title: Issues of measuring and improving the treatment of malaria in sub-Saharan Africa.
abstract: This paper, using focus group discussions and questionnaires in Enugu State, Southeast Nigeria, examines the implications of consumer malaria perceptions and behaviour for measuring the disease burden and improving its treatment. The results show that, because peoples' understanding of the disease was related to its symptoms, this could lead to overestimation of the economic burden of malaria, based only on surveys without diagnostic confirmation. Survey-based estimations of the burden of malaria should control for the different local terminologies of malaria, and health personnel should be aware of these in order to improve the appropriate use of antimalarial drugs in presumptive treatment of malaria.
authors.affiliation: Health Policy Research Unit, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria Enugu-Campus, Enugu, Nigeria. onwujekwe@yahoo.co.uk
authors.forename: Obinna
authors.initials: O
authors.lastname: Onwujekwe
authors.forename: Nkem
authors.initials: N
authors.lastname: Dike
authors.forename: Benjamin
authors.initials: B
authors.lastname: Uzochukwu
mesh_terms: D017954:Africa South of the Sahara; D000818:Animals; D000962:Antimalarials / Q000627:therapeutic use*; D005260:Female; D005334:Fever / Q000145:classification / Q000188:drug therapy; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D008288:Malaria / Q000145:classification / Q000188:drug therapy* / Q000191:economics / Q000503:physiopathology*; D008297:Male; D011795:Surveys and Questionnaires
chemical_list: D000962:Antimalarials