@article{fdi:010080934,
  title = {{B}etween traditional remedies and pharmaceutical drugs : prevention and treatment of "{P}alu" in households in {B}enin, {W}est {A}frica},
  author = {{D}amien, {B}. {G}. and {B}axerres, {C}arine and {A}petoh, {E}. and {L}e {H}esran, {J}ean-{Y}ves},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {I}n {B}enin, malaria clinical cases, including the larger popular entity called "{P}alu" are evoked when people get fever. "{P}alu" is often self-diagnosed and self-medicated at home. {T}his study aimed to describe the use of herbal medicine, and/or pharmaceutical medicines for prevention and treatment of malaria at home and the factors associated with this usage. {M}ethods: {A} cross-sectional survey was conducted in {B}enin in an urban and in a rural area in 2016. {A}round 600 households in each place were selected by using a random sampling of houses {GPS} coordinates of the families. {T}he association between socio demographic characteristics and the use of herbal medicine was tested by using logistic regression models. {R}esults: {I}n {C}otonou (urban), 43.64% of households reported using herbal or pharmaceutical medicine to prevent "{P}alu", while they were 53.1% in {L}obogo (rural). {T}o treat "{P}alu" in {C}otonou, 5.34% of households reported using herbal medicine exclusively, 33.70% pharmaceutical medicine exclusively and 60.96% reported using both. {I}n {L}obogo, 4% reported using herbal medicine exclusively, 6.78% pharmaceutical medicine exclusively and 89.22% reported using both. {I}n {C}otonou, the factors "age of respondent", "participation to a traditional form of savings" and "low socioeconomic level of the household" were associated with the use of herbal medicine. {C}onclusions: {T}his study shows the strong use of herbal medicine to prevent "{P}alu" or even treat it, and in this case it is mostly associated with the use of pharmaceutical medicine. {I}t also highlights the fact that malaria control and care seeking behaviour with herbal medicine remain closely linked to household low-income status but also to cultural behaviour. {T}he interest of this study is mostly educational, with regards to community practices concerning "{P}alu", and to the design of adapted behaviour change communication strategies. {F}inally, there is a need to take into account the traditional habits of populations in malaria control and define a rational and risk-free use of herbal medicine as {WHO}-recommended.},
  keywords = {{M}alaria ; {H}erbal medicine ; {P}harmaceutical medicine ; {P}revention ; {T}reatment ; {B}enin ; {BENIN}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {20},
  numero = {1},
  pages = {1425 [14 ]},
  year = {2020},
  DOI = {10.1186/s12889-020-09479-7},
  URL = {https://www.documentation.ird.fr/hor/fdi:010080934},
}