Child malaria treatment practices among mothers in the district of Yanfolila, Sikasso region, Mali

Tropical Medicine and International Health - Tập 5 Số 12 - Trang 876-881 - 2000
Mahamadou A. Théra1, Umberto D’Alessandro, Moulaye Thiero, Abdoulaye Ouédraogo, J Packou, Souleymane Oumtanaga, Moussa Fane, G Ade, Fernando Lopez Alvez, Ogobara K. Doumbo
1Faculté de Médecine de Pharmacie et d'Odontostomatologie/Département de l'Epidémiologie des Affections Parasitaires, Bamako, Mali.

Tóm tắt

Summary We studied child malaria treatment practices among mothers living in the District of Yanfolila in southern Mali. For sampling, we first chose five of 13 health areas with probability proportional to size. Then villages, compounds and mothers with at least one child aged 1–5 years were randomly chosen. We assessed the spleen size of one 1–5 year‐old child of each mother, collected a thick blood film and recorded the body temperature of every child whose mother thought he/she was sick. 399 mothers in 28 villages were interviewed with a structured questionnaire divided into two parts. If the child had had soumaya (a term previously associated with uncomplicated malaria) during the past rainy season, we asked about signs and symptoms, health‐seeking behaviour (who the mother consulted first) and treatment. If not, information about knowledge of the disease and treatment to be given was collected. 86% of the mothers interviewed stated that their child had been sick and almost half of them had had soumaya. All mothers named at least one sign by which they recognized the disease. Vomiting, fever and dark urine/yellow eyes/jaundice were the three most common signs mentioned. 75.8% managed their child's disease at home and used both traditional and modern treatment. The most common anti‐malarial drug was chloroquine, often given at inappropriate dosage. The sensitivity and specificity of the mothers' diagnosis was poor, although this might be explained by the large percentage of children who had already been treated at the time of the interview. The results of our survey call for prompt educational action for the correct treatment of uncomplicated malaria/soumaya, particularly for mothers and possibly for shopkeepers. The high spleen rate (58.1%) among randomly selected children confirms that malaria is a common disease in this area. Improved case‐management at home could only be beneficial.

Từ khóa


Tài liệu tham khảo

Benowitz NL, 1994, Poisoning and Drug Overdose

Carrin G, 1993, L'influence de la participation financière des populations sur la demande de soins de santé: Une aide à la réflexion pour les pays les plus démunis. WHO/ICO/ MESD 2

10.1016/S0035-9203(97)90502-2

10.1590/S0074-02761998000500012

Djimde A, 1998, Use of antimalarial drugs in Mali: policy versus reality., American Journal of Tropical Medicine and Hygiene, 59, 376, 10.4269/ajtmh.1998.59.376

DialloFB(1998)Représentations saisonalité et prise en charge du paludisme infantile simple: le cas des femmes Sénoufo de Sikasso (Mali) MD Thesis Université de Montréal.

DickoA(1995)Epidémiologie du paludisme dans la région de Mopti en vue de l'élaboration d'un programme régional de lutte. (Mali) MD Thesis Ecole Nationale de Medécine et de Pharmacie de Bamako..

Ecole Nationale de Médecine et de Pharmacie du Mali, 1980, Etat de santé des populations riveraines avant la mise en eau du barrage de Selingué (mars 1980)

10.1016/S0140-6736(96)90809-0

Foster SD, 1991, Pricing, distribution, and use of antimalarial drugs., Bulletin of the World Health Organization, 69, 349

Gilles HM, 1993, Bruce‐Chwatt's Essential Malariology, 124

10.1016/0140-6736(92)91719-O

10.1016/S0001-706X(97)00071-5

10.1016/0277-9536(95)00446-7

10.1111/j.1365-3156.1996.tb00043.x

10.1046/j.1365-3156.1999.00403.x

10.1016/0277-9536(94)00250-w

10.1016/S0035-9203(96)90482-4

Plowe CV, 1996, Community pyrimethamine‐sulfadoxine use and prevalence of resistant Plasmodium falciparum genotypes in Mali: a model for deterring resistance., American Journal of Tropical Medicine and Hygiene, 55, 467, 10.4269/ajtmh.1996.55.467

Roger M, 1992, Les maladies de l'enfant dans la région de Sikasso (Mali): évolution des représentations des mères au contact des services de santé: à propos de 4 pathologies

Ruebush TK, 1995, Self‐treatment of malaria in a rural area of western Kenya., Bulletin of the World Health Organization, 73, 229

10.1016/0035-9203(92)90290-S

Slutsker L, 1994, Treatment of malaria fever episodes among children in Malawi: results of KAP survey., Tropical Medicine and Parasitology, 45, 61

Thera MA, 1998, Village level treatment of presumptive malaria: experiences with the training of mothers and traditional healers as resource persons in the Region of Mopti, Mali

10.1016/0169-4758(91)90262-M

10.1016/0169-4758(96)10055-7

World Health Organization, 1993, A Global Strategy for Malaria Control

Thông tin
Thông tin xuất bản

Tropical Medicine and International Health

Tập 5 Số 12

876-881

Thông tin tác giả