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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 4, Issue.: 15 (21-31 May)


The Impact of Health Seeking Behaviour, Educational Attainment and Financial Strength on Home Management of Malaria in Rural Communities in Imo State, Nigeria


E. A. Nwoke1*, S. N. O. Ibe1, U. M. Chukwuocha1, B. O. Nworuh1 and C. I. C. Ebirim1

1Department of Public Health Technology, Federal Univrsity of Technology Owerri, Imo State, Nigeria.

Article Information


(1) Philippe E. Spiess, Department of Genitourinary Oncology, Moffitt Cancer Center, USA. and Department of Urology and Department of Oncologic Sciences (Joint Appointment), College of Medicine, University of South Florida, Tampa, FL, USA.


(1) Collins Ahorlu, University of Ghana, Ghana.

(2) Harrison Nkechinyere Elizabeth, 68 Nigerian Army Reference Hospital, Nigeria.

(3) Saranath Lawpoolsri, Mahidol University, Thailand.

(4) Jaranit Kaewkungwal, Mahidol University, Thailand.

Complete Peer review History: http://www.sciencedomain.org/review-history/3897


Aims: The objectives were to determine the impact of health seeking behaviour, educational attainment and financial Strength on home management of malaria in rural communities in Imo State, Nigeria.
Study Design: A descriptive survey design was used.
Place and Duration of Study: Imo State, Nigeria, between February 2013 and April 2013 Methodology: The sample size was 2674 adults (1650 males, 1024 females, age range 20-70 years). A structured, validated and reliable questionnaire (r=0.81) was used to collect data from 2674 consenting respondents.
Results: The result showed that the health seeking behaviours of respondents when they suspect malaria was as follows; 25.7 percent patronized patent medicine stores/chemist, 22.3 percent visited health centers/ hospitals,18.6 percent consulted family members/friends/ neighbor for help. This statistically had a significant influence on the pattern adopted in managing malaria at home (Chi-square = 263.98, P -value < 0.001). Furthermore, 25.4 percent of those who visited the health centers/hospitals used more of Artemisinin-based Combination Therapy in managing malaria. Those who patronized patent medicine/chemist used more of chloroquine/quinine (25.7 percent), only 18.1 percent used a special herb, dogonyaro/Akum shut up leaf (Azadirachta Indica) in managing malaria at home. Those who visited herbalists (20.5%) also used chloroquine/quinine while those that visited prayer houses also used more of chloroquine/quinine (22.3%) and less of ACT (15.5%). The impact of educational attainment on pattern of home management of malaria was statistically significant (Chi-square=155.47,P-value<0.001). Those who had no formal education used more of Chloroquine/Quinine in managing malaria at home while those who attained secondary and tertiary education adopted more of Artemisinin-based combination Therapy (ACT) in managing malaria. Herbal treatment (Dogonyaro/Akum shut up leaf (Azadirachta Indica), seven leaves and application of local ointment/lotion) were less used by respondents with higher educational attainment. Financial strength was also found to be statistically associated with the pattern of management adopted by the rural dwellers (Chi-square=118.46, P-value<0.001). Those whose average monthly income was above 30,000 Naira used more of conventional medication and less of herbs.
Conclusion: The findings showed that the rural communities need more enlightenment and education on home management of malaria.

Keywords :

Impact; health seeking behaviour; educational attainment; financial strength; home management; malaria.

Full Article - PDF    Page 2884-2895

DOI : 10.9734/BJMMR/2014/8604

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