Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets

Abstract Background In Mozambique, the prevalence of malaria in children under 5 years of age is among the highest in the world, but limited data exist on determinants of care-seeking behaviour for malaria. This study aimed at determining the trends and factors associated with care-seeking behaviour...

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Published in:Malaria Journal
Main Authors: Annette Cassy, Abuchahama Saifodine, Baltazar Candrinho, Maria do Rosário Martins, Saraiva da Cunha, Filomena Martins Pereira, Eduardo Samo Gudo
Format: Article in Journal/Newspaper
Language:English
Published: BMC 2019
Subjects:
Online Access:https://doi.org/10.1186/s12936-019-2751-9
https://doaj.org/article/43c110628fca4253b44e9918cdec69ac
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spelling ftdoajarticles:oai:doaj.org/article:43c110628fca4253b44e9918cdec69ac 2023-05-15T15:18:46+02:00 Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets Annette Cassy Abuchahama Saifodine Baltazar Candrinho Maria do Rosário Martins Saraiva da Cunha Filomena Martins Pereira Eduardo Samo Gudo 2019-04-01T00:00:00Z https://doi.org/10.1186/s12936-019-2751-9 https://doaj.org/article/43c110628fca4253b44e9918cdec69ac EN eng BMC http://link.springer.com/article/10.1186/s12936-019-2751-9 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-019-2751-9 1475-2875 https://doaj.org/article/43c110628fca4253b44e9918cdec69ac Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019) Malaria Care-seeking behavior Treatment Children under 5 years of age Mozambique Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2019 ftdoajarticles https://doi.org/10.1186/s12936-019-2751-9 2022-12-31T12:37:16Z Abstract Background In Mozambique, the prevalence of malaria in children under 5 years of age is among the highest in the world, but limited data exist on determinants of care-seeking behaviour for malaria. This study aimed at determining the trends and factors associated with care-seeking behaviour for fever among children under 5 years of age and to assess the treatment practices for malaria. Methods Secondary data analysis of two cross-sectional studies. Descriptive statistics were used to summarize socio-economic and demographic characteristics of participants, using data from the 2011 Demographic and Health Survey and 2015 Indicators of Immunization, Malaria and HIV/AIDS Survey. Complex sampling logistic regression model was used to identify factors associated with care-seeking behaviour, with estimated adjusted odds ratio and respective 95% confidence intervals, only for 2015 IMASIDA data. Results A total of 10,452 and 5168 children under 5 years of age were enrolled in the 2011 DHS and 2015 IMASIDA, respectively. Care-seeking for fever in public and private sectors remained stable during this period (62.6%; 835/1432 in 2011 and 63.7%; 974/1529 in 2015). The main place where care was sought in both surveys was public hospitals (86.2%; 773/897 in 2011 and 86.7%; 844/974 in 2015). Prescription of anti-malarial drugs increased from 42.9% (385/897) in 2011 to 53.8% (524/974) in 2015. Artemether–lumefantrine was the most used anti-malarial drug for febrile children in both surveys and its use increased from 59.0% (219/373) in 2011 to 89.3% (457/512) in 2015. Data from 2015 elucidated that care-seeking was more common in children whose mothers had a secondary level of education (AOR = 2.27 [95% CI 1.15–4.49]) and among those in poorer quintile (AOR = 1.46 [95% CI 0.83–1.90]). Mothers with higher education level (AOR = 0.16 [95% CI 0.34–0.78]) were less likely to seek out care. People from Manica (AOR = 2.49 [1.03–6.01]), Sofala ([AOR = 2.91 [1.03–8.24]), Inhambane (AOR = 3.95 [1.25–12.45]), Gaza (AOR = 3.25 ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 18 1
institution Open Polar
collection Directory of Open Access Journals: DOAJ Articles
op_collection_id ftdoajarticles
language English
topic Malaria
Care-seeking behavior
Treatment
Children under 5 years of age
Mozambique
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
