Determinants of Delay in Seeking Malaria Treatment for Children Under-Five Years in Parts of South Eastern Nigeria

Chukwuocha, Uchechukwu Madukaku; Okpanma, A.C.; Nwakwuo, Geoffrey Chima; Dozie, Ins

doi:10.1007/s10900-014-9872-4

Cited by 45 publications

(61 citation statements)

References 24 publications

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“…The prevalence observed in our study is comparable to that of 87.8% reported by Dida et al (2015) in Ethiopia [18]. On the other hand, some results obtained in other African countries have shown the average prevalence of delay in health care utilization, as in Uganda (55.2%), Tanzania (55.4%), and Nigeria (51.5%) [19][20][21]. These results show that the delay in the provision of malaria treatment to health facilities is high in the communities of sub-Saharan Africa.…”

Section: Prevalence Of Delays In Hcumt In Childrensupporting

confidence: 86%

“…The practice of home care is very common, as in Senegal, where the results of a survey revealed that 91.1% of children suffering from malaria receive self-medication before resorting to an external source. As confirmed by our findings, a multi-center study in six countries in sub-Saharan Africa, including Benin, revealed the multiple sources of malaria treatment among children under five [17][18][19][20][21][22][23]. 4…”

Section: Therapeutic Itinerarysupporting

confidence: 79%

“…This was because families feel they can reach the health center in a short time by using their motorcycles. With regard to the distance between the homes and the health facilities, it was implicated elsewhere as a factor favoring late recourse [13,[20][21][22][23][24]. However, it has not been identified as such in our results.…”

Section: 3 Determinants Of Delays In Hcumt In Childrencontrasting

confidence: 71%

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Determinants of Delays in Health Care Utilization for Malaria Treatment (HCUMT) in Children under Five in Benin Southern Setting

Paraïso¹,

Kpozéhouen²,

Ahanhanzo³

et al. 2019

ujph

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Untreated or poorly treated malaria case is reported to progress to the severe form over time. Studies showed a high prevalence of untimely utilization of health service in low-income countries. The objective was to identify the determinants of late use of malaria treatment in children under five years of age in Ouidah, Benin. The study was cross-sectional and carried out during June 2017. Data on sociodemographic characteristics and malaria management were collected in randomly selected 450 couple mother-child pairs using a questionnaire. A multivariate analysis using a logistic regression and the stepwise digressive method was used to identify the determinants of late use of malaria treatment in children under five years of age. The prevalence of delayed utilization of health facilities for malaria management in children under 5 years was 87.8% (95% CI: 81.6% -92.8). Delays in health care utilization depended on whether mothers were married (OR = 4.4, 95% CI: 2.2-8.8), they used the motorcycle as a means of travel to health facilities (OR = 2.3, 95% CI: 1.1-5.2), complained about the high cost of transport (OR = 2.4, 95% CI 1.2-4.7), or believed in the possibility of preventing malaria (OR = 2.4, 95% CI: 1.2 -4.7). When health care costs are paid by both the parents or by grandparents at the same time, then children were less likely to experience a delay (OR = 0.4, 95% CI: 0.2 -0.7). The prevalence of delays in health care utilization for malaria treatment (HCUMT) in children under five years is high in Ouidah in Benin south setting. Organization of simple malaria management through community training, regular and continuous supply of inputs (medicines and diagnostic tests) for malaria control would reduce the delays in HCUMT in children in Ouidah, Benin.

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Section: Prevalence Of Delays In Hcumt In Childrensupporting

confidence: 86%

Section: Therapeutic Itinerarysupporting

confidence: 79%

Section: 3 Determinants Of Delays In Hcumt In Childrencontrasting

confidence: 71%

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Determinants of Delays in Health Care Utilization for Malaria Treatment (HCUMT) in Children under Five in Benin Southern Setting

Paraïso¹,

Kpozéhouen²,

Ahanhanzo³

et al. 2019

ujph

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“…12,13 Demographic, socioeconomic, and behavioral factors and distance from residence to health facilities are known determinants of delayed seeking of appropriate care among children with malaria. [14][15][16][17][18][19][20] However, their contribution to severe malaria is unclear, with available studies yielding conflicting results. 6,12,13,[21][22][23][24][25] Variations in findings may be attributable to differences in study design and analysis, varied impacts of complex host-parasite interactions that affect disease presentation and small sample sizes.…”

