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Geographic inequities in provision and utilization of malaria treatment services in southeast Nigeria: Diagnosis, providers and drugs

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Listed:
  • Onwujekwe, Obinna
  • Hanson, Kara
  • Uzochukwu, Benjamin
  • Ezeoke, Ogochukwu
  • Eze, Soludo
  • Dike, Nkem

Abstract

Objectives To examine the levels of geographic inequities in households' choice of providers, mode of diagnosis and drugs for the treatment of malaria.Methods Interviewer-administered questionnaire was used to collect information from 2250 randomly selected respondents from six malaria-endemic communities in southeast Nigeria. A comparison of data between urban and rural areas was used to examine geographic inequities in treatment seeking.Findings There were geographic inequities in the use of different providers and drugs for the treatment of malaria. The urbanites used more of private hospitals/clinics and specialist hospital, while the rural dwellers used more of drug sellers (patent medicine dealers (PMD) and pharmacy shops (PS)). The rural dwellers were prescribed the cheaper drugs whilst the urbanites were prescribed the more costly drugs.Conclusion The geographic inequities in malaria treatment are skewed against the rural people. Everybody is seeking care from the private sector for treatment of malaria but the rural dwellers are using mostly the informal healthcare providers.

Suggested Citation

  • Onwujekwe, Obinna & Hanson, Kara & Uzochukwu, Benjamin & Ezeoke, Ogochukwu & Eze, Soludo & Dike, Nkem, 2010. "Geographic inequities in provision and utilization of malaria treatment services in southeast Nigeria: Diagnosis, providers and drugs," Health Policy, Elsevier, vol. 94(2), pages 144-149, February.
    • Handle: RePEc:eee:hepoli:v:94:y:2010:i:2:p:144-149
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    References listed on IDEAS

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    1. Mills, Anne, 1991. "Exempting the poor: The experience of Thailand," Social Science & Medicine, Elsevier, vol. 33(11), pages 1241-1252, January.
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    Cited by:

    1. May Sudhinaraset & Matthew Ingram & Heather Kinlaw Lofthouse & Dominic Montagu, 2013. "What Is the Role of Informal Healthcare Providers in Developing Countries? A Systematic Review," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-12, February.
    2. Jessica L Cohen & Prashant Yadav & Corrina Moucheraud & Sarah Alphs & Peter S Larson & Jean Arkedis & Julius Massaga & Oliver Sabot, 2013. "Do Price Subsidies on Artemisinin Combination Therapy for Malaria Increase Household Use?: Evidence from a Repeated Cross-Sectional Study in Remote Regions of Tanzania," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.

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