spellingShingle Malaria
Care-seeking behavior
Treatment
Children under 5 years of age
Mozambique
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
Annette Cassy
Abuchahama Saifodine
Baltazar Candrinho
Maria do Rosário Martins
Saraiva da Cunha
Filomena Martins Pereira
Eduardo Samo Gudo
Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets
topic_facet Malaria
Care-seeking behavior
Treatment
Children under 5 years of age
Mozambique
Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
description Abstract Background In Mozambique, the prevalence of malaria in children under 5 years of age is among the highest in the world, but limited data exist on determinants of care-seeking behaviour for malaria. This study aimed at determining the trends and factors associated with care-seeking behaviour for fever among children under 5 years of age and to assess the treatment practices for malaria. Methods Secondary data analysis of two cross-sectional studies. Descriptive statistics were used to summarize socio-economic and demographic characteristics of participants, using data from the 2011 Demographic and Health Survey and 2015 Indicators of Immunization, Malaria and HIV/AIDS Survey. Complex sampling logistic regression model was used to identify factors associated with care-seeking behaviour, with estimated adjusted odds ratio and respective 95% confidence intervals, only for 2015 IMASIDA data. Results A total of 10,452 and 5168 children under 5 years of age were enrolled in the 2011 DHS and 2015 IMASIDA, respectively. Care-seeking for fever in public and private sectors remained stable during this period (62.6%; 835/1432 in 2011 and 63.7%; 974/1529 in 2015). The main place where care was sought in both surveys was public hospitals (86.2%; 773/897 in 2011 and 86.7%; 844/974 in 2015). Prescription of anti-malarial drugs increased from 42.9% (385/897) in 2011 to 53.8% (524/974) in 2015. Artemether–lumefantrine was the most used anti-malarial drug for febrile children in both surveys and its use increased from 59.0% (219/373) in 2011 to 89.3% (457/512) in 2015. Data from 2015 elucidated that care-seeking was more common in children whose mothers had a secondary level of education (AOR = 2.27 [95% CI 1.15–4.49]) and among those in poorer quintile (AOR = 1.46 [95% CI 0.83–1.90]). Mothers with higher education level (AOR = 0.16 [95% CI 0.34–0.78]) were less likely to seek out care. People from Manica (AOR = 2.49 [1.03–6.01]), Sofala ([AOR = 2.91 [1.03–8.24]), Inhambane (AOR = 3.95 [1.25–12.45]), Gaza (AOR = 3.25 ...
format Article in Journal/Newspaper
author Annette Cassy
Abuchahama Saifodine
Baltazar Candrinho
Maria do Rosário Martins
Saraiva da Cunha
Filomena Martins Pereira
Eduardo Samo Gudo
author_facet Annette Cassy
Abuchahama Saifodine
Baltazar Candrinho
Maria do Rosário Martins
Saraiva da Cunha
Filomena Martins Pereira
Eduardo Samo Gudo
author_sort Annette Cassy
title Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets
title_short Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets
title_full Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets
title_fullStr Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets
title_full_unstemmed Care-seeking behaviour and treatment practices for malaria in children under 5 years in Mozambique: a secondary analysis of 2011 DHS and 2015 IMASIDA datasets
title_sort care-seeking behaviour and treatment practices for malaria in children under 5 years in mozambique: a secondary analysis of 2011 dhs and 2015 imasida datasets
publisher BMC
publishDate 2019
url https://doi.org/10.1186/s12936-019-2751-9
https://doaj.org/article/43c110628fca4253b44e9918cdec69ac
geographic Arctic
geographic_facet Arctic
genre Arctic
genre_facet Arctic
op_source Malaria Journal, Vol 18, Iss 1, Pp 1-10 (2019)
op_relation http://link.springer.com/article/10.1186/s12936-019-2751-9
https://doaj.org/toc/1475-2875
doi:10.1186/s12936-019-2751-9
1475-2875
https://doaj.org/article/43c110628fca4253b44e9918cdec69ac
op_doi https://doi.org/10.1186/s12936-019-2751-9
container_title Malaria Journal
container_volume 18
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