Section: Introductionmentioning

confidence: 99%

Demographic, Socioeconomic, and Geographic Factors Leading to Severe Malaria and Delayed Care Seeking in Ugandan Children: A Case–Control Study

Mpimbaza

Ndeezi

Katahoire

et al. 2017

The American Journal of Tropical Medicine and Hygiene

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We studied associations between delayed care seeking, demographic, socioeconomic, and geographic factors and likelihood of severe malaria in Ugandan children. The study was based at Jinja Hospital, Uganda. We enrolled 325 severe malaria cases and 325 uncomplicated malaria controls matched by age and residence. Patient details, an itinerary of events in response to illness, household information, and location of participants' residences were captured. Conditional logistic regression was used to determine risk factors for severe malaria and delayed care seeking. Delayed care seeking (≥ 24 hours after fever onset; odds ratio [OR] 5.50; 95% confidence interval [CI] 2.70, 11.1), seeking care at a drug shop as the initial response to illness (OR 3.62; 95% CI 1.86, 7.03), and increasing distance from place of residence to the nearest health center (OR 1.45; 95% CI 1.17, 1.79) were independent risk factors for severe malaria. On subgroup analysis, delayed care seeking was a significant risk factor in children with severe malaria attributable to severe anemia (OR 15.6; 95% CI 3.02, 80.6), but not unconsciousness (OR 1.13; 95% CI 0.30, 4.28). Seeking care at a drug shop (OR 2.84; 95% CI 1.12, 7.21) and increasing distance to the nearest health center (OR 1.18; 95% CI 1.01, 1.37) were independent risk factors for delayed care seeking. Delayed care seeking and seeking care at a drug shop were risk factors for severe malaria. Seeking care at a drug shop was also a predictor of delayed care seeking. The role of drug shops in contributing to delayed care and risk of severe malaria requires further study.

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“…Evidences showed that most malaria-related deaths in malariaaffected countries occur at home without receiving appropriate medical care, and when care is sought, it was often delayed [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Preventing Malaria among Under Five Children in Damot Gale Woreda, Wolayta Zone, Ethiopia: The Role of Parents Knowledge and Treatment Seeking

2017

Primary Health Care

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Background: Malaria is the leading public health problem in Ethiopia. Lack of malaria-specific knowledge has been commonly assumed to be an important barrier to engagement in behaviors that prevent malaria and prompt health seeking behavior.Objective: To assess parents' knowledge, practice of prevention, treatment seeking and factors associated with malaria prevention among under-five children in Damot Gale Woreda. Methodology:A community based cross-sectional study was conducted among 419 households who had under five children. Data was collected from 4 rural kebeles (Smallest administrative villages). It was analyzed by using SPSS version 16.0. Logistic regression was used to identify the factors influencing the outcome. Odds ratios and the corresponding confidence intervals were used to identify potential predictors in logistic regression model. Results:Around 85% of parents correctly associated malaria transmission with the bite of infective mosquito. Regarding practice of prevention, 83.7% mentioned source reduction and 63.1% used bed nets. The prevalence of malaria was 38/419 (9.1%). Health care facilities were accessible for more than 90% of study population with a walking distance of less than 30 min but only 15% of sick children started anti-malarial treatment within 24 h. Being biological mother (AOR 2.42, 95% CI 1.42-4.12, P=0.03), knowledge of method of malaria prevention (AOR 1.59, 95% CI 1.126-2.242, P=0.002) and treatment seeking within 24 h for malaria (AOR 2.69, 95% CI 1.56-4.62, P=0.000) were significantly associated with practice of malaria prevention. Conclusion:Prevalence of malaria in children was 9.1%. Delay in treatment seeking within 24 h was high. So, health education on prevention methods and treatment seeking is required.

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Determinants of Delay in Seeking Malaria Treatment for Children Under-Five Years in Parts of South Eastern Nigeria

Cited by 45 publications

References 24 publications

Determinants of Delays in Health Care Utilization for Malaria Treatment (HCUMT) in Children under Five in Benin Southern Setting

Determinants of Delays in Health Care Utilization for Malaria Treatment (HCUMT) in Children under Five in Benin Southern Setting

Demographic, Socioeconomic, and Geographic Factors Leading to Severe Malaria and Delayed Care Seeking in Ugandan Children: A Case–Control Study

Preventing Malaria among Under Five Children in Damot Gale Woreda, Wolayta Zone, Ethiopia: The Role of Parents Knowledge and Treatment Seeking

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