@article{fdi:010074316,
  title = {{H}ome treatment and use of informal market of pharmaceutical drugs for the management of paediatric malaria in {C}otonou, {B}enin},
  author = {{A}petoh, {E}. and {T}illy, {M}. and {B}axerres, {C}arine and {L}e {H}esran, {J}ean-{Y}ves},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {M}alaria is the main cause of hospital admissions in {B}enin and a leading cause of death in childhood. {B}eside consultations, various studies have underlined the management of the disease through home treatment. {T}he medicines used can be purchased in informal market of pharmaceutical drugs ({IMPD}) without prescription or any involvement of healthcare professional. {P}harmaceutical drugs are sold by informal private vendors, who operate at any time in the immediate environment of the patients. {T}he present study was conducted in {C}otonou to study the health-seeking behaviour of caregivers to treat malaria in children under 12 years old. {F}actors associated with malaria home treatment and drugs purchase in {IMPD} were studied. {M}ethods: {A} cross-sectional study was carried out among 340 children's caregivers who were interviewed about their socio-demographic characteristics and their care-seeking behaviour during the most recent episode of malaria in their children under 12. {M}edicines used and purchase place were also collected. {M}ultivariate logistic regression model was used to determine factors associated with malaria home treatment and drug purchase in {IMPD}. {R}esults: {B}eyond all the 340 caregivers, 116 (34%) consulted healthcare professional, 224 (66%) home treat the children, among whom 207 (61%) gave pharmaceutical drugs and 17 (5%) gave traditional remedies to children. {M}alaria home treatment was associated with family size, health insurance ({OR} = 0.396, 95% {CI} 0.169-0.928), and wealth quintiles where home treatment was less used by the richest ({OR} = 0.199, 95% {CI} 0.0676-0.522) compared to those in the poorest quintile. {T}he caregivers age group 30-39 years was associated to the use of {IMPD} ({OR} = 0.383, 95% {CI} 0.152-0.964), the most economically wealthy people were less likely to use {IMPD} (wealth quintile richest: {OR} = 0.239, 95% {CI} 0.064-0.887; wealth quintile fourth {OR} = 0.271, 95% {CI} 0.100-0.735) compared to those in the poorest quintile. {A}ll caregivers who benefited from health insurance did not use {IMPD}. {C}onclusion: {T}his study highlights the link between worse economic conditions and accessibility to medical care as one of the main factors of malaria home treatment and drug purchase in {IMPD}, even if those two phenomena need to be understood apart.},
  keywords = {{B}enin ; {C}otonou ; {H}ome treatment ; {I}nformal market of pharmaceutical drugs ; {M}alaria ; {P}arallel market ; {P}aediatric malaria ; {S}elf-medication ; {BENIN} ; {COTONOU}},
  booktitle = {},
  journal = {{M}alaria {J}ournal},
  volume = {17},
  numero = {},
  pages = {art. 354 [14 p.]},
  ISSN = {1475-2875},
  year = {2018},
  DOI = {10.1186/s12936-018-2504-1},
  URL = {https://www.documentation.ird.fr/hor/fdi:010074316},
}