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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Access to intermittent preventive treatment (IPt) in a situation of abolition of user's fee: Role of economic welfare
Bulletin de la Societe de Pathologie Exotique, Volume 105, No. 3, Year 2012
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Description
In Senegal, the free distribution of sulfadoxine pyrimethamine during antenatal care is recommended to remove the disparity in the context of intermittent preventive treatment against malaria. The objective of this study was thus to identify factors influencing access to treatment in a situation of abolition of user fees. It was a cross-sectional and analytical study. It covered a sample of 1906 women aged 15-49 years randomly selected during the national survey on malaria in Senegal. Data were collected during a personal interview. The economic well-being was measured from the characteristics of housing and durable goods. The multivariate analysis was performed using logistic regression. The average age was 27.94 ± 5.34, 64.27% resided in rural area and 71.8% had received no schooling. Among the surveyed women, 23% were in the poorest quintile, while 16.3% were in the richest. Intermittent preventive treatment was performed in 49.3%. IPt were made more in urban areas (OR 1.45 95% [1.17 to 1.72]). It increased with the level of education with an OR of 1.5 and 1.68 in primary and secondary. The completion of the IPt increased with economic welfare. The OR ranged from 1.44 to 2.95 in the second quintile to the richest. Free medication does not necessarily benefit poor people. Other accompanying measures must be developed to facilitate the distribution of drugs particularly at community level with the involvement of people. © 2012 Société de pathologie exotique et Springer-Verlag France.
Authors & Co-Authors
Faye, Adama
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Canada, Montreal
University of Montreal
Manga, Noël Magloire
Senegal
Clinique Des Maladies Infectieuses
Seck, Ibrahima D.
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Niang, Khadim
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Lèye, Mamadou Makhtar Mbacké
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Diagne-Camara, Maty
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Diongue, Mayassine
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Ba, Mouhamadou Faly
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Ndiaye, Papa Moussa
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Tal-Dia, Anta Tall
Senegal, Dakar
Université Cheikh Anta Diop de Dakar
Statistics
Citations: 10
Authors: 10
Affiliations: 3
Identifiers
Doi:
10.1007/s13149-011-0192-y
ISSN:
00379085
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Senegal
Participants Gender
Female