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ACCESS TO PROMPT MALARIA TREATMENT FOR CHILDREN UNDER-FIVE YEARS IN GHANA: A CASE STUDY OF KASSENA-NANKANA MUNICIPAL

Title
ACCESS TO PROMPT MALARIA TREATMENT FOR CHILDREN UNDER-FIVE YEARS IN GHANA: A CASE STUDY OF KASSENA-NANKANA MUNICIPAL
Author
Saheed Ibrahim
Advisor(s)
한동운
Issue Date
2017-08
Publisher
한양대학교
Degree
Master
Abstract
Background: In Ghana, delay in seeking early, inappropriate and ineffective treatment for children with malaria are challenging issues. The aim of our study is to estimate the proportion of children who have access to appropriate malaria treatment within 24 hours of onset of illness and investigate the factors affecting access to prompt appropriate malaria treatment for children in rural communities of northern Ghana Methodology: A cross-sectional household survey was conducted among mothers 18-49 years with children under-five years in Kassena-Nankana municipal of the Upper East Region in Northern Ghana to estimate the proportion of children under-five years that have access to prompt appropriate malaria treatment and variables that affect access to prompt appropriate treatment of childhood malaria in the Municipality. Frequency distribution, chi-square test and logistic regressions analyses were conducted to identify the determinants of access to prompt malaria treatment for children under-five Results: Among the 450 mothers sampled, 393(87.3%) of them used health facility as the first response to their children presumptive malaria. About seventy percent (70%) of the respondents sought treatment within 24 hours for their children. We found that the health insurance status of mothers and their children were predictors of access to prompt treatment. mothers and children who enrolled into the National health insurance scheme were more like to use health facility within 24 hours. While perceived severity of illness was another major determinant of accessing treatment within 24 hours, factors such as proximity to facility, travel time and lack of transport were not associated with prompt access to treatment. Conclusion: The overall access to malaria treatment was 66.9% and met the WHO target of 60%. However, it is necessary to ensure the enrollment of mothers and children who cannot afford the premium of the National Health Insurance Scheme since there is an associated between health insurance status and access to prompt treatment.
URI
http://hdl.handle.net/20.500.11754/33249http://hanyang.dcollection.net/common/orgView/200000430843
Appears in Collections:
GRADUATE SCHOOL[S](대학원) > GLOBAL HEALTH & DEVELOPMENT(국제의료개발학과) > Theses (Ph.D.)
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