Evidence map›Paper›PMID 41845404›Full record

SynthesisMalaria journal2026

Delay in malaria care-seeking for children under five in Africa: a systematic review.

Mustapha Amoadu, Amidu Alhassan, Edward Odoom

Abstract readSystematic Review
In one paragraph

Synthesis in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Mustapha AmoaduBiomedical and Clinical Research Centre, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. mustapha.amoadu@ucc.edu.gh.
Amidu AlhassanDepartment of Adult Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana.
Edward OdoomDepartment of Adult Health, School of Nursing and Midwifery, College of Health and Allied Science, University of Cape Coast, Cape Coast, Ghana. eddyodoom99@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelays in seeking appropriate treatment for malaria in children under five remain a major contributor to poor outcomes in sub-Saharan Africa, where multiple socioeconomic, geographic, and health-system factors influence when care is accessed. This review synthesised current evidence on the prevalence and determinants of delayed malaria care-seeking, as well as the associated outcomes among children under five in sub-Saharan Africa.

methodsThis systematic review followed the guidelines by the Joanna Briggs Institute (JBI). This review was reported in accordance with following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA).

resultThe prevalence of delayed malaria care-seeking among children under five ranges from 2% to 95.8%. Factors associated with these delays include financial constraints, long travel distances, reliance on traditional treatments, and the perception of malaria as a mild illness. Additionally, health workers' attitudes and shortages of essential health facility logistics further hinder timely care-seeking by caregivers. These delays are associated with increased mortality, progression to severe malaria, and serious neurological and haematological complications.

conclusionTimely access to effective malaria treatment for young children can be enhanced by interventions that address financial barriers, improve access to care, and strengthen health-system readiness to respond promptly.

Indexed as

MalariaPatient Acceptance of Health CareAfrica South of the SaharaChild, PreschoolHumansInfantTreatment DelayCaregiversCare seekingChildren under fiveDelayMalaria

Identifiers

PMID41845404
PMCPMC13112638

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.