Table 6 Barriers to community residents seeking care for febrile illness in the formal healthcare system, by user/non-user status and healthcare provider/community health volunteer, Care-Seeking Behavior Study, Madagascar 2018
Barriers according to CR-user respondents | Barriers according to CR non-user respondents | Barriers according to healthcare providers and CHVs |
|---|---|---|
•High cost of care in hospitals and private facilities •Distance from health facilities •Lack of qualified personnel at public health facilities •Accessibility of drugs on the market/self-medication •Frequent absences of workers from health facilities •Stockouts of suitable drugs in both HFs and with CHVs | •Lack of financial means •Distance from health facilities •Afraid to go to hospitals •Fear of contracting another illness caused by taking drugs •Use of traditional healers •Cultural beliefs according to which some diseases are caused by evil and cannot be cured through the formal health system •Accessibility of drugs on the market/self-medication •Lack of habit of going to health facilities | •Local culture still encouraging use of traditional healers •Lack of habit of going to health facilities among some community residents •Accessibility of drugs on the market/self-medication •Distance from health facilities •Fear of dying in the hospital. People tend to wait until illnesses are serious which leads to higher numbers of deaths in hospitals |