[Home care of childhood malaria: proposals for improving management based on a survey of mothers in Notsé (