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Barriers to prompt and effective treatment of malaria in northern Sri Lanka.

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dc.contributor Medecins sans Frontieres, Colombo, Sri Lanka.
dc.creator Reilley, B
dc.creator Abeyasinghe, R
dc.creator Pakianathar, M V
dc.date 2002-09
dc.date.accessioned 2017-01-31T07:09:08Z
dc.date.available 2017-01-31T07:09:08Z
dc.identifier Barriers to prompt and effective treatment of malaria in northern Sri Lanka. 2002, 7 (9):744-9 Trop. Med. Int. Health
dc.identifier 1360-2276
dc.identifier 12225504
dc.identifier http://hdl.handle.net/10144/16899
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/16899
dc.identifier Tropical Medicine & International Health
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/16899
dc.description BACKGROUND: For the past 18 years, northern Sri Lanka has been affected by armed ethnic conflict. This has had a heavy impact on displacement of civilians, health delivery services, number of health professionals in the area and infrastructure. The north of Sri Lanka has a severe malaria burden, with less than 5% of the national population suffering 34% of reported cases. Health care providers investigated treatment-seeking behaviour and levels of treatment failure believed to be the result of lack of adherence to treatment. METHODS: Pre- and post-treatment interviews with patients seeking treatment in the outpatient department (OPD) and focus groups. RESULTS: A total of 271 persons completed interviews: 54.4% sought treatment within 2 days of the onset of symptoms, and 91.9% self-treated with drugs with prior to seeking treatment, mainly with paracetamol. Self-treatment was associated with delaying treatment (RR 3.55, CI 1.23-10.24, P=0.002). In post-treatment interviews, self-reported default was 26.1%. The main reasons for not taking the entire regimen were side-effects (57.6%) and disappearance of symptoms (16.7%). Focus groups indicated some lack of confidence in chloroquine treatment and prophylaxis, and scant enthusiasm for prevention methods. CONCLUSIONS: A number of factors contribute to a lack of access and a lower quality of care for malaria: lack of medical staff and facilities because of the fighting; lack of confidence in treatment, and perception of malaria as a routine illness. Prevention efforts need to take into account certain beliefs and practices to be successful.
dc.language en
dc.publisher Wiley-Blackwell
dc.relation http://www.blackwell-synergy.com/loi/tmi
dc.rights Archived on this site with the kind permission of Wiley-Blackwell
dc.title Barriers to prompt and effective treatment of malaria in northern Sri Lanka.

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