title: Malaria treatment-seeking behaviour and recovery from malaria in a highland area of Kenya.
abstract: BACKGROUND
  Malaria epidemics in highland areas of Kenya cause significant morbidity and mortality.
  
  
  METHODS
  To assess treatment-seeking behaviour for malaria in these areas, a questionnaire was administered to 117 randomly selected households in the highland area of Kipsamoite, Kenya. Self-reported episodes of malaria occurred in 100 adults and 66 children.
  
  
  RESULTS
  The most frequent initial sources of treatment for malaria in adults and children were medical facilities (66.0% and 66.7%) and local shops (19.0% and 30.3%). Adults and children who initially visited a medical facility for treatment were significantly more likely to recover and require no further treatment than those who initially went to a local shop (adults, 84.9% v. 36.8%, P < 0.0001, and children, 79.6% v. 40.0%, P = 0.002, respectively). Individuals who attended medical facilities recalled receiving anti-malarial medication significantly more frequently than those who visited shops (adults, 100% vs. 29.4%, and children, 100% v. 5.0%, respectively, both P < 0.0001).
  
  
  CONCLUSIONS
  A significant proportion of this highland population chooses local shops for initial malaria treatment and receives inappropriate medication at these localshops, reslting in delay of effective treatment. Shopkeeper education has the potential to be a component of prevention or containment strategies for malaria epidemics in highland areas.
authors.affiliation: Center for Global Pediatrics and Division of Pediatric Infectious Diseases, University of Minnesota Medical School, Minneapolis, Minnesota, USA. odadakasumba@yahoo.com
authors.forename: Peter O
authors.initials: PO
authors.lastname: Sumba
authors.forename: S Lindsey
authors.initials: SL
authors.lastname: Wong
authors.forename: Hemal K
authors.initials: HK
authors.lastname: Kanzaria
authors.forename: Kelsey A
authors.initials: KA
authors.lastname: Johnson
authors.forename: Chandy C
authors.initials: CC
authors.lastname: John
mesh_terms: D000328:Adult; D000962:Antimalarials / Q000627:therapeutic use; D002648:Child; D003153:Community Health Services; D019353:Endemic Diseases; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008288:Malaria / Q000188:drug therapy* / Q000453:epidemiology*; D004366:Nonprescription Drugs / Q000627:therapeutic use; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012424:Rural Population; D012651:Self Medication; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
chemical_list: D000962:Antimalarials; D004366:Nonprescription Drugs