Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso
Abstract Background Malaria case management relies on World Health Organization (WHO)-recommended artemisinin-based combination therapy (ACT), and a continuous understanding of local community knowledge, attitudes, and practices may be a great support for the success of malaria disease control effor...
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ftdoajarticles:oai:doaj.org/article:9649f83fc7b14505ad455f71776572a0 2023-05-15T15:18:31+02:00 Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso Jean Moise Tanga Kaboré Mohamadou Siribié Denise Hien Issiaka Soulama Nouhoun Barry Yacouba Nombré Frederic Dianda Adama Baguiya Alfred Bewendtaoré Tiono Christian Burri André-Marie Tchouatieu Sodiomon Bienvenu Sirima 2022-05-01T00:00:00Z https://doi.org/10.1186/s12936-022-04180-z https://doaj.org/article/9649f83fc7b14505ad455f71776572a0 EN eng BMC https://doi.org/10.1186/s12936-022-04180-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04180-z 1475-2875 https://doaj.org/article/9649f83fc7b14505ad455f71776572a0 Malaria Journal, Vol 21, Iss 1, Pp 1-14 (2022) Malaria Care-seeking behaviour Multiple first-line therapies Burkina Faso Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2022 ftdoajarticles https://doi.org/10.1186/s12936-022-04180-z 2022-12-31T02:01:58Z Abstract Background Malaria case management relies on World Health Organization (WHO)-recommended artemisinin-based combination therapy (ACT), and a continuous understanding of local community knowledge, attitudes, and practices may be a great support for the success of malaria disease control efforts. In this context, this study aimed to identify potential facilitators or barriers at the community level to inform a health district-wide implementation of multiple first-line therapies (MFT) as a new strategy for uncomplicated malaria case management. Methods A community-based cross-sectional study using a mixed-method design was carried out from November 2018 to February 2019, in the health district (HD) of Kaya in Burkina Faso. Quantitative data were collected using a standardized questionnaire from 1394 individuals who had fever/malaria episodes four weeks prior to the survey. In addition, 23 focus group discussions (FGDs) were conducted targeting various segments of the community. Logistic regression models were used to assess the predictors of community care-seeking behaviours. Results Overall, 98% (1366/1394) of study participants sought advice or treatment, and 66.5% did so within 24 h of fever onset. 76.4% of participants preferred to seek treatment from health centres as the first recourse to care, 5.8% were treated at home with remaining drug stock, and 2.3% preferred traditional healers. Artemether-lumefantrine (AL) was by far the most used anti-malarial drug (98.2%); reported adherence to the 3-day treatment regimen was 84.3%. Multivariate analysis identified less than 5 km distance travelled for care (AOR = 2.7; 95% CI 2.1–3.7) and education/schooling (AOR = 1.8; 95% CI 1.3–2.5) as determinants of prompt care-seeking for fever. Geographical proximity (AOR = 1.5, 95% CI 1.2–2.1), having a child under five (AOR = 4.6, 95% CI 3.2–6.7), being pregnant (AOR = 6.5, 95% CI 1.9–22.5), and living in an urban area (AOR = 2.8, 95% CI 1.8–4.2) were significant predictors for visiting health centres. The FGDs ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 21 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Malaria Care-seeking behaviour Multiple first-line therapies Burkina Faso Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Malaria Care-seeking behaviour Multiple first-line therapies Burkina Faso Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Jean Moise Tanga Kaboré Mohamadou Siribié Denise Hien Issiaka Soulama Nouhoun Barry Yacouba Nombré Frederic Dianda Adama Baguiya Alfred Bewendtaoré Tiono Christian Burri André-Marie Tchouatieu Sodiomon Bienvenu Sirima Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso |
topic_facet |
Malaria Care-seeking behaviour Multiple first-line therapies Burkina Faso Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Malaria case management relies on World Health Organization (WHO)-recommended artemisinin-based combination therapy (ACT), and a continuous understanding of local community knowledge, attitudes, and practices may be a great support for the success of malaria disease control efforts. In this context, this study aimed to identify potential facilitators or barriers at the community level to inform a health district-wide implementation of multiple first-line therapies (MFT) as a new strategy for uncomplicated malaria case management. Methods A community-based cross-sectional study using a mixed-method design was carried out from November 2018 to February 2019, in the health district (HD) of Kaya in Burkina Faso. Quantitative data were collected using a standardized questionnaire from 1394 individuals who had fever/malaria episodes four weeks prior to the survey. In addition, 23 focus group discussions (FGDs) were conducted targeting various segments of the community. Logistic regression models were used to assess the predictors of community care-seeking behaviours. Results Overall, 98% (1366/1394) of study participants sought advice or treatment, and 66.5% did so within 24 h of fever onset. 76.4% of participants preferred to seek treatment from health centres as the first recourse to care, 5.8% were treated at home with remaining drug stock, and 2.3% preferred traditional healers. Artemether-lumefantrine (AL) was by far the most used anti-malarial drug (98.2%); reported adherence to the 3-day treatment regimen was 84.3%. Multivariate analysis identified less than 5 km distance travelled for care (AOR = 2.7; 95% CI 2.1–3.7) and education/schooling (AOR = 1.8; 95% CI 1.3–2.5) as determinants of prompt care-seeking for fever. Geographical proximity (AOR = 1.5, 95% CI 1.2–2.1), having a child under five (AOR = 4.6, 95% CI 3.2–6.7), being pregnant (AOR = 6.5, 95% CI 1.9–22.5), and living in an urban area (AOR = 2.8, 95% CI 1.8–4.2) were significant predictors for visiting health centres. The FGDs ... |
format |
Article in Journal/Newspaper |
author |
Jean Moise Tanga Kaboré Mohamadou Siribié Denise Hien Issiaka Soulama Nouhoun Barry Yacouba Nombré Frederic Dianda Adama Baguiya Alfred Bewendtaoré Tiono Christian Burri André-Marie Tchouatieu Sodiomon Bienvenu Sirima |
author_facet |
Jean Moise Tanga Kaboré Mohamadou Siribié Denise Hien Issiaka Soulama Nouhoun Barry Yacouba Nombré Frederic Dianda Adama Baguiya Alfred Bewendtaoré Tiono Christian Burri André-Marie Tchouatieu Sodiomon Bienvenu Sirima |
author_sort |
Jean Moise Tanga Kaboré |
title |
Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso |
title_short |
Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso |
title_full |
Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso |
title_fullStr |
Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso |
title_full_unstemmed |
Attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of Kaya, Burkina Faso |
title_sort |
attitudes, practices, and determinants of community care-seeking behaviours for fever/malaria episodes in the context of the implementation of multiple first-line therapies for uncomplicated malaria in the health district of kaya, burkina faso |
publisher |
BMC |
publishDate |
2022 |
url |
https://doi.org/10.1186/s12936-022-04180-z https://doaj.org/article/9649f83fc7b14505ad455f71776572a0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 21, Iss 1, Pp 1-14 (2022) |
op_relation |
https://doi.org/10.1186/s12936-022-04180-z https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04180-z 1475-2875 https://doaj.org/article/9649f83fc7b14505ad455f71776572a0 |
op_doi |
https://doi.org/10.1186/s12936-022-04180-z |
container_title |
Malaria Journal |
container_volume |
21 |
container_issue |
1 |
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1766348717711949824 |