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Year : 2005  |  Volume : 12  |  Issue : 2  |  Page : 85-90

From home to hospital: Beliefs and practices related to severe malaria in Sudan

1 National Malaria Control Program, Federal Ministry of Health, Sudan
2 College of Medicine, University of Juba, Sudan

Correspondence Address:
Elfatih M Malik
National Roll Back Malaria Coordinator, Federal Ministry of Health, P.O. Box 1204, Khartoum
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Source of Support: None, Conflict of Interest: None

PMID: 23012081

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Purpose: To develop effective measures of reducing the proportion of severe malaria presentation and deaths attributed to malaria, an adequate understanding of beliefs and practices in households and at the level of primary health care is necessary. The objectives of this paper are to explore beliefs and practices related to the management of severe malaria, and to identify barriers to early consultation. Subjects and Methods: A cross-sectional hospital-based study was conducted in five hospitals in Sudan in 2003. All malaria cases admitted, or their care givers were interviewed by a medical doctor using pre-coded and pre-tested questionnaire. Results: Enrolled in this study, were a total of 482 patients, 62.9% of whom were female. Almost 75.0% of the respondents perceived that malaria had serious complications. Anaemia as a complication was mentioned by 115 (32.0%) respondents. A total of 418 (86.7%) patients sought advice from health personnel. Of these, 305 (73.0%) did so more than 24 hours after the onset of the illness. Distance, lack of money, unavailability of transportation or all were the reasons mentioned as barriers to seeking care at hospitals. More than 70.0% of the patients received anti-malarial drugs before admission with a clear preference for the injectable form of chloroquine. Multivariate analysis revealed that "cost of services" and "not seeking help from health personnel" were the determinants for late consultation. Conclusion: The study revealed that late consultation was a feature in many parts of Sudan. Among the barriers mentioned by the respondents, the cost of services was of the greatest concern.

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Journal of Family and Community Medicine | Published by Wolters Kluwer - Medknow
Online since 05th September, 2010