Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study

Background. Most of the malaria-related complications in children are due to delay in the treatment-seeking of caregivers. The objective of this study was to identify determinants of delay in seeking malaria treatment for under-five children in Gambella town, Ethiopia. Methods. A case-control study...

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Main Authors: Addisu Tona Shumerga, Habtamu Jarso Hebo, Tsegaye Tewelde Gebrehiwot, Mamo Nigatu Gebre
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Journal of Tropical Medicine
Online Access:http://dx.doi.org/10.1155/2020/2310971
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author Addisu Tona Shumerga
Habtamu Jarso Hebo
Tsegaye Tewelde Gebrehiwot
Mamo Nigatu Gebre
author_facet Addisu Tona Shumerga
Habtamu Jarso Hebo
Tsegaye Tewelde Gebrehiwot
Mamo Nigatu Gebre
author_sort Addisu Tona Shumerga
collection DOAJ
description Background. Most of the malaria-related complications in children are due to delay in the treatment-seeking of caregivers. The objective of this study was to identify determinants of delay in seeking malaria treatment for under-five children in Gambella town, Ethiopia. Methods. A case-control study was conducted in March 2017 among caregivers/parents consecutively included in the study. Data were collected by face-to-face interviews using a structured questionnaire. Descriptive statistics and logistic regression were, respectively, used for descriptive and analytical data analyses. Adjusted odds ratios and 95% CI were, respectively, calculated to assess the strength of association and statistical significance. Result. A total of 153 cases and 153 control caregivers/parents participated in the study giving a response rate of 100%. The mean age of cases and controls was 29.4 years (SD ± 6.0 years) and 29.63 years (SD ± 7.8 years), respectively. Being housewife (AOR = 2.50; 95% CI: 1.47–4.22), having no history of child mortality (AOR = 3.70; 95% CI: 1.79–7.64), and chewing khat (AOR = 3.50; 95% CI: 1.57–7.68) were significantly associated with delay in seeking malaria treatment for under-five children among the caregivers. Conclusion and Recommendation. Comprehensive community-based malaria prevention and control education should be given for the caregivers in the town giving due emphasis to housewives, khat-chewers, and the caregivers with no story of child death to better promote early malaria treatment-seeking for under-five children.
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spelling doaj-art-b94cc5b74ed941aca0a19cbdab738a1c2025-08-20T02:23:32ZengWileyJournal of Tropical Medicine1687-96861687-96942020-01-01202010.1155/2020/23109712310971Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control StudyAddisu Tona Shumerga0Habtamu Jarso Hebo1Tsegaye Tewelde Gebrehiwot2Mamo Nigatu Gebre3Gambella People’s National Regional State Health Bureau, Gambella, EthiopiaDepartment of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaDepartment of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaDepartment of Epidemiology, Faculty of Public Health, Institute of Health, Jimma University, Jimma, EthiopiaBackground. Most of the malaria-related complications in children are due to delay in the treatment-seeking of caregivers. The objective of this study was to identify determinants of delay in seeking malaria treatment for under-five children in Gambella town, Ethiopia. Methods. A case-control study was conducted in March 2017 among caregivers/parents consecutively included in the study. Data were collected by face-to-face interviews using a structured questionnaire. Descriptive statistics and logistic regression were, respectively, used for descriptive and analytical data analyses. Adjusted odds ratios and 95% CI were, respectively, calculated to assess the strength of association and statistical significance. Result. A total of 153 cases and 153 control caregivers/parents participated in the study giving a response rate of 100%. The mean age of cases and controls was 29.4 years (SD ± 6.0 years) and 29.63 years (SD ± 7.8 years), respectively. Being housewife (AOR = 2.50; 95% CI: 1.47–4.22), having no history of child mortality (AOR = 3.70; 95% CI: 1.79–7.64), and chewing khat (AOR = 3.50; 95% CI: 1.57–7.68) were significantly associated with delay in seeking malaria treatment for under-five children among the caregivers. Conclusion and Recommendation. Comprehensive community-based malaria prevention and control education should be given for the caregivers in the town giving due emphasis to housewives, khat-chewers, and the caregivers with no story of child death to better promote early malaria treatment-seeking for under-five children.http://dx.doi.org/10.1155/2020/2310971
spellingShingle Addisu Tona Shumerga
Habtamu Jarso Hebo
Tsegaye Tewelde Gebrehiwot
Mamo Nigatu Gebre
Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study
Journal of Tropical Medicine
title Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study
title_full Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study
title_fullStr Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study
title_full_unstemmed Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study
title_short Determinants of Delay in Seeking Malaria Treatment for Under-Five Children at Gambella Town, Southwest Ethiopia: A Case-Control Study
title_sort determinants of delay in seeking malaria treatment for under five children at gambella town southwest ethiopia a case control study
url http://dx.doi.org/10.1155/2020/2310971
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