@article{PAR00014082,
  title = {{U}se of health care among febrile children from urban poor households in {S}enegal : does the neighbourhood have an impact ?},
  author = {{K}one, {G}. {K}. and {L}alou, {R}ichard and {A}udibert, {M}. and {L}afarge, {H}. and {D}os {S}antos, {S}t{\'e}phanie and {N}donky, {A}. and {L}e {H}esran, {J}ean-{Y}ves},
  editor = {},
  language = {{ENG}},
  abstract = {{U}rban malaria is considered a major public health problem in {A}frica. {T}he malaria vector is well adapted in urban settings and autochthonous malaria has increased. {A}ntimalarial treatments prescribed presumptively or after rapid diagnostic tests are also highly used in urban settings. {F}urthermore, health care strategies for urban malaria must comply with heterogeneous neighbourhood ecosystems where health-related risks and opportunities are spatially varied. {T}his article aims to assess the capacity of the urban living environment to mitigate or increase individual or household vulnerabilities that influence the use of health services. {T}he data are drawn from a survey on urban malaria conducted between 2008 and 2009. {T}he study sample was selected using a two-stage randomized sampling. {T}he questionnaire survey covered 2952 households that reported a case of fever episode in children below 10 years during the month before the survey. {S}elf-medication is a widespread practice for children, particularly among the poorest households in {D}akar. {F}or rich households, self-medication for children is more a transitional practice enabling families to avoid opportunity costs related to visits to health facilities. {F}or the poorest, it is a forced choice and often the only treatment option. {H}owever, the poor that live in well-equipped neighbourhoods inhabited by wealthy residents tend to behave as their rich neighbours. {T}hey grasp the opportunities provided by the area and adjust their behaviours accordingly. {T}hough health care for children is strongly influenced by household socio-economic characteristics, neighbourhood resources (facilities and social networks) will promote health care among the poorest and reduce access inequalities. {W}ithout being a key factor, the neighbourhood of residence-when it provides resources-may be of some help to overcome the financial hurdle. {F}indings suggest that the neighbourhood (local setting) is a relevant scale for health programmes in {A}frican cities.},
  keywords = {{A}ccess to health care ; {D}akar ; equity ; malaria ; multilevel analysis ; neighbourhood ; poverty ; social network ; {SENEGAL} ; {DAKAR}},
  booktitle = {},
  journal = {{H}ealth {P}olicy and {P}lanning},
  volume = {30},
  numero = {10},
  pages = {1307--1319},
  ISSN = {0268-1080},
  year = {2015},
  DOI = {10.1093/heapol/czu144},
  URL = {https://www.documentation.ird.fr/hor/{PAR}00014082},
}