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首页> 外文期刊>International Journal of Environmental Research and Public Health >Assessment of Malawian Mothers’ Malaria Knowledge, Healthcare Preferences and Timeliness of Seeking Fever Treatments for Children Under Five
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Assessment of Malawian Mothers’ Malaria Knowledge, Healthcare Preferences and Timeliness of Seeking Fever Treatments for Children Under Five

机译：评估马拉维母亲的疟疾知识，医疗保健偏好以及为五岁以下儿童寻求发烧治疗的及时性

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Malaria is one of the major public health problems in Malawi, contributing to the majority of morbidity and mortality among children under five. Ignorance of malaria symptoms results in delayed treatment, which often degenerates into fatal emergencies. This study analyzed the impact of maternal malaria knowledge on healthcare preferences and timeliness of treating children with reported fever. The Malaria Indicator Survey data for 2012, which were adequately weighted, were analyzed using multinomial logit and Poisson regression models. The results showed low maternal average years of formal education (3.52) and average mothers’ age was 27.97 years. Majority of the women (84.98%) associated fever with malaria, while 44.17% associated it with chilling. Also, 54.42% and 32.43% of the children were treated for fever on the same day and the following day that fever started, respectively. About 9.70% paid for fever treatment from their regular incomes, while 51.38% sought treatment from either public or private health centers. Multinomial Logit regression results showed that relative to using of other treatments, probabilities of selecting private hospitals and public health centers increased with age of the household heads, resident in urban areas, mothers’ years of education, number of days taken off for treatment, paying medical bills from regular, occasional and borrowed incomes, and knowledge of diarrhea and shivering as symptoms of malaria. In the Poisson regression results, timeliness of seeking treatment was significantly enhanced by knowledge of fever as malaria symptom, residence in northern and central regions of Malawi and use of income from sale of assets to pay medical bills (p < 0.10).However, delays in treating children was motivated by age of the household heads, number of days taken off to care for sick child and usage of regular, borrowed and other incomes to pay medical bills. (p < 0.05). It was concluded that efficiency of public sector in treating malaria holds significant prospects for fighting malaria in Malawi. However, adequate efforts should be channeled in enhancing the knowledge of women on malaria symptoms, among others.
机译：疟疾是马拉维的主要公共卫生问题之一，导致五岁以下儿童的大多数发病和死亡。无知的疟疾症状会导致治疗延误，常常退化为致命的紧急情况。这项研究分析了母亲的疟疾知识对治疗发烧儿童的医疗偏好和及时性的影响。使用多项对数和Poisson回归模型分析了2012年的疟疾指标调查数据，并对其进行了适当加权。结果显示，母亲接受正规教育的平均年龄偏低（3.52），母亲的平均年龄为27.97岁。大部分女性（84.98％）与发烧与疟疾有关，而44.17％（百分比）与发冷有关。同样，分别在发烧的第二天和第二天，分别有54.42％和32.43％的儿童接受了发烧治疗。约9.70％的人从其正常收入中支付了发烧治疗费用，而51.38％的人向公共或私人医疗中心寻求治疗。多项式Lo​​git回归结果显示，相对于使用其他治疗方法，选择私人医院和公共卫生中心的可能性随户主年龄，居住在城市地区，母亲的受教育年限，休假天数，支付费用的时间而增加定期，不定期和借来的收入的医疗账单，以及作为疟疾症状的腹泻和发抖的知识。在Poisson回归结果中，通过了解发烧为疟疾症状，在马拉维的北部和中部地区居住以及使用出售资产所得的收入来支付医疗费用（p <0.10），显着提高了就诊的及时性。照看孩子的动机取决于户主的年龄，休假照顾孩子的天数以及使用固定收入，借入收入和其他收入来支付医疗费用。 （p ＜0.05）。结论是，公共部门治疗疟疾的效率在马拉维具有与疟疾作斗争的重要前景。但是，除其他外，应作出适当的努力以增强妇女对疟疾症状的认识。

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