ArticleMalaria journal2018
Home treatment and use of informal market of pharmaceutical drugs for the management of paediatric malaria in Cotonou, Benin.
Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 18 citations in OpenAlex.
- Logics of acquiring medicines from informal retailers in four African countries.Global health action · 2025Article
- They don't want to close Roxy: a qualitative account on the perceived efforts by Ivory Coast to end the informal market for medicines.Health policy OPEN · 2025Article
- Prevalence and Factors Associated With the Informal Market for Medicines in Benin: A Community-Based Cross-Sectional Study.Health science reports · 2025Article
- Issues associated with malaria self-medication in sub-Saharan Africa: A systematic literature review and meta-analysis.MalariaWorld journal · 2025Article
- Factors influencing fever care-seeking for children under five years of age in The Gambia: a secondary analysis of 2019-20 DHS data.Malaria journal · 2024Article
- Susceptibility antibiotic screening reveals high rates of multidrug resistance of Salmonella, Shigella and Campylobacter in HIV infected and uninfected patients from Mozambique.BMC infectious diseases · 2023Article
- Household Factors of Foodborne Diarrhea in Children under Five in Two Districts of Maputo, Mozambique.International journal of environmental research and public health · 2022Article
- Treatment-seeking and uptake of malaria prevention strategies among pregnant women and caregivers of children under-five years during COVID-19 pandemic in rural communities in South West Uganda: a qualitative study.BMC public health · 2022Article
- Article
- Between traditional remedies and pharmaceutical drugs: prevention and treatment of "Palu" in households in Benin, West Africa.BMC public health · 2020Article
- I Buy Medicines From the Streets Because I Am Poor: A Qualitative Account on why the Informal Market for Medicines Thrive in Ivory Coast.Inquiry : a journal of medical care organization, provision and financingArticle
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4 authors at 1 institution in 1 country.
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Abstract
backgroundMalaria is the main cause of hospital admissions in Benin and a leading cause of death in childhood. Beside consultations, various studies have underlined the management of the disease through home treatment. The medicines used can be purchased in informal market of pharmaceutical drugs (IMPD) without prescription or any involvement of healthcare professional. Pharmaceutical drugs are sold by informal private vendors, who operate at any time in the immediate environment of the patients. The present study was conducted in Cotonou to study the health-seeking behaviour of caregivers to treat malaria in children under 12 years old. Factors associated with malaria home treatment and drugs purchase in IMPD were studied.
methodsA 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. Medicines used and purchase place were also collected. Multivariate logistic regression model was used to determine factors associated with malaria home treatment and drug purchase in IMPD.
resultsBeyond 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. Malaria 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. The 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. All caregivers who benefited from health insurance did not use IMPD.
conclusionThis 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.
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