@article{fdi:010048295,
  title = {{H}ealth-seeking behaviour for childhood malaria : household dynamics in rural {S}enegal},
  author = {{F}ranckel, {A}. and {L}alou, {R}ichard},
  editor = {},
  language = {{ENG}},
  abstract = {{R}esearch on health care behaviour in sub-{S}aharan {A}frica usually considers the mother as the reference in the household when a child is sick. {T}he study of health care management within the family is a key issue for understanding therapeutic rationales. {T}his study was conducted in the region of {F}atick in {S}enegal among 902 children with malaria-related fever. {T}he data were taken from a retrospective quantitative survey conducted in all compounds of the {DSS} ({D}emographic {S}urveillance {S}ite) of {N}iakhar. {T}he results show that child care-taking is fundamentally a collective process: in 70-9% of out-of-home resorts, the treatment decision was collective. {T}he health care process of 68-1% of morbid episodes involved several individuals. {T}he involvement of the mother, the father and other relatives in the collective management of health care followed different logics. {E}ach care-giver had a specific and complementary function depending on gender norms, inter-generational relations and characteristics of the family unit. {F}amily management of illness aims at optimizing financial and human resources given the economic, logistical and social constraints on health care. {N}evertheless, collective management also favoured home-based care, prevented good treatment compliance and delayed the resort to health facilities. {T}hese results suggest that health education campaigns should focus on an early involvement of fathers in health care-giving and also on the strengthening of the autonomy of mothers. {M}others' empowerment should give women more autonomy in their child's treatment choice. {L}astly, there is a need to develop community health facilities and establish shared funding at the community level.},
  keywords = {},
  booktitle = {},
  journal = {{J}ournal of {B}iosocial {S}cience},
  volume = {41},
  numero = {1},
  pages = {1--19},
  ISSN = {0021-9320},
  year = {2009},
  DOI = {10.1017/s0021932008002885},
  URL = {https://www.documentation.ird.fr/hor/fdi:010048295},
}