From: Treatment-seeking patterns for malaria in pharmacies in five sub-Saharan African countries
Ghana | Kenya | Nigeria | Tanzania | Uganda | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ACT+ (n = 193) | ACT− (n = 4) | p | ACT+ (n = 152) | ACT− (n = 16) | p | ACT+ (n = 148) | ACT− (n = 36) | p | ACT+ (n = 128) | ACT− (n = 57) | p | ACT+ (n = 109) | ACT− (n = 80) | p | |
Patient characteristics | |||||||||||||||
Sex-ratio M:W | 0.69 | 0.33 | 0.52 | 1.04 | 1.70 | 0.38 | 0.95 | 0.80 | 0.65 | 0.78 | 1.85 | 0.008 | 0.60 | 1.10 | 0.04 |
Age (years) | |||||||||||||||
≤5 | 6.2 | 75.0 | 16.2 | 6.3 | 16.2 | 11.1 | 29.1 | 7.0 | 21.3 | 32.5 | |||||
6–16 | 5.2 | 25.0 | <10−4 | 15.5 | 6.3 | 0.28 | 14.2 | 2.8 | 0.09 | 9.4 | 7.0 | 0.002 | 13.9 | 10.0 | 0.20 |
≥17 | 88.6 | 0 | 68.2 | 87.6 | 69.6 | 86.2 | 61.4 | 86.0 | 64.8 | 57.5 | |||||
History of illness | |||||||||||||||
Presence of fever | 98.4 | 100 | 0.80 | 91.0 | 90.9 | 0.98 | 100 | 100 | – | 90.6 | 71.9 | 0.001 | 96.3 | 96.2 | 0.98 |
Mean days with fever (SD) | 2.4 (2.1) | 3.5 (2.5) | 0.31 | 2.5 (1.5) | 2.1 (0.7) | 0.40 | 3.4 (1.9) | 3.0 (1.6) | 0.12 | 1.9 (1.8) | 2.5 (2.8) | 0.11 | 3.2 (3.6) | 5.3 (6.5) | 0.01 |
Diagnostic practices | |||||||||||||||
Location of malaria diagnosis | |||||||||||||||
Self-diagnosis | 84.9 | 25.0 | 32.2 | 61.5 | 33.3 | 67.6 | 0 | 3.5 | 12.9 | 9.3 | |||||
Health facility and pharmacy | 15.1 | 75.0 | 0.001 | 67.8 | 38.5 | 0.03 | 66.7 | 32.4 | 0.0002 | 100 | 96.5 | 0.03 | 87.1 | 90.7 | 0.45 |
Blood test diagnostic | 3.1 | 0 | 0.72 | 55.3 | 18.8 | 0.005 | 41.2 | 22.2 | 0.03 | 96.9 | 94.7 | 0.48 | 81.7 | 88.7 | 0.18 |
Type of outlet | |||||||||||||||
Pharmacy | 88.6 | 50.0 | 0.02 | 100 | 100 | – | 27.2 | 13.9 | 0.09 | 87.5 | 91.2 | 0.46 | 29.4 | 11.3 | 0.01 |
Other | 11.4 | 50.0 | 0 | 0 | 72.8 | 86.1 | 12.5 | 8.8 | 70.6 | 87.7 | |||||
Have a prescription | 90.9 | 0.1 | 0.001 | 97.4 | 2.6 | 0.006 | 37.2 | 19.4 | 0.04 | 90.6 | 92.9 | 0.60 | 76.1 | 86.3 | 0.08 |
Median price of purchased drug | 1.32 | 3.69 | 0.01 | 2.02 | 1.67 | 0.71 | 3.22 | 1.24 | <10−4 | 2.01 | 1.14 | 0.001 | 4.48 | 1.14 | <10−4 |