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When to seek health care: A duration analysis for malaria patients in Nepal

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  • Sharma, Vijaya Raj

Abstract

We find that the log-normal distribution of care-seeking time - the number of days from the onset of symptoms of malaria to when a patient seeks treatment from a provider - best described the treatment-seeking behavior of malaria patients in rural areas of two districts of Nepal. The care-seeking rate, or the probability of seeking care, was low on the first day of the symptoms; it increased sharply over the first five days and then gradually declined. Since at the time of the research there was a system of malaria workers taking monthly surveillance rounds of each house to detect and treat malaria cases, patients, instead of traveling to a provider for care, generally waited for malaria workers to arrive at home when the wait for malaria workers was short. But, the probability of seeking care on any day rose if the wait was longer. Women generally tended to wait longer for the malaria workers in order to receive treatment at home. Patient's age, household size, education, and the type of malaria species infecting the patient had no significant effect on care-seeking rate. Given an assumption that a wait of 100 days for a malaria worker would effectively represent total absence of surveillance program, the estimated model predicted higher care-seeking rates under no surveillance program than under the monthly surveillance program.

Suggested Citation

  • Sharma, Vijaya Raj, 2008. "When to seek health care: A duration analysis for malaria patients in Nepal," Social Science & Medicine, Elsevier, vol. 66(12), pages 2486-2494, June.
  • Handle: RePEc:eee:socmed:v:66:y:2008:i:12:p:2486-2494
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    References listed on IDEAS

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    1. Morey, Edward R. & Sharma, Vijaya R. & Mills, Anne, 2003. "Willingness to pay and determinants of choice for improved malaria treatment in rural Nepal," Social Science & Medicine, Elsevier, vol. 57(1), pages 155-165, July.
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    4. Mills, Anne, 1994. "The economic consequences of malaria for households: a case-study in Nepal," Health Policy, Elsevier, vol. 29(3), pages 209-227, September.
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    7. de Bartolome, Charles A. M. & Vosti, Stephen A., 1995. "Choosing between public and private health-care: A case study of malaria treatment in Brazil," Journal of Health Economics, Elsevier, vol. 14(2), pages 191-205, June.
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