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Malaria Journal
Published in: Malaria Journal 1/2009

Open Access 01-12-2009 | Research

Access to malaria treatment in young children of rural Burkina Faso

Authors: Maike Tipke, Valérie R Louis, Maurice Yé, Manuela De Allegri, Claudia Beiersmann, Ali Sié, Olaf Mueller, Albrecht Jahn

Published in: Malaria Journal | Issue 1/2009

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Abstract

Background

Effective and timely treatment is an essential aspect of malaria control, but remains a challenge in many parts of sub-Saharan Africa. The objective of this study was to describe young children's access to malaria treatment in Nouna Health District, Burkina Faso.

Methods

In February/March 2006, a survey was conducted in a representative sample of 1,052 households.

Results

Overall 149/1052 (14%) households reported the current possession of anti-malarial medicine, which was significantly associated with urban area, literacy of household head, having young children, and high socio-economic status. Out of a total of 802 children under five years, at least one malaria episode was reported for 239 (30%) within the last month. Overall 95% of children received treatment, either modern (72%), traditional (18%) or mixed (5%). Most of the medicines were provided as home treatment by the caregiver and half of children received some type of modern treatment within 24 hours of the occurrence of first symptoms. Despite a recent policy change to artemisinin-based combination therapy, modern anti-malarials consisted mainly of chloroquine (93%). Modern drugs were obtained more often from a health facility in localities with a health facility compared to those without (60% vs. 25.6%, p < 0.001). In contrast, beside informal providers, volunteer community health workers (CHW) were the main source of modern medicine in localities without a health centre (28% vs. 3%, p < 0.001).

Conclusion

Access to modern health services providing quality controlled effective combination therapies against malaria needs to be strengthened in rural Africa, which should include a re-investigation of the role of CHW 30 years after Alma Ata.
Appendix
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Metadata
Title
Access to malaria treatment in young children of rural Burkina Faso
Authors
Maike Tipke
Valérie R Louis
Maurice Yé
Manuela De Allegri
Claudia Beiersmann
Ali Sié
Olaf Mueller
Albrecht Jahn
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Malaria Journal / Issue 1/2009
Electronic ISSN: 1475-2875
DOI
https://doi.org/10.1186/1475-2875-8-266

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