DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20222653
Published: 2022-10-29

Determinants of health seeking behaviours for malaria treatment in Cameroon

Ngako Pamen Joelle Nounouce, Njoumemi Zakariaou, Tankeu Yollande, Essi Marie-José, Mbacham F. Wilfred, Somo M. Roger

Abstract


Background: Household health-seeking behaviour for malaria treatment is an important policy concern in malaria-endemic African countries. This paper aims to shed light on the determinants of household’s health-seeking behaviour for malaria treatment in Cameroon.

Methods: The cross-sectional study used secondary data from the fourth Cameroonian household consumption survey conducted by the National Institute of Statistics. A stratified, 2-stage sampling was implemented with a sample of 918 households which sought malaria treatment from different alternatives providers. The multinomial probit model was used to estimate the probability based on socio-demographic and economics determinants for a household to choose between different types of providers of malaria treatment.

Results: The findings of this study indicate that, the alternative providers for malaria treatment were: public health facilities (61.1%), private health facilities (8.5%), traditional healers (1.4%), pharmacies (4.6%), informal vendor (18%), other types of recourse (6.4%). The decision to choose the provider for malaria treatment depends on factors such as household head, region, level of education, religion, area of residence, socio-professional category, and gender. The level of education appears to be an important determinant of a household’s seeking behaviour. Those with higher education are more likely to seek care at formal health facilities.

Conclusions: Health policy-makers need to strive to improve the socio-demographic and economic conditions and sensitize households on the appropriate alternative ways to ensure the universal access to diagnosis and effective treatment of malaria in line with the global strategies recommended by WHO to achieve malaria elimination by 2030.

 


Keywords


Malaria, Health-seeking behaviour, Socio-economic determinants, Treatment, Alternative providers, Cameroon

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References


Aubry P, Gauzere BA. Paludisme. Document pédagogique, Centre René Labusquière, Institut de Médecine Tropicale, Université de Bordeaux. 2018;30.

World Health Organization. World Malaria Report 2020: 20 years of global progress and challenges. Geneva: World Health Organization. 2020. Available at: https://www.who.int/publications-detail-redirect/9789240015791. Accessed on 2 June 2022.

Littrell M, Miller J, Ndhlovu M, Hamainza B, Hawela M, Kamuliwo M, et al. Documenting malaria health coverage in Zambia: A systems effectiveness approach. Malar J. 2013;12(371).

Guntur R, Kingsley J, Amirul I. Malaria treatment-seeking behaviour and its associated factors: A cross-sectional study in rural East Nusa Tenggara Province, Indonesia. J Preventive Med Public Health. 2021;21(367).

Gulliford M, Figueroa J, Myfanwy M, Hughes D, Gibson B, Beech R, et al. What does access to health care mean? J Health Services Res Policy. 2002;7(3):186-8.

Challenger J, Gonçalvez B, Bruxvoort K, Tiono A, Drakeley C. How delayed and non-adherent treatment contribute to onward transmission of malaria: a modelling study. BMJ Glob Health. 2019;4(6).

Levesque J, Harris M, Russell G. Patient-centred access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health. 2013;12(18).

Ridde V, Kafando Y. A community Based targeting approach to exemt the worst -off from user fees in Burkina Faso. J Epidemiol Community Health. 2010;64:10-15.

Haddad S, Nougtara A, Ridde. Inequalities in access to services and their determinants in Burkina Faso. Santé, Société et solidarité. 2004;2:199-210.

Haggerty J, Roberge D, Levesque JF, Loignon C. An exploration of Rural- urban differences in health care-seeking trajectories: implications for measures of accessibility. Health Place. 2014;28(92).

Audibert M, Mathonnat J, Henry MC, Nzeyimana I. Rôle du paludisme dans l'efficience technique des producteurs de coton du Nord de la Côte d'Ivoire. Revue d'économie et de developpement. 1999;7(4).

Tiehi TN. Antenatal care in cote d'Ivoire: an empirical investigation. semantic scholar. 2013.

Hausman J, Wise D. A conditional Prrobit model for qualitative choice: Discrete decisions recognizing interdependence and heterogeneous preferences. Econometrica. 1978;46(2).

Dieng M, Audibert M, Le Hesran JY, Dial A. Déterminants de la demande de soins en milieu peri urbain dans un contexte de subvention à Pikine, Sénégal. HAL. 2015.

Battle K, Bisanzio D, Gibson S, Bhatt S, Cameron E, Weiss DJ, et al. Treatment seeking rates in endemic malaria countries. Malar J. 2016;15(20).

Singh MP, Saha KB, Chand SK, Anvikar A. Factors associated with treatment seeking for malaria in Madhya Pradesh, India. Trop Med Int Health. 2017;22(11):1377-84.

Awuah RB, Asante PY, Sakyi L, Biney AA, Kushitor MK, Agyei F, et al. Factors associated with treatment-seeking for malaria in urban poor communities in Accra, Ghana. Malar J. 2018;17(1):168.

Khairy S, Al-Surimi K, Ali A, Shubily HM, Al Walaan N, Househ M, et al. Knowledge, attitude and practice about malaria in south-western Saudi Arabia: A household-based cross-sectional survey. J Infect Public Health. 2017;10(5):499-506.

Nzooma SM, Tembo-Mwase E, Gebreslasie M, Samson M. Knowledge, attitudes and practices in the control and prevention of malaria in four endemic provinces of Zambia. Afr J Infect Dis. 2017;32(1).

Mbanefo A, Kumar N. Evaluation of Malaria Diagnostic Methods as a Key for Successful Control and Elimination Programs. PubMed PMID. 2020;5(2):102.

Williams DR, Harold WN, James JS. Racial/Ethnic discrimination. Am J Public Health. 2003;93(2).

Franckel. Les comportements de recours aux soins en milieu rural au Sénégal. Le cas des enfants fébriles à Niakhar. PhD thesis. Paris Nanterre: Université Paris Nanterre. 2007.

Sougoudou. Recours thérapeutique des mères en cas de paludisme chez les enfants de moins de cinq ans selon le milieu de résidence au Cameroun. Master's thesis. Yaoundé: IFORD. 2010.

Caldwell J, Caldwell P. Women's position and child mortality and morbidity in less developed countries. Science Open. 1993;122-39.

Van der Heide I, Wang J, Droomers M, Spreeuwenberg J. The relationship between health, education, and health literacy: results from Dutch adult literacyand life skills survey. J Health Communication. 2013;18(1).

Berkman N, Sheridan S, Donahue K, Halpern D, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2).

Davy C, Harfield S, McArthur A, Munn Z. Access to primary health care services for Indigenous peoples: A framework synthesis. Int J Equity Health. 2016;15(163).

World Health Organization. Bridging the "Know-Do" Gap Meeting on Knowledge Translation in Global Health. Geneva Report. Switzerland: World Health Organization. 2006. Available at: https://www.measureevaluation.org/resources/training/capacity-building-resources/high-impact-research-training-curricula/bridging-the-know-do-gap.pdf. Accessed on 2 June 2022.

Ntamabyaliro Y, Burrri C, Lula Y, Ishoso EA. Knowledge of Antimalarials and Health Seeking Behaviour of Households in Case of Suspected Malaria in Democratic Republic of the Congo. Trop Med Infect Dis. 2021;6(157).