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. 2009 Dec 17:8:301.
doi: 10.1186/1475-2875-8-301.

Treatment-seeking for febrile illness in north-east India: an epidemiological study in the malaria endemic zone

Himanshu K Chaturvedi  1 , Jagadish Mahanta, Arvind Pandey
Affiliations

Treatment-seeking for febrile illness in north-east India: an epidemiological study in the malaria endemic zone

Himanshu K Chaturvedi et al. Malar J. .

Abstract

Background: This paper studies the determinants of utilization of health care services, especially for treatment of febrile illness in the malaria endemic area of north-east India.

Methods: An area served by two districts of Upper Assam representing people living in malaria endemic area was selected for household survey. A sample of 1,989 households, in which at least one member of household suffered from febrile illness during last three months and received treatment from health service providers, were selected randomly and interviewed by using the structured questionnaire. The individual characteristics of patients including social indicators, area of residence and distance of health service centers has been used to discriminate or group the patients with respect to their initial and final choice of service providers.

Results: Of 1,989 surveyed households, initial choice of treatment-seeking for febrile illness was self-medication (17.8%), traditional healer (Vaidya)(39.2%), government (29.3%) and private (13.7%) health services. Multinomial logistic regression (MLR) analysis exhibits the influence of occupation, area of residence and ethnicity on choice of health service providers. The traditional system of medicine was commonly used by the people living in remote areas compared with towns. As all the febrile cases finally received treatment either from government or private health service providers, the odds (Multivariate Rate Ratio) was almost three-times higher in favour of government services for lower households income people compared to private.

Conclusion: The study indicates the popular use of self-medication and traditional system especially in remote areas, which may be the main cause of delay in diagnosis of malaria. The malaria training given to the paramedical staff to assist the health care delivery needs to be intensified and expanded in north-east India. The people who are economically poor and living in remote areas mainly visit the government health service providers for seeking treatment. So, the improvement of quality health services in government health sector and provision of health education to people would increase the utilization of government health services and thereby improve the health quality of the people.

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Figures

Figure 1
Figure 1
Diagrammatic presentation of types of health service utilization by the fever cases of households in the malaria endemic areas.
See this image and copyright information in PMC

References

    1. Dev V, Hira CR, Rajkhowa MK. Malaria-attributable morbidity in Assam, north-eastern India. Ann Trop Med Parasitol. 2001;95:789–796. doi: 10.1080/00034980120111136. - DOI - PubMed
    1. Alles HK, Mendis KN, Carter R. Malaria mortality rates in south Asia and in Africa: imlication of malaria control. Parasitol Today. 1998;14:369–375. doi: 10.1016/S0169-4758(98)01296-4. - DOI - PubMed
    1. Carter R, Mendis KN. Evolutionary and historical aspects of the burden of malaria. Clin Microbiol Rev. 2002;15:564–594. doi: 10.1128/CMR.15.4.564-594.2002. - DOI - PMC - PubMed
    1. WHO. Malaria control today: Current WHO recommendations. RBM Department; WHO, Geneva; 2005.
    1. Mohapatra PK, Prakash A, Das HK, Mahanta J, Srivastava VK. Malaria outbreak in lower Assam: An epidemiological appraisal. J Parasitic Dis. 1995;19:175–178.

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