Treatment-seeking behaviour for febrile illness in an area of seasonal malaria transmission in rural Ethiopia
Treatment-seeking behaviour for febrile illness in an area of seasonal malaria transmission in rural Ethiopia
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DOI：
10.1186/1475-2875-6-49
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发表时间：
2007-04-26
期刊：
影响因子：
3
通讯作者：
Deressa, Wakgari
中科院分区：
文献类型：
--
作者：
Deressa, Wakgari
背景资料：在季节性疟疾传播地区，特别是在东非，人们对疟疾的管理以及儿童和成人的求医模式知之甚少。Objectives：本研究的目的是评估季节性疟疾传播地区所有年龄组中报告的疟疾的求医行为。2003年11月至11月期间，在埃塞俄比亚中南部阿达米图卢区随机选择的12个农村小城镇的2 253个家庭中进行了一项基于社区的横断面研究，结果：在过去的14天里，在12,225名接受评估的人中，报告的疟疾占14%。家庭/自我诊断是最常见的，主要的第一反应包括访问村为基础的社区卫生工作者（CHWs）（33%），公共卫生机构（23%）和私人诊所（17%）。家庭治疗是最少报告的第一反应（3%）。只有13%的人在症状出现的前24小时内寻求治疗。早期寻求治疗的模式中，那些访问CHW和实践家庭治疗，与更多的延迟公共设施的用户。寻求治疗的行为是相似的，在所有年龄组。结论：相当比例的访问CHW和私人提供者，有必要加强以社区为基础的干预措施和外围的公共和私人设施的重要性。最后，应向社区宣传和教育早期诊断和及时使用有效抗疟药物治疗的重要性。
Background: Very little is known about the management of malaria and treatment-seeking patterns among children and adults in areas of seasonal malaria transmission particularly in east Africa.Objectives: The aim of this study was to assess treatment-seeking behaviour for reported malaria among all age groups in an area of seasonal transmission.Methods: A community-based cross-sectional study was carried out among 2,253 households in 12 randomly selected rural kebeles in Adami Tulu district in south-central Ethiopia, during October-November 2003, using a pre-tested interviewer-administered structured questionnaire.Results: Reported malaria was 14% among 12,225 people assessed during the last 14 days. Family/self-diagnosis was most common and the main first responses included visiting village-based community health workers (CHWs) (33%), public health facility (23%) and private clinic (17%). Home treatment was the least reported first response (3%). Only 13% had sought treatment within the first 24 hours of symptom onset. Early treatment-seeking pattern was reported among those who visited CHWs and practiced home treatment, with more delays among public facility users. Treatment-seeking behaviour was similar in all age groups.Conclusion: A considerable proportion of visits were made to CHWs and private providers, necessitating the importance of strengthening both community-based interventions and peripheral public and private facilities. Finally, the community should be informed and educated about the importance of early diagnosis and prompt treatment with effective antimalarials.