Determinants of delay in malaria treatment-seeking behaviour for under-five children in south-west Ethiopia: a case control study

Malaria Journal

Research

Amare Deribew¹  Kebede Deribe²  Alemayehu Getahun³ 

[1] Department of Epidemiology, Director of publication and Extension, Jimma University, Jimma, Ethiopia;Fayya Development Association, Addis Ababa, Ethiopia;Wollega University, Nakamte, Ethiopia;

关键词: Malaria;    Health Centre;    Health Institution;    Malaria Treatment;    Malaria Diagnosis;   

DOI  :  10.1186/1475-2875-9-320

 received in 2010-09-13, accepted in 2010-11-11,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundPrompt diagnosis and timely treatment of malaria within 24 hours after onset of first symptoms can reduce illness progression to severe stages and therefore, decrease mortality. The reason why mothers/caretakers delay in malaria diagnosis and treatment for under-five children is not well studied in Ethiopia. The objective of this study was to assess determinants of malaria treatment delay in under-five children in three districts of south-west Ethiopia.MethodsA case control study was conducted from March 15 to April 20, 2010. Cases were under-five children who had clinical malaria and sought treatment after 24 hours of developing sign and symptom, and controls were under-five children who had clinical malaria and sought treatment within 24 hours of developing sign and symptom of malaria. Data were collected by trained enumerators using structured questionnaire. Data were entered in to Epi Info version 6.04 and analyzed using SPSS version 16.0. To identify determinants, multiple logistic regression was done.ResultsA total of 155 mothers of cases and 155 mothers of controls were interviewed. Mothers of children who were in a monogamous marriage (OR = 3.41, 95% CI: 1.39, 8.34), who complained about the side effects of anti-malarial drugs (OR = 4.96, 95% CI: 1.21, 20.36), who had no history of child death (OR = 3.50, 95% CI: 1.82, 6.42) and who complained about the higher cost of transportation to reach the health institutions (OR = 2.01, 95% CI: 1.17, 3.45) were more likely to be late for the treatment of malaria in under-five children.ConclusionEffective malaria control programmes should address reducing delayed presentation of children for treatment. Efforts to reduce delay should address transport cost, decentralization of services and increasing awareness of the community on early diagnosis and treatment.

【 授权许可】

Unknown   
© Getahun et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.