Evidence map›Paper›PMID 26896962›Full record

ArticleMalaria journal2016

Seeking treatment for uncomplicated malaria: experiences from the Kintampo districts of Ghana.

Lawrence G Febir, Kwaku Poku Asante, Samuel Afari-Asiedu, Livesy N Abokyi, Anthony Kwarteng, Bernhards Ogutu, Margaret Gyapong, Seth Owusu-Agyei

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Lawrence G FebirKintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana. lawrence.febir@kintampo-hrc.org.
Kwaku Poku AsanteKintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana. kwakupoku.asante@kintampo-hrc.org.
Samuel Afari-AsieduKintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana. Samuel.afari-asiedu@kintampo-hrc.org.
Livesy N AbokyiKintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana. livesy.abokyi@kintampo-kintampo-hrc.org.
Anthony KwartengKintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana. anthony.kwarteng@kintampo-kintampo-hrc.org.
Bernhards OgutuINDEPTH Network, Accra, Ghana. bernhards.ogutu@indepth-network.org.
Margaret GyapongDodowa Health Research Centre, P. O. Box DD1, Dodowa, Ghana. Margaret.gyapong@ghsmail.org.
Seth Owusu-AgyeiKintampo Health Research Centre, P. O. Box 200, Kintampo, Ghana. seth.owusu-agyei@kintampo-hrc.org.
Kintampo Health Research Centre · GHDodowa Health Research Centre · GHIndepth Network · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria accounts for many deaths and illnesses, mostly among young children and pregnant women in sub-Saharan Africa. An integrated approach is recommended to ensure effective malaria control. Socio-cultural factors continue to serve as determinants of malaria health-seeking behaviour. An INDEPTH effectiveness and safety study platform was established to unearth issues around the use of licensed and nationally recommended anti-malarials in real life settings. This study reports on treatment-seeking behaviour for uncomplicated malaria among community members.

methodsA qualitative study was conducted in the dry and rainy seasons in purposively selected communities in Kintampo north and south districts. This was based on distances to a health facility, ethnicity and availability of medicines at the sale outlets. Twenty-four focus group discussions were conducted among adult men, women care-takers of children less than 5 years and pregnant women. Ten INDEPTH interviews were also conducted among operators of medicine sale outlets and managers of health facilities. Fifty-one illnesses narrative interviews were conducted among adult men, women, women caretakers of children less than 5 years and pregnant women. Transcripts were transferred into Nvivo 8 software for data management and analysis.

resultsThe artemisinin-based combinations that were commonly known and used were artesunate-amodiaquine and artemether-lumefantrine. Use of herbal preparation to treat diseases including uncomplicated malaria is rife in the communities. Drug stores were not the main source of artemisinin-based combination sales at time of the study. Monotherapies, pain killers and other medicines were purchased from these shops for malaria treatment. Dizziness, general body weakness and sleepiness were noted among respondents who used artemisinin-based combination therapy (ACT) in the past.

conclusionThere is no clear cut trajectory for management of uncomplicated malaria in the study area. Different approaches are adopted when treating malaria. There is need for community education to influence behaviour on the management of malaria to achieve real gains from ACT use.

Indexed as

AdolescentAdultAgedAged, 80 and overAmodiaquineAntimalarialsArtemether, Lumefantrine Drug CombinationArtemisininsDrug CombinationsEthanolaminesFemaleFluorenesGhanaHumansMalariaMaleAmodiaquineamodiaquine, artesunate drug combinationAntimalarialsArtemether, Lumefantrine Drug CombinationArtemisininsDrug CombinationsEthanolaminesFluorenesPlant Extracts

Identifiers

PMID26896962
PMCPMC4761197
OpenAlexW2286780895

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.