ArticleSage open pediatrics
Influence of Sociodemographic Factors and Household Decision-Making on the Delayed Presentation of Childhood Severe Malaria at a Secondary Facility in North-Central Nigeria.
Article in Sage open pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
4 authors.
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Abstract
Background: Efforts to improve malaria treatment outcomes may fail if household decision-making, particularly in Nigeria, is overlooked. Objectives: We assessed how sociodemographics and house decision-making dynamics influenced presentation timing among children with severe malaria at a secondary facility in northcentral Nigeria. Methods: A cross-sectional study was conducted among children admitted with severe malaria. Data on sociodemographics, household decision-making, presentation timing, and outcomes were collected and analyzed. Delayed presentation was defined as arrival >24 hours after symptom onset. Results: Among 146 children, 69.2% (101/146) presented late. Most were male, 59.6% (87/146), and under five, 65.1% (95/146). Common reasons for delay included failure to recognize child's illness, 44.6% (45/101), and lack of fund, 38.6% (39/101). Waiting for the father's decision was associated with presentation timing. Socioeconomic class independently predicted delayed presentation (AOR 3.05, 95% CI 1.10-8.48). Conclusion: Nearly two-thirds of children presented late. Father-dependent decisions and socioeconomic status influenced presentation timing.
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