Seeking treatment for uncomplicated malaria: experiences from the Kintampo districts of Ghana
Identifieur interne : 000150 ( Main/Exploration ); précédent : 000149; suivant : 000151Seeking treatment for uncomplicated malaria: experiences from the Kintampo districts of Ghana
Auteurs : Lawrence G. Febir [Ghana] ; Kwaku Poku Asante [Ghana] ; Samuel Afari-Asiedu [Ghana] ; Livesy N. Abokyi [Ghana] ; Anthony Kwarteng [Ghana] ; Bernhards Ogutu [Ghana] ; Margaret Gyapong [Ghana] ; Seth Owusu-Agyei [Ghana]Source :
- Malaria Journal [ 1475-2875 ] ; 2016.
Abstract
Malaria accounts for many deaths and illnesses, mostly among young children and pregnant women in sub-Saharan Africa. An integrated approach is recommended to ensure effective malaria control. Socio-cultural factors continue to serve as determinants of malaria health-seeking behaviour. An INDEPTH effectiveness and safety study platform was established to unearth issues around the use of licensed and nationally recommended anti-malarials in real life settings. This study reports on treatment-seeking behaviour for uncomplicated malaria among community members.
A qualitative study was conducted in the dry and rainy seasons in purposively selected communities in Kintampo north and south districts. This was based on distances to a health facility, ethnicity and availability of medicines at the sale outlets. Twenty-four focus group discussions were conducted among adult men, women care-takers of children less than 5 years and pregnant women. Ten INDEPTH interviews were also conducted among operators of medicine sale outlets and managers of health facilities. Fifty-one illnesses narrative interviews were conducted among adult men, women, women caretakers of children less than 5 years and pregnant women. Transcripts were transferred into Nvivo 8 software for data management and analysis.
The artemisinin-based combinations that were commonly known and used were artesunate–amodiaquine and artemether–lumefantrine. Use of herbal preparation to treat diseases including uncomplicated malaria is rife in the communities. Drug stores were not the main source of artemisinin-based combination sales at time of the study. Monotherapies, pain killers and other medicines were purchased from these shops for malaria treatment. Dizziness, general body weakness and sleepiness were noted among respondents who used artemisinin-based combination therapy (ACT) in the past.
There is no clear cut trajectory for management of uncomplicated malaria in the study area. Different approaches are adopted when treating malaria. There is need for community education to influence behaviour on the management of malaria to achieve real gains from ACT use.
Url:
DOI: 10.1186/s12936-016-1151-7
PubMed: 26896962
PubMed Central: 4761197
Affiliations:
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Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Afari Asiedu, Samuel" sort="Afari Asiedu, Samuel" uniqKey="Afari Asiedu S" first="Samuel" last="Afari-Asiedu">Samuel Afari-Asiedu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Abokyi, Livesy N" sort="Abokyi, Livesy N" uniqKey="Abokyi L" first="Livesy N." last="Abokyi">Livesy N. Abokyi</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Kwarteng, Anthony" sort="Kwarteng, Anthony" uniqKey="Kwarteng A" first="Anthony" last="Kwarteng">Anthony Kwarteng</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. 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Box DD1, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation></author><author><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. 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Febir</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Asante, Kwaku Poku" sort="Asante, Kwaku Poku" uniqKey="Asante K" first="Kwaku Poku" last="Asante">Kwaku Poku Asante</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Afari Asiedu, Samuel" sort="Afari Asiedu, Samuel" uniqKey="Afari Asiedu S" first="Samuel" last="Afari-Asiedu">Samuel Afari-Asiedu</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Abokyi, Livesy N" sort="Abokyi, Livesy N" uniqKey="Abokyi L" first="Livesy N." last="Abokyi">Livesy N. Abokyi</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Kwarteng, Anthony" sort="Kwarteng, Anthony" uniqKey="Kwarteng A" first="Anthony" last="Kwarteng">Anthony Kwarteng</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author><author><name sortKey="Ogutu, Bernhards" sort="Ogutu, Bernhards" uniqKey="Ogutu B" first="Bernhards" last="Ogutu">Bernhards Ogutu</name><affiliation wicri:level="3"><nlm:aff id="Aff3">INDEPTH Network, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>INDEPTH Network, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Gyapong, Margaret" sort="Gyapong, Margaret" uniqKey="Gyapong M" first="Margaret" last="Gyapong">Margaret Gyapong</name><affiliation wicri:level="1"><nlm:aff id="Aff2">Dodowa Health Research Centre, P. O. Box DD1, Dodowa, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Dodowa Health Research Centre, P. O. Box DD1, Dodowa</wicri:regionArea><wicri:noRegion>Dodowa</wicri:noRegion></affiliation></author><author><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Kintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Kintampo Health Research Centre, P. O. Box 200, Kintampo</wicri:regionArea><wicri:noRegion>Kintampo</wicri:noRegion></affiliation></author></analytic><series><title level="j">Malaria Journal</title><idno type="eISSN">1475-2875</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Malaria accounts for many deaths and illnesses, mostly among young children and pregnant women in sub-Saharan Africa. An integrated approach is recommended to ensure effective malaria control. Socio-cultural factors continue to serve as determinants of malaria health-seeking behaviour. An INDEPTH effectiveness and safety study platform was established to unearth issues around the use of licensed and nationally recommended anti-malarials in real life settings. This study reports on treatment-seeking behaviour for uncomplicated malaria among community members.