ArticlePloS one2025
Towards promoting timely treatment: Uncovering the determinants of prompt malaria care seeking behavior among febrile children under-five years in Tanzania.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Delay in malaria care-seeking for children under five in Africa: a systematic review.Malaria journal · 2026Pooled it
- The burden of malaria and associated factors among children aged 6-59 months in Mozambique: a nationwide cross‑sectional survey.Malaria journal · 2026Article
- Socio-demographic predictors of insecticide-treated bed net ownership and utilization for protection against malaria by rural community members across five regions of Mainland Tanzania.Malaria journal · 2026Article
- Article
- Lassa fever in Bauchi State, Nigeria: communication channels and health-seeking behavior.IJID regions · 2025Article
- Associations of temperature and precipitation with malaria in children under 5: A multi-country study in Sub-Saharan Africa.PloS one · 2025Article
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8 authors.
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Abstract
backgroundPrompt diagnosis and effective treatment within 24 hours of fever onset is crucial for reducing malaria-related morbidity and mortality in under five children. However, research on the prompt care-seeking behaviors and their determinants in this demographic is limited. This study examined the prevalence of prompt care-seeking behaviors among under five febrile children in Tanzania and the associated determinants.
methodsThis cross-sectional study analyzed data from the 2022 Tanzania Demographic and Health Survey (TDHS), including a nationally representative and weighted sample of 1,050 under-five children who experienced fever within two weeks prior to the survey. A weighted univariable and multivariable modified Poisson regression model with robust estimator was used to examine the association between prompt care seeking behaviors and explanatory variables, including child and caregivers' factors.
resultsThe prevalence of prompt care seeking for febrile children was 43.2%. Caregivers of female children had 18% less prevalences of seeking prompt care (95% CI 0.68-0.98) compared to caregivers with their male children. Caregivers aged 25-34 and 35-49 years had 36% (95% CI 1.05-1.78) and 61% (95% CI 1.16-2.23) higher prevalences of seeking prompt care for their children respectively, compared to younger caregivers aged 15-24 years. Caregivers with at least primary education had 50% (95% CI 1.12-2.02) higher prevalences of seeking prompt care compared to those with no formal education. Additionally, an increase in one household member was associated with a 3% increase in the prevalence of seeking prompt malaria care (95% CI 1.01-1.05).
conclusionIn Tanzania, female children under five experience delays in care-seeking for malaria, whereas older and more educated caregivers are more likely to seek timely treatment for their children. To enhance health outcomes in this vulnerable group, targeted interventions should prioritize raising awareness among caregivers, particularly younger ones and prompting equitable care seeking to all children regardless of sex.
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