Delay in Seeking Treatment among Adults with Malaria Experience in Shan State, Myanmar

Nay Lin HTUT, Somsak WONGSAWASS, Aroonsri MONGKOLCHAT, Orapin LAOSEE

Abstract


This cross-sectional descriptive study was conducted to determine the factors associated with the delay in seeking malaria treatment among adult villagers in malaria endemic areas of Myanmar. The data collection was conducted during March and April 2015. A total of 320 questionnaires were randomly distributed to the subjects who had malaria in the last 12 months prior to data collection. There were 310 completed questionnaires (96.8 %) for analysis. Bivariate analyses were performed to identify the association between independent variables and delay in seeking malaria treatment. The results showed that majority of the respondents (84.2 %) delayed in seeking malaria treatment. Approximately one-fifth (21.0 %) went to traditional healer, quack (fake doctor) (13.9 %) and self-care (11.9 %) as the first contact after getting signs and symptoms of malaria. There were 3 factors associated with delay in seeking malaria treatment; availability of health care personnel (OR: 2.26, 95 %CI: 1.20 - 4.25), distance from home to health center (OR: 2.13, 95 %CI: 1.14 - 3.98) and perceived cost of malaria treatment (OR: 2.33, 95 %CI: 1.19 - 4.54). Based on the results of this study, government and non-government organizations should put more effort to provide a sufficient number of health care personnel or trained malaria volunteer covering all villages especially those in remote and endemic areas.


Keywords


Delay, malaria, seeking-treatment, endemic area, Myanmar

Full Text:

PDF

References


World Health Organization. World Malaria Report. World Health Organization, Geneva, Switzerland, 2015.

World Health Organization. World Malaria Report. World Health Organization, Geneva, Switzerland, 2014.

World Health Organization. External Evaluation of the National Malaria Control Program. World Health Organization, Geneva, Switzerland, 2013.

J Sachs and P Malaney. The economic and social burden of malaria. Nature 2002; 415, 680-5.

DL Suswardany, DW Sibbritt, S Supardi, S Chang and J Adams. A critical review of traditional medicine and traditional healer use for malaria and among people in malaria-endemic areas: Contemporary research in low to middle-income Asia-Pacific countries. Malaria J. 2015; 14, 98.

UM Chukwuocha, AC Okpanma, GC Nwakwuo and INS Dozie. Determinants of delay in seeking Malaria treatment for children under-5 years in parts of South Eastern Nigeria. J. Comm. Health 2014; 39, 1171-8.

Xu JW, Xu QZ, Liu H and Zeng YR. Malaria treatment-seeking behaviour and related factors of Wa ethnic minority in Myanmar: A cross-sectional study. Malaria J. 2012; 11, 417.

K Sonkong, S Chaiklieng, P Neave and P Suggaravetsiri. Factors affecting delay in seeking treatment among malaria patients along Thailand-Myanmar border in Tak Province, Thailand. Malaria J. 2015; 14, 3.

A Getahun, K Deribe and A Deribew. Determinants of delay in malaria treatment-seeking behaviour for under-five children in south-west Ethiopia: A case control study. Malaria J. 2010; 9, 320.

NC Min and ML Gatton. Costs to the patient for seeking malaria care in Myanmar. Acta Tropica 2004; 92, 173-7.

A Das and TS Ravindran. Factors affecting treatment-seeking for febrile illness in a malaria endemic block in Boudh district, Orissa, India: Policy implications for malaria control. Malaria J. 2010; 9, 377.

R Ndyomugyenyi, P Magnussen and S Clarke. Malaria treatment-seeking behaviour and drug prescription practices in an area of low transmission in Uganda: Implications for prevention and control. Trans. Roy. Soc. Trop. Med. Hyg. 2007; 101, 209-15.

PO Sumba, SL Wong, HK Kanzaria, KA Johnson and CC John. Malaria treatment-seeking behaviour and recovery from malaria in a highland area of Kenya. Malaria J. 2008; 7, 245.

S Allin, C Hernández-Quevedo and C Masseria. Measuring Equity of Access to Health Care. In: P Smith (ed.). Performance Measurement for Health System Improvement: Experiences, Challenges and Prospects. Cambridge University Press, Cambridge, 2010, p. 187-221.

A Oliver and E Mossialos. Equity of access to health care: Outlining the foundations for action. J. Epidemiol. Comm. Health 2004; 58, 655-8.

D Srivastava and A McGuire. Patient access to health care and medicines across low-income countries. Soc. Sci. Med. 2015; 133, 21-7.

SF Rumisha, MM Zinga, CA Fahey, D Wei, VM Bwana, MRS Mlozi, EH Shayo, RC Malima, BK Mayala, G Stanley, T Mlacha and LE Mboera. Accessibility, availability and utilisation of malaria interventions among women of reproductive age in Kilosa district in central Tanzania. BMC Health Serv. Res. 2014; 14, 452.

World Health Organization. Asia Pacific Observatory on Health System and Policies. The Republic of the Union of Myanmar Health System Review. Health System in Transition, 2014.


Refbacks

  • There are currently no refbacks.




http://wjst.wu.ac.th/public/site/images/admin/image012_400

Online ISSN: 2228-835X

http://wjst.wu.ac.th

Last updated: 13 February 2019