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Biting Back at Malaria: Assessing Health-service Providers' Compliance with Treatment Guidelines

机译:对抗疟疾:评估卫生服务提供者对治疗指南的依从性

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摘要

Non-compliance with established medical treatment guidelines can have dire consequences for public health and economic well-being. Based on the Demographic and Health Surveys, we examine malaria-treatment practices of various health-care providers in sub-Saharan Africa, where more than 90% of malaria-induced deaths occur. We estimate each provider's likelihood (i) to comply with guidelines to administer (effective) antimalarial drugs and (ii) to relieve children of fevera symptom of malariaafter having had a fever episode within the previous two weeks. Our results indicate that, relative to self-medication, seeking treatment at most providers is positively associated with taking an antimalarial drug and negatively associated with using only ineffective chloroquine. Non-traditional healers are also associated with fever relief.
机译:不遵守既定的医疗指南可能对公共卫生和经济福祉造成可怕的后果。根据《人口与健康调查》,我们研究了撒哈拉以南非洲地区各种医疗服务提供者的疟疾治疗方法,其中90%以上的疟疾导致的死亡发生。我们估计每个提供者的可能性(i)遵守指导原则(有效)使用抗疟药,以及(ii)减轻儿童在前两周内发烧后出现的疟疾发烧症状。我们的结果表明,相对于自我用药,在大多数提供者处寻求治疗与服用抗疟药呈正相关,而与仅使用无效的氯喹呈负相关。非传统治疗师还可以缓解发烧。

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  • 来源
    《Review of development economics》 |2017年第3期|591-626|共36页
  • 作者

    Paloyo Alfredo; Reichert Arndt;

  • 作者单位

    Univ Wollongong, Sch Accounting Econ & Finance, Wollongong, NSW 2522, Australia|Univ Wollongong, Ctr Human & Social Capital Res, Wollongong, NSW, Australia;

    World Bank, Dev Res Grp, Impact Evaluat Team, 1818 H St NW, Washington, DC 20433 USA;

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