisting of multiple interrelated factors and often influenced by the family member who controls household finances.…”

Section: Resultsmentioning

confidence: 99%

Cost and Predictors of Care-Seeking Behaviors Among Caregivers of Febrile Children—Uganda, 2009

Menon

Njau

McFarland³

2016

The American Society of Tropical Medicine and Hygiene

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Abstract. Fever is a major cause of morbidity and mortality among children under 5 years of age in resource-limited countries. Although prevention and treatment of febrile illnesses have improved, the costs-both financial and nonfinancialremain barriers to care. Using data from the 2009 Uganda Malaria Indicator Survey, we describe the costs associated with the care of a febrile child and assess predictors of care-seeking behavior. Over 80% of caregivers sought care for their febrile child, however less than half did so on either the day of or the day after the development of fever. The odds of seeking care decreased with each additional month of the child's age. Caregivers living in rural areas were more likely to seek care, however were less likely to seek care promptly. Caregivers with at least a primary school education and those familiar with the protective effect of bed nets and the need to seek care promptly were more likely to seek care. Despite government assistance, the majority of caregivers did incur costs (mean 13,173 Ugandan shilling; $6.84 U.S. dollars) associated with medical care. Continued efforts targeting barriers to seeking care, including the economic burden, are necessary.

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Section: Resultsmentioning

confidence: 99%

Cost and Predictors of Care-Seeking Behaviors Among Caregivers of Febrile Children—Uganda, 2009

Menon

Njau

McFarland³

2016

The American Society of Tropical Medicine and Hygiene

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“…These include inadequate supplies of the recommended drugs 25 and inadequate training of the prescribers. 26,27 An in-depth understanding of all these issues is essential for the generation of information to improve malaria case management in Swaziland.…”

Section: S6mentioning

confidence: 99%

Case management of malaria in Swaziland, 2011–2015: on track for elimination?

Dlamini

Kosgei

Mkhonta

et al. 2018

public health action

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“…Lapses both in diagnostic and treatment approaches are well documented throughout the region, but their causes, specifically regarding provider training and community education, need more attention (Chuma et al 2009). Efforts to better control malaria could benefit from a more systematic study of behavioural and social factors that affect both clinicians' and patients' behaviour and choices (Depoortere et al 2004, Yeung and White 2005, Conteh et al 2007, Chandler et al 2008b, Deressa et al 2008.…”

Section: Resultsmentioning

confidence: 98%

Lack of patient risk counselling and a broader provider training affect malaria control in remote Somalia Kenya border: Qualitative assessment

Asgary

Grigoryan

Naderi

et al. 2012

Global Public Health

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Effectiveness of providing health education solely via mass media and the providers' targeted training in malaria control needs further exploration. During pre-epidemic season, we conducted a qualitative study of 40 providers and community leaders using focus groups, comprehensive semi-structured interviews and consultation observations. Interviews were transcribed, coded and analysed for major themes. Community leaders believe that they can acquire malaria from contaminated water, animal products, air or garbage. Consequently, they under-utilise bed nets and other protective measures due to perceived continued exposure to other potential malaria sources. Practitioners do not provide individualised health counselling and risk assessment to patients during sick visits, leading to a range of misconceptions about malaria based on limited knowledge from rumours and mass media, and a strong belief in the curative power of traditional medicine. Providers overdiagnose malaria clinically and underutilise available tests due to time constraints, and the lack of training and resources to correctly diagnose other illnesses. Subsequently, misdiagnoses lead them to question the efficacy of recommended treatments. Promoting counselling during clinical encounters to address patient misconception and change risky behaviour is warranted. Wider-ranging ongoing training could enable providers to properly diagnose and manage differential diagnoses to manage malaria better.

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Reviewing the literature on access to prompt and effective malaria treatment in Kenya: implications for meeting the Abuja targets

Abstract: Background: Effective case management is central to reducing malaria mortality and morbidity worldwide, but only a minority of those affected by malaria, have access to prompt effective treatment.

Cited by 73 publications

References 49 publications

Cost and Predictors of Care-Seeking Behaviors Among Caregivers of Febrile Children—Uganda, 2009

Cost and Predictors of Care-Seeking Behaviors Among Caregivers of Febrile Children—Uganda, 2009

Case management of malaria in Swaziland, 2011–2015: on track for elimination?

Lack of patient risk counselling and a broader provider training affect malaria control in remote Somalia Kenya border: Qualitative assessment

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