</p></sec><sec><title>Methods</title><p>A qualitative study was conducted in the dry and rainy seasons in purposively selected communities in Kintampo north and south districts. This was based on distances to a health facility, ethnicity and availability of medicines at the sale outlets. Twenty-four focus group discussions were conducted among adult men, women care-takers of children less than 5 years and pregnant women. Ten INDEPTH interviews were also conducted among operators of medicine sale outlets and managers of health facilities. Fifty-one illnesses narrative interviews were conducted among adult men, women, women caretakers of children less than 5 years and pregnant women. Transcripts were transferred into Nvivo 8 software for data management and analysis.</p></sec><sec><title>Results</title><p>The artemisinin-based combinations that were commonly known and used were artesunate–amodiaquine and artemether–lumefantrine. Use of herbal preparation to treat diseases including uncomplicated malaria is rife in the communities. Drug stores were not the main source of artemisinin-based combination sales at time of the study. Monotherapies, pain killers and other medicines were purchased from these shops for malaria treatment. Dizziness, general body weakness and sleepiness were noted among respondents who used artemisinin-based combination therapy (ACT) in the past.</p></sec><sec><title>Conclusion</title><p>There is no clear cut trajectory for management of uncomplicated malaria in the study area. Different approaches are adopted when treating malaria. There is need for community education to influence behaviour on the management of malaria to achieve real gains from ACT use.
</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mccombie, S" uniqKey="Mccombie S">S McCombie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Williams, Ha" uniqKey="Williams H">HA Williams</name></author><author><name sortKey="Jones, Co" uniqKey="Jones C">CO Jones</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mensah, Ao" uniqKey="Mensah A">AO Mensah</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saeed, I" uniqKey="Saeed I">I Saeed</name></author><author><name sortKey="Ahmed, E" uniqKey="Ahmed E">E Ahmed</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahorlu, Ck" uniqKey="Ahorlu C">CK Ahorlu</name></author><author><name sortKey="Koram, Ka" uniqKey="Koram K">KA Koram</name></author><author><name sortKey="Ahorlu, C" uniqKey="Ahorlu 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Langat</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Omole, M" uniqKey="Omole M">M Omole</name></author><author><name sortKey="Onademuren, O" uniqKey="Onademuren O">O Onademuren</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Musyoka, Lw" uniqKey="Musyoka L">LW Musyoka</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Willis Shattuck, M" uniqKey="Willis Shattuck M">M Willis-Shattuck</name></author><author><name sortKey="Bidwell, P" uniqKey="Bidwell P">P Bidwell</name></author><author><name sortKey="Thomas, S" uniqKey="Thomas S">S Thomas</name></author><author><name sortKey="Wyness, L" uniqKey="Wyness L">L Wyness</name></author><author><name sortKey="Blaauw, D" uniqKey="Blaauw D">D Blaauw</name></author><author><name sortKey="Ditlopo, P" uniqKey="Ditlopo P">P Ditlopo</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="Ghana"><noRegion><name sortKey="Febir, Lawrence G" sort="Febir, Lawrence G" uniqKey="Febir L" first="Lawrence G." last="Febir">Lawrence G. Febir</name></noRegion><name sortKey="Abokyi, Livesy N" sort="Abokyi, Livesy N" uniqKey="Abokyi L" first="Livesy N." last="Abokyi">Livesy N. Abokyi</name><name sortKey="Afari Asiedu, Samuel" sort="Afari Asiedu, Samuel" uniqKey="Afari Asiedu S" first="Samuel" last="Afari-Asiedu">Samuel Afari-Asiedu</name><name sortKey="Asante, Kwaku Poku" sort="Asante, Kwaku Poku" uniqKey="Asante K" first="Kwaku Poku" last="Asante">Kwaku Poku Asante</name><name sortKey="Gyapong, Margaret" sort="Gyapong, Margaret" uniqKey="Gyapong M" first="Margaret" last="Gyapong">Margaret Gyapong</name><name sortKey="Kwarteng, Anthony" sort="Kwarteng, Anthony" uniqKey="Kwarteng A" first="Anthony" last="Kwarteng">Anthony Kwarteng</name><name sortKey="Ogutu, Bernhards" sort="Ogutu, Bernhards" uniqKey="Ogutu B" first="Bernhards" last="Ogutu">Bernhards Ogutu</name><name sortKey="Owusu Agyei, Seth" sort="Owusu Agyei, Seth" uniqKey="Owusu Agyei S" first="Seth" last="Owusu-Agyei">Seth Owusu-Agyei</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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