Social Determinants of Malaria Treatment Seeking Time by Mothers for Children (0-5 Years) in South Eastern Nigeria

AC, Chukwuocha UM Okpanma

doi:10.4172/2329-891x.1000154

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…In Zambia, many household and community barriers prevent the timely use of malaria services and access to the most effective medicines 6 – 8 . In 2017, an estimated 7618 malaria deaths occurred in the country, many among young children 1 .…”

Section: Introductionmentioning

confidence: 99%

Use of rectal artesunate for severe malaria at the community level, Zambia

Green

Quigley²,

Kureya

et al. 2019

Bull. World Health Organ.

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ObjectiveTo determine whether the administration of rectal artesunate by trained community health volunteers before referral to a health-care facility reduces the case fatality rate of severe malaria in young children in hard-to-reach communities in Zambia.MethodsWe implemented a pilot project in Serenje District between July 2017 and July 2018. The project involved: (i) training community health volunteers to administer rectal artesunate to children with suspected severe malaria and refer them to a health facility; (ii) ensuring emergency transport with bicycle ambulances was available; (iii) ensuring adequate drug supplies; and (iv) ensuring health-care workers could treat severe malaria with injectable artesunate. Surveys of health facilities, volunteers and bicycle ambulance riders were performed near the beginning and end of the intervention period. In addition, data on severe malaria cases and associated deaths were obtained from health facilities and a community monitoring system.FindingsIn the year before the intervention, 18 deaths occurred in 224 cases of confirmed severe malaria among children younger than 5 years seen at intervention health facilities (case fatality rate: 8%); during the intervention, 3 of 619 comparable children with severe malaria died (case fatality rate: 0.5%).ConclusionThe administration of pre-referral rectal artesunate treatment to young children with severe malaria by community health volunteers was feasible, safe and effective in hard-to-reach communities in Zambia and was associated with a substantial decrease in the case fatality rate. The project’s approach is highly adaptable and could be used in other countries with a high malaria burden.

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Section: Introductionmentioning

confidence: 99%

Use of rectal artesunate for severe malaria at the community level, Zambia

Green

Quigley²,

Kureya

et al. 2019

Bull. World Health Organ.

View full text Add to dashboard Cite

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“…In this study, regarding to the socio demographic status, we found that marital status is significantly associated with getting of prompt and effective malaria treatment (p value <0.001, AOR= 5.964).This finding agreed with other study in which married persons got prompt and effective malaria treatment than other people (Chukwuocha UM1 et al, 2013). Among different ethnic groups, more than half of the ethnics were Kayen ethnicity (58.3%) and ethnicity of malaria infected patients was significantly associated with getting of prompt and effective malaria treatment (p value = 0.003, AOR = 4.287).…”

Section: Sociodemographic Characteristicssupporting

confidence: 90%

“…These findings were agreed with the findings from in Kenya, Africa in that poor provider patient relationship, poor ethics of providers were major barriers to get prompt and effective malaria treatment (OR = 6.3, 95% CI) (Hetzel et al, 2008). One of the qualitative study among poorest population in Kenya, Africa reported that provider patient relationship, distrust in health system were barriers to get prompt and effective treatment (Chuma et al, 2010).…”

Section: Accountabilitysupporting

confidence: 87%

Barriers to Prompt and Effective Malaria Treatment among Malaria Infected Patients in Palaw Township, Tanintharyi Region,Myanmar : Cross Sectional Study

Naing

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Barriers to Prompt and Effective Malaria Treatment among Malaria Infected Patients in Palaw Township, Tanintharyi Region, Myanmar : Cross Sectional Study Background: In Greater Mekong Sub regions, Myanmar is the highest malaria burden country. At the Myanmar?Thailand border, Artemisinin resistance in Plasmodium falciparum has been present for several years . Prompt and effective malaria treatment is the corner stone to reduce malaria morbidity , mortality and drug resistance malaria. Although National Malaria Control Program leads to fill the gaps for prompt and effective treatment of malaria, gaps are still present related to sociodemographic characteristics and knowledge of malaria, treatment seeking behaviors, health system factors such as accessibility, availability, affordability of services and accountability of health providers. There were no previous studies to assess these barriers in this area. The objective of the research is to assess barriers (sociodemographic characteristics, knowledge of malaria, behaviors related to treatment seeking and health system factors) regarding prompt and effective malaria treatment among malaria infected patients in Palaw Township, Tanintharyi Region, Myanmar. Method: The study design is descriptive cross sectional study. The study population were 18 to 65 years old malaria infected patients from January 2018 to March 2018 in 17 high risk malaria villages of Palaw Township. Sample size is 204 malaria infected patients and selected randomly from each village. Face to face interview was done by using structured questionnaires. Bivariate analysis and binary logistic regression were used to assess association, strength of association and determine the model of determinants. Results: The respondents of 85.8% did not get prompt and effective malaria treatment within 24 hours due to barriers. There were statistically significant with sociodemographic characteristics (marital status, ethnicity, education status and monthly family income) (p value <0.05), good knowledge of malaria (p value < 0.001, AOR= 65.3, 95% CI), good behaviors related to treatment seeking (p value = 0.021, AOR = 3.889, 95% CI) , health system factors (p value<0.05) and prompt and effective malaria treatment at 95% Confidence interval. Conclusion: The findings suggested that prompt and effective malaria treatment was influenced by sociodemographic characteristics, knowledge of malaria, behaviors related to treatment seeking and health system factors. Enhancing the knowledge and promotion of good behaviors about malaria should be done through health education sessions and health system factors due to health providers should be managed by Local Health Authority.

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Social Determinants of Malaria Treatment Seeking Time by Mothers for Children (0-5 Years) in South Eastern Nigeria

Cited by 2 publications

References 14 publications

Use of rectal artesunate for severe malaria at the community level, Zambia

Use of rectal artesunate for severe malaria at the community level, Zambia

Barriers to Prompt and Effective Malaria Treatment among Malaria Infected Patients in Palaw Township, Tanintharyi Region,Myanmar : Cross Sectional Study

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