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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Malaria treatment in remote areas of Mali: use of modern and traditional medicines, patient outcome
Transactions of the Royal Society of Tropical Medicine and Hygiene, Volume 100, No. 6, Year 2006
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Description
Use of official health services often remains low despite great efforts to improve quality of care. Are informal treatments responsible for keeping a number of patients away from standard care, and if so, why? Through a questionnaire survey with proportional cluster samples, we studied the case histories of 952 children in Bandiagara and Sikasso areas of Mali. Most children with reported uncomplicated malaria were first treated at home (87%) with modern medicines alone (40%), a mixture of modern and traditional treatments (33%), or traditional treatment alone (27%). For severe episodes (224 cases), a traditional treatment alone was used in 50% of the cases. Clinical recovery after uncomplicated malaria was above 98% with any type of treatment. For presumed severe malaria, the global mortality rate was 17%; it was not correlated with the type of treatment used (traditional or modern, at home or elsewhere). In the study areas, informal treatments divert a high proportion of patients away from official health services. Patients' experience that outcome after standard therapeutic itineraries is not better than after alternative care may help to explain low use of official health services. We need to study whether some traditional treatments available in remote villages should be considered real, recommendable first aid. © 2005 Royal Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Diallo, Drissa
Mali, Bamako
Département Médecine Traditionnelle
Graz, Bertrand
Switzerland, Geneve
Antenna Technologies
Falquet, Jacques
Switzerland, Geneve
Antenna Technologies
Traoré, Abdel Kader
Mali, Bamako
Centre National D'appui à la Lutte Contre la Maladie
Giani, Sergio
Mali, Bamako
Aide au Développement Des Médecines Traditionnelles Aidemet
Mounkoro, Pakuy Pierre
Mali, Bamako
Département Médecine Traditionnelle
Berthé, Adama
Mali, Bamako
Direction de la Pharmacie et du Médicament Dpm
Sacko, Moussa
Mali, Bamako
Programme National de Lutte Contre le Paludisme
Diakité, Chiaka
Mali, Bamako
Département Médecine Traditionnelle
Statistics
Citations: 66
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1016/j.trstmh.2005.08.003
ISSN:
00359203
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Mali