@article{fdi:010072017,
  title = {{L}ow use of artemisinin-based combination therapy for febrile children under five and barriers to correct fever management in {B}enin : a decade after {WHO} recommendation},
  author = {{D}amien, {B}. {G}. and {A}guemon, {B}. and {A}lfa, {D}. {A}. and {B}ocossa, {D}. and {O}gouyemi-{H}ounto, {A}. and {R}emou{\'e}, {F}ranck and {L}e {H}esran, {J}ean-{Y}ves},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {A}rtemisinin-based combination therapy ({ACT}), used to treat uncomplicated malaria cases, is one of the main strategies of malaria control and elimination. {O}ne of the main objectives of the {B}enin {N}ational {M}alaria {C}ontrol {P}rogram's ({NMCP}) strategic plan is to ensure that at least 80% of uncomplicated malaria is treated with {ACT} within 24 h. {T}herefore, it was of great interest to measure whether the country case management of fever amongst children under five, adhered to the {NMCP}'s strategic plan and look into the barriers to the use of {ACT}. {M}ethods: {A} cross-sectional survey based on a cluster and multi-stage sampling was conducted in two rural health districts in {B}enin. {W}e recruited 768 and 594 children under five years were included in the northern and in the southern respectively. {D}ata was collected on the general use of {ACT} and on the correct use of {ACT} that adheres to the {NMCP}'s strategy, as well as the barriers that prevent the proper management of fever amongst children. {T}o assess the certain predictors of {ACT} usage, logistic regression was used, while taking into account the cluster random effect. {R}esults: {A}mong febrile children aged 6 to 59 months, 20.7% in the south and 33.9% in north received {ACT}. {T}he correct use of {ACT}, was very low, 5.8% and in southern and 8.6% northern areas. {C}aregivers who received information on {ACT} were 3.13 time more likely in the south and 2.98 time more likely in the north to give {ACT} to their feverish child, {PPR} = 3.13[1.72-4.15] and {PPR} = 2.98 [2.72-3.11] respectively. {C}hloroquine and quinine, other malaria treatments not recommended by {NMCP}, were still being used in both areas: 12.3 and 3.3% in the south and 11.4 and 3.0% in the north. {C}onclusion: {I}n {B}enin, the use and the correct use of {ACT} for febrile children remains low. {T}he study also showed that having received information about the use of {ACT} is positively associated with the use of {ACT}. {T}his point highlights the fact that efforts may not have been sufficiently integrated with social communication, which should be based on the behavioural determinants of populations.},
  keywords = {{C}are-seeking ; {ACT} use ; {B}ehaviour change communication ; {C}hildren under five years ; {B}enin ; {BENIN}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {18},
  numero = {},
  pages = {art. 168 [13 p.]},
  ISSN = {1471-2458},
  year = {2018},
  DOI = {10.1186/s12889-018-5077-6},
  URL = {https://www.documentation.ird.fr/hor/fdi:010072017},
}