From fever to anti-malarial: the treatment-seeking process in rural Senegal
Abstract Background Currently less than 15% of children under five with fever receive recommended artemisinin-combination therapy (ACT), far short of the Roll Back Malaria target of 80%. To understand why coverage remains low, it is necessary to examine the treatment pathway from a child getting fev...
Published in: | Malaria Journal |
---|---|
Main Authors: | , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMC
2010
|
Subjects: | |
Online Access: | https://doi.org/10.1186/1475-2875-9-333 https://doaj.org/article/c200928f909d4a48b488799ecfbe5378 |
id |
ftdoajarticles:oai:doaj.org/article:c200928f909d4a48b488799ecfbe5378 |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:c200928f909d4a48b488799ecfbe5378 2023-05-15T15:15:15+02:00 From fever to anti-malarial: the treatment-seeking process in rural Senegal Jones Caroline Gueye Babacar Helou Anthony Diallo Rodio Gueye Lamine Bruce Jane Smith Lucy A Webster Jayne 2010-11-01T00:00:00Z https://doi.org/10.1186/1475-2875-9-333 https://doaj.org/article/c200928f909d4a48b488799ecfbe5378 EN eng BMC http://www.malariajournal.com/content/9/1/333 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-333 1475-2875 https://doaj.org/article/c200928f909d4a48b488799ecfbe5378 Malaria Journal, Vol 9, Iss 1, p 333 (2010) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2010 ftdoajarticles https://doi.org/10.1186/1475-2875-9-333 2022-12-30T22:45:38Z Abstract Background Currently less than 15% of children under five with fever receive recommended artemisinin-combination therapy (ACT), far short of the Roll Back Malaria target of 80%. To understand why coverage remains low, it is necessary to examine the treatment pathway from a child getting fever to receiving appropriate treatment and to identify critical blockages. This paper presents the application of such a diagnostic approach to the coverage of prompt and effective treatment of children with fever in rural Senegal. Methods A two-stage cluster sample household survey was conducted in August 2008 in Tambacounda, Senegal, to investigate treatment behaviour for children under five with fever in the previous two weeks. The treatment pathway was divided in to five key steps; the proportion of all febrile children reaching each step was calculated. Results were stratified by sector of provider (public, community, and retail). Logistic regression was used to determine predictors of treatment seeking. Results Overall 61.6% (188) of caretakers sought any advice or treatment and 40.3% (123) sought any treatment promptly within 48 hours. Over 70% of children taken to any provider with fever did not receive an anti-malarial. The proportion of febrile children receiving ACT within 48 hours was 6.2% (19) from any source; inclusion of correct dose and duration reduced this to 1.3%. The proportion of febrile children receiving ACT within 48 hours (not including dose & duration) was 3.0% (9) from a public provider, 3.0% (9) from a community source and 0.3% (1) from the retail sector. Inclusion of confirmed diagnosis within the public sector treatment pathway as per national policy increases the proportion of children receiving appropriate treatment with ACT in this sector from 9.4% (9/96) to an estimated 20.0% (9/45). Conclusions Process analysis of the treatment pathway for febrile children must be stratified by sector of treatment-seeking. In Tambacounda, Senegal, interventions are needed to increase prompt ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 9 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 Jones Caroline Gueye Babacar Helou Anthony Diallo Rodio Gueye Lamine Bruce Jane Smith Lucy A Webster Jayne From fever to anti-malarial: the treatment-seeking process in rural Senegal |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Currently less than 15% of children under five with fever receive recommended artemisinin-combination therapy (ACT), far short of the Roll Back Malaria target of 80%. To understand why coverage remains low, it is necessary to examine the treatment pathway from a child getting fever to receiving appropriate treatment and to identify critical blockages. This paper presents the application of such a diagnostic approach to the coverage of prompt and effective treatment of children with fever in rural Senegal. Methods A two-stage cluster sample household survey was conducted in August 2008 in Tambacounda, Senegal, to investigate treatment behaviour for children under five with fever in the previous two weeks. The treatment pathway was divided in to five key steps; the proportion of all febrile children reaching each step was calculated. Results were stratified by sector of provider (public, community, and retail). Logistic regression was used to determine predictors of treatment seeking. Results Overall 61.6% (188) of caretakers sought any advice or treatment and 40.3% (123) sought any treatment promptly within 48 hours. Over 70% of children taken to any provider with fever did not receive an anti-malarial. The proportion of febrile children receiving ACT within 48 hours was 6.2% (19) from any source; inclusion of correct dose and duration reduced this to 1.3%. The proportion of febrile children receiving ACT within 48 hours (not including dose & duration) was 3.0% (9) from a public provider, 3.0% (9) from a community source and 0.3% (1) from the retail sector. Inclusion of confirmed diagnosis within the public sector treatment pathway as per national policy increases the proportion of children receiving appropriate treatment with ACT in this sector from 9.4% (9/96) to an estimated 20.0% (9/45). Conclusions Process analysis of the treatment pathway for febrile children must be stratified by sector of treatment-seeking. In Tambacounda, Senegal, interventions are needed to increase prompt ... |
format |
Article in Journal/Newspaper |
author |
Jones Caroline Gueye Babacar Helou Anthony Diallo Rodio Gueye Lamine Bruce Jane Smith Lucy A Webster Jayne |
author_facet |
Jones Caroline Gueye Babacar Helou Anthony Diallo Rodio Gueye Lamine Bruce Jane Smith Lucy A Webster Jayne |
author_sort |
Jones Caroline |
title |
From fever to anti-malarial: the treatment-seeking process in rural Senegal |
title_short |
From fever to anti-malarial: the treatment-seeking process in rural Senegal |
title_full |
From fever to anti-malarial: the treatment-seeking process in rural Senegal |
title_fullStr |
From fever to anti-malarial: the treatment-seeking process in rural Senegal |
title_full_unstemmed |
From fever to anti-malarial: the treatment-seeking process in rural Senegal |
title_sort |
from fever to anti-malarial: the treatment-seeking process in rural senegal |
publisher |
BMC |
publishDate |
2010 |
url |
https://doi.org/10.1186/1475-2875-9-333 https://doaj.org/article/c200928f909d4a48b488799ecfbe5378 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 9, Iss 1, p 333 (2010) |
op_relation |
http://www.malariajournal.com/content/9/1/333 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-9-333 1475-2875 https://doaj.org/article/c200928f909d4a48b488799ecfbe5378 |
op_doi |
https://doi.org/10.1186/1475-2875-9-333 |
container_title |
Malaria Journal |
container_volume |
9 |
container_issue |
1 |
_version_ |
1766345620766851072 |