OBJECTIVES: To examine the levels of geographic inequities in households' choice of providers, mode of diagnosis and drugs for the treatment of malaria. METHODS: Interviewer-administered questionnaire was used to collect information from 2250 randomly selected respondents from six malaria-endemic communities in southeast Nigeria. A comparison of data between urban and rural areas was used to examine geographic inequities in treatment seeking. FINDINGS: There were geographic inequities in the use of different providers and drugs for the treatment of malaria. The urbanites used more of private hospitals/clinics and specialist hospital, while the rural dwellers used more of drug sellers (patent medicine dealers (PMD) and pharmacy shops (PS)). The rural dwellers were prescribed the cheaper drugs whilst the urbanites were prescribed the more costly drugs. CONCLUSION: The geographic inequities in malaria treatment are skewed against the rural people. Everybody is seeking care from the private sector for treatment of malaria but the rural dwellers are using mostly the informal healthcare providers.
OBJECTIVES: To examine the levels of geographic inequities in households' choice of providers, mode of diagnosis and drugs for the treatment of malaria. METHODS: Interviewer-administered questionnaire was used to collect information from 2250 randomly selected respondents from six malaria-endemic communities in southeast Nigeria. A comparison of data between urban and rural areas was used to examine geographic inequities in treatment seeking. FINDINGS: There were geographic inequities in the use of different providers and drugs for the treatment of malaria. The urbanites used more of private hospitals/clinics and specialist hospital, while the rural dwellers used more of drug sellers (patent medicine dealers (PMD) and pharmacy shops (PS)). The rural dwellers were prescribed the cheaper drugs whilst the urbanites were prescribed the more costly drugs. CONCLUSION: The geographic inequities in malaria treatment are skewed against the rural people. Everybody is seeking care from the private sector for treatment of malaria but the rural dwellers are using mostly the informal healthcare providers.
Authors: Lila C Fleming; Rashid Ansumana; Alfred S Bockarie; Joel D Alejandre; Karen K Owen; Umaru Bangura; David H Jimmy; Kevin M Curtin; David A Stenger; Kathryn H Jacobsen Journal: Int J Public Health Date: 2016-03-30 Impact factor: 3.380
Authors: Lila C Fleming; Rashid Ansumana; Alfred Bockarie; Joel Alejandre; Umaru Bangura; David Henry Jimmy; Nigel Waters; Heibatollah Baghi; David Stenger; Kathryn H Jacobsen Journal: Pan Afr Med J Date: 2016-03-31
Authors: Adam Bennett; Anton L V Avanceña; Jennifer Wegbreit; Chris Cotter; Kathryn Roberts; Roly Gosling Journal: Malar J Date: 2017-06-14 Impact factor: 2.979
Authors: Jessica L Cohen; Prashant Yadav; Corrina Moucheraud; Sarah Alphs; Peter S Larson; Jean Arkedis; Julius Massaga; Oliver Sabot Journal: PLoS One Date: 2013-07-29 Impact factor: 3.240