原创力文档recognition, perceptions and treatment practices for severe malaria in rural tanzania implications for accessing rectal artesunate as a pre-referral识别、认知和治疗实践严重疟疾在农村对访问坦桑尼亚影响直肠青蒿琥酯作为转诊前.pdfVIP
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recognition, perceptions and treatment practices for severe malaria in rural tanzania implications for accessing rectal artesunate as a pre-referral识别、认知和治疗实践严重疟疾在农村对访问坦桑尼亚影响直肠青蒿琥酯作为转诊前
Recognition, Perceptions and Treatment Practices for
Severe Malaria in Rural Tanzania: Implications for
Accessing Rectal Artesunate as a Pre-Referral
1,2 2 2 3 2 2 4 5
Marian Warsame *, Omari Kimbute , Zena Machinda , Patricia Ruddy , Majaha Melkisedick , Thomas Peto , Isabela Ribeiro , Andrew Kitua ,
Goran Tomson1, Melba Gomes4
1 Division of International Health (IHCAR), Karolinska Institutet, Stockholm, Sweden, 2 Rectal Artesunate Study Team, National Institute for Medical
Research (NIMR), Dar es Salaam, Tanzania, 3 Freelance Consultant in Health Communication, Kampala, Uganda, 4 United Nations Development
Programme (UNDP)/World Bank/WHO Special Programme for Research and Training in Tropical Diseases (TDR) Geneva, Switzerland, 5 National
Institute for Medical Research (NIMR), Dar es Salaam, Tanzania
Objectives. Preparatory to a community trial investigating how best to deliver rectal artesunate as pre-referral treatment for
severe malaria; local understanding, perceptions of signs/symptoms of severe malaria and treatment-seeking patterns for and
barriers to seeking biomedical treatment were investigated. Methodology/Principal Findings. 19 key informant interviews,
12 in-depth interviews and 14 focus group discussions targeting care-givers, opinion leaders, and formal and informal health
care providers were conducted. Monthly fever episodes and danger signs or symptoms associated with severe malaria among
under-fives were recorded. Respondents recognized convulsions, altered consciousness and coma, and were aware of their
risks if not treated. But, these symptoms were perceived to be caused by supernatural forces, and traditional healers were
identified as primary care providers. With some delay, mothers eventually visited a health facility when convuls
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