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Community perceptions of malaria and malaria treatment behaviour in a rural district of Ghana: implications for artemisinin combination therapy.

Asante KP, Abokyi L, Zandoh C, Owusu R, Awini E, Sulemana A, Amenga-Etego S, Adda R, Boahen O, Segbaya S, Mahama E, Bart-Plange C, Chandramohan D, Owusu-Agyei S - BMC Public Health (2010)

Bottom Line: Close to 60% of the household heads and 40% of the care-givers interviewed did not know about AS-AQ.Different formulations of ACTs were however found in urban chemical shops but not in rural chemical stores where monotherapy antimalarials were predominant.The awareness of AS-AQ therapy and its side-effect was low in the study area.

View Article: PubMed Central - HTML - PubMed

Affiliation: Kintampo Health Research Centre, Ghana Health Service, PO Box 200, Kintampo, Ghana. kwakupoku.asante@kintampo-hrc.org

ABSTRACT

Background: Artesunate-amodiaquine (AS-AQ) was introduced in Ghana as the first line drug for treatment of uncomplicated malaria in 2004. We report the perceptions of malaria and malaria treatment behaviour, the community awareness of and perceptions about AS-AQ two years after the introduction of this ACT treatment for malaria.

Methods: Two surveys were conducted; a cross-sectional survey of 729 randomly selected household heads (urban-362, rural-367) and 282 women with children < 5 years (urban-121, rural-161) was conducted in 2006. A district wide survey was conducted in 2007 to assess awareness of AS-AQ. These were complemented with twenty-eight focus group discussions (FGDs) and 16 key informant interviews (KII) among community members and major stakeholders in the health care delivery services. All nine (9) health facilities and five (5) purposively selected drug stores were audited in order to identify commonly used anti-malarials in the study area at the time of the survey.

Results: Majority of respondents ( > 75%) in the sampled survey mentioned mosquito bites as the cause of malaria. Other causes mentioned include environmental factors (e.g. dirty surroundings) and standing in the sun. Close to 60% of the household heads and 40% of the care-givers interviewed did not know about AS-AQ. The community respondents who knew about and had ever taken AS-AQ perceived it to be a good drug; although they mentioned they had experienced some side effects including headaches and body weakness. Co-blistered AS-AQ was available in all the government health facilities in the study area. Different formulations of ACTs were however found in urban chemical shops but not in rural chemical stores where monotherapy antimalarials were predominant.

Conclusion: The knowledge of fever as a symptom of malaria is high among the study population. The awareness of AS-AQ therapy and its side-effect was low in the study area. Community education and sensitization, targeting all categories of the population, has to be intensified to ensure an efficient implementation process.

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Factors that motivate household heads and members (N = 807) to use artesunate -amodiaquine in 2006 survey.
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Figure 1: Factors that motivate household heads and members (N = 807) to use artesunate -amodiaquine in 2006 survey.

Mentions: The motivation to use of AS-AQ by household heads and members (N = 807) were assessed in the survey. The perceived efficacy of AS-AQ was the highest (82.7%, 95% CI 79.9 - 85.2) motivating factor for its use, whilst affordability was lowest (54.3%, 95% CI 50.8 - 57.8) (Figure 1).


Community perceptions of malaria and malaria treatment behaviour in a rural district of Ghana: implications for artemisinin combination therapy.

Asante KP, Abokyi L, Zandoh C, Owusu R, Awini E, Sulemana A, Amenga-Etego S, Adda R, Boahen O, Segbaya S, Mahama E, Bart-Plange C, Chandramohan D, Owusu-Agyei S - BMC Public Health (2010)

Factors that motivate household heads and members (N = 807) to use artesunate -amodiaquine in 2006 survey.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2914078&req=5

Figure 1: Factors that motivate household heads and members (N = 807) to use artesunate -amodiaquine in 2006 survey.
Mentions: The motivation to use of AS-AQ by household heads and members (N = 807) were assessed in the survey. The perceived efficacy of AS-AQ was the highest (82.7%, 95% CI 79.9 - 85.2) motivating factor for its use, whilst affordability was lowest (54.3%, 95% CI 50.8 - 57.8) (Figure 1).

Bottom Line: Close to 60% of the household heads and 40% of the care-givers interviewed did not know about AS-AQ.Different formulations of ACTs were however found in urban chemical shops but not in rural chemical stores where monotherapy antimalarials were predominant.The awareness of AS-AQ therapy and its side-effect was low in the study area.

View Article: PubMed Central - HTML - PubMed

Affiliation: Kintampo Health Research Centre, Ghana Health Service, PO Box 200, Kintampo, Ghana. kwakupoku.asante@kintampo-hrc.org

ABSTRACT

Background: Artesunate-amodiaquine (AS-AQ) was introduced in Ghana as the first line drug for treatment of uncomplicated malaria in 2004. We report the perceptions of malaria and malaria treatment behaviour, the community awareness of and perceptions about AS-AQ two years after the introduction of this ACT treatment for malaria.

Methods: Two surveys were conducted; a cross-sectional survey of 729 randomly selected household heads (urban-362, rural-367) and 282 women with children < 5 years (urban-121, rural-161) was conducted in 2006. A district wide survey was conducted in 2007 to assess awareness of AS-AQ. These were complemented with twenty-eight focus group discussions (FGDs) and 16 key informant interviews (KII) among community members and major stakeholders in the health care delivery services. All nine (9) health facilities and five (5) purposively selected drug stores were audited in order to identify commonly used anti-malarials in the study area at the time of the survey.

Results: Majority of respondents ( > 75%) in the sampled survey mentioned mosquito bites as the cause of malaria. Other causes mentioned include environmental factors (e.g. dirty surroundings) and standing in the sun. Close to 60% of the household heads and 40% of the care-givers interviewed did not know about AS-AQ. The community respondents who knew about and had ever taken AS-AQ perceived it to be a good drug; although they mentioned they had experienced some side effects including headaches and body weakness. Co-blistered AS-AQ was available in all the government health facilities in the study area. Different formulations of ACTs were however found in urban chemical shops but not in rural chemical stores where monotherapy antimalarials were predominant.

Conclusion: The knowledge of fever as a symptom of malaria is high among the study population. The awareness of AS-AQ therapy and its side-effect was low in the study area. Community education and sensitization, targeting all categories of the population, has to be intensified to ensure an efficient implementation process.

Show MeSH
Related in: MedlinePlus