Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey

Abstract Background Mozambique is ranked fourth in a list of the 29 countries that accounted for 95% of all malaria cases globally in 2019. The aim of this study was to identify factors associated with care seeking for fever, to determine the association between knowledge about malaria and care seek...

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Published in:Malaria Journal
Main Authors: Annette Cassy, Sérgio Chicumbe, Abuchahama Saifodine, Rose Zulliger
Format: Article in Journal/Newspaper
Language:English
Published: BMC 2022
Subjects:
Online Access:https://doi.org/10.1186/s12936-022-04128-3
https://doaj.org/article/a3057274bc154e9a9a31296267f10057
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spelling ftdoajarticles:oai:doaj.org/article:a3057274bc154e9a9a31296267f10057 2023-05-15T15:17:59+02:00 Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey Annette Cassy Sérgio Chicumbe Abuchahama Saifodine Rose Zulliger 2022-03-01T00:00:00Z https://doi.org/10.1186/s12936-022-04128-3 https://doaj.org/article/a3057274bc154e9a9a31296267f10057 EN eng BMC https://doi.org/10.1186/s12936-022-04128-3 https://doaj.org/toc/1475-2875 doi:10.1186/s12936-022-04128-3 1475-2875 https://doaj.org/article/a3057274bc154e9a9a31296267f10057 Malaria Journal, Vol 21, Iss 1, Pp 1-8 (2022) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2022 ftdoajarticles https://doi.org/10.1186/s12936-022-04128-3 2022-12-31T08:22:08Z Abstract Background Mozambique is ranked fourth in a list of the 29 countries that accounted for 95% of all malaria cases globally in 2019. The aim of this study was to identify factors associated with care seeking for fever, to determine the association between knowledge about malaria and care seeking and to describe the main reasons for not seeking care among children under five years of age in Mozambique. Methods This is a quantitative, observational study based on a secondary data analysis of the 2018 Malaria Indicator Survey. This weighted analysis was based on data reported by surveyed mothers or caregivers of children aged 0–59 months who had fever in the two weeks prior to the survey. Results Care was reportedly sought for 69.1% [95% CI 63.5–74.2] of children aged 0–59 months old with fever. Care-seeking was significantly higher among younger children, < 6 months old (AOR = 2.47 [95% CI 1.14–5.31]), 6–11 months old (AOR = 1.75 [95% CI 1.01–3.04]) and 12–23 months old (AOR = 1.85 [95% CI 1.19–2.89]), as compared with older children (48–59 months old). In adjusted analysis, mothers from the middle (AOR = 1.66 [95% CI 0.18–3.37]) and richest (AOR = 3.46 [95% CI 1.26–9.49]) wealth quintiles were more likely to report having sought care for their febrile children than mothers from the poorest wealth quintile. Additionally, mothers with secondary or higher education level were more likely to seek care (AOR = 2.16 [95% CI 1.19–3.93]) than mothers with no education. There was no association between maternal malaria knowledge or reported exposure to malaria messages and care-seeking behaviours. The main reasons reported for not seeking care included distance to health facility (46.3% of respondents), the perception that the fever was not severe (22.4%) and the perception that treatment was not available at the health facility (15%). Conclusion Health facility access and socioeconomic barriers continue to be important constraints to malaria service utilization in Mozambique. 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 Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
Annette Cassy
Sérgio Chicumbe
Abuchahama Saifodine
Rose Zulliger
Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey
topic_facet Arctic medicine. Tropical medicine
RC955-962
Infectious and parasitic diseases
RC109-216
description Abstract Background Mozambique is ranked fourth in a list of the 29 countries that accounted for 95% of all malaria cases globally in 2019. The aim of this study was to identify factors associated with care seeking for fever, to determine the association between knowledge about malaria and care seeking and to describe the main reasons for not seeking care among children under five years of age in Mozambique. Methods This is a quantitative, observational study based on a secondary data analysis of the 2018 Malaria Indicator Survey. This weighted analysis was based on data reported by surveyed mothers or caregivers of children aged 0–59 months who had fever in the two weeks prior to the survey. Results Care was reportedly sought for 69.1% [95% CI 63.5–74.2] of children aged 0–59 months old with fever. Care-seeking was significantly higher among younger children, < 6 months old (AOR = 2.47 [95% CI 1.14–5.31]), 6–11 months old (AOR = 1.75 [95% CI 1.01–3.04]) and 12–23 months old (AOR = 1.85 [95% CI 1.19–2.89]), as compared with older children (48–59 months old). In adjusted analysis, mothers from the middle (AOR = 1.66 [95% CI 0.18–3.37]) and richest (AOR = 3.46 [95% CI 1.26–9.49]) wealth quintiles were more likely to report having sought care for their febrile children than mothers from the poorest wealth quintile. Additionally, mothers with secondary or higher education level were more likely to seek care (AOR = 2.16 [95% CI 1.19–3.93]) than mothers with no education. There was no association between maternal malaria knowledge or reported exposure to malaria messages and care-seeking behaviours. The main reasons reported for not seeking care included distance to health facility (46.3% of respondents), the perception that the fever was not severe (22.4%) and the perception that treatment was not available at the health facility (15%). Conclusion Health facility access and socioeconomic barriers continue to be important constraints to malaria service utilization in Mozambique.
format Article in Journal/Newspaper
author Annette Cassy
Sérgio Chicumbe
Abuchahama Saifodine
Rose Zulliger
author_facet Annette Cassy
Sérgio Chicumbe
Abuchahama Saifodine
Rose Zulliger
author_sort Annette Cassy
title Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey
title_short Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey
title_full Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey
title_fullStr Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey
title_full_unstemmed Factors associated with malaria care seeking among children under 5 years of age in Mozambique: a secondary analysis of the 2018 Malaria Indicator Survey
title_sort factors associated with malaria care seeking among children under 5 years of age in mozambique: a secondary analysis of the 2018 malaria indicator survey
publisher BMC
publishDate 2022
url https://doi.org/10.1186/s12936-022-04128-3
https://doaj.org/article/a3057274bc154e9a9a31296267f10057
geographic Arctic
geographic_facet Arctic
genre Arctic
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op_source Malaria Journal, Vol 21, Iss 1, Pp 1-8 (2022)
op_relation https://doi.org/10.1186/s12936-022-04128-3
https://doaj.org/toc/1475-2875
doi:10.1186/s12936-022-04128-3
1475-2875
https://doaj.org/article/a3057274bc154e9a9a31296267f10057
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