Abstract
Prompt and effective treatment of malaria is critical because delays increase the risk for serious illness, disability and death. To assess determinants of delay in seeking treatment among malaria patients at Dera district, NorthWest Ethiopia. A case control study was conducted from September 01 to October 15, 2014. A total of 318 malaria patients diagnosed using microscopy or rapid diagnostic test, and who sought treatment in health centers were interviewed. Multivariable logistic regression was done to identify determinants of delay. Delay was high when a patient earned less than 25.0 USD [AOR=15.7, 95% CI: 4.8 - 51.2] and 9.6 times higher if he/she was not a member of community based health insurance [AOR= 9.6, 95% CI: 4.4 - 21.3]. Respondents who travelled for more than 30 minutes to get to a health facility [AOR= 4.4, 95% CI: 1.2 - 15.9] were more likely to be late in seeking treatment for malaria. Income, community based health insurance, previous history of malaria infection, decision making and distance were determinants of delay in seeking treatment for malaria. To reduce the delay, interventions should focus on outreach malaria services and increase enrollment to community based health insurance.
Highlights
Malaria is one of the top leading causes of morbidity and mortality in the developing world
In Ethiopia, about 68% of the population live in malaria endemic areas, and 75% of the land mass of the country is at risk of malaria
Study design and setting A case control study was conducted in Dera district, NorthWest Ethiopia from September 01 to October 15, 2014
Summary
Malaria is one of the top leading causes of morbidity and mortality in the developing world. Malaria accounted 17% and 18% of morbidity in adults and under five children, respectively. It is the second (8%) cause of admission following pneumonia, and number one, (9%), cause of mortality[5]. Objective: To assess determinants of delay in seeking treatment among malaria patients at Dera district, NorthWest Ethiopia. Conclusion: Income, community based health insurance, previous history of malaria infection, decision making and distance were determinants of delay in seeking treatment for malaria. Interventions should focus on outreach malaria services and increase enrollment to community based health insurance. Determinants of delay in seeking treatment among malaria patients in Dera district, Northwest Ethiopia: a case control study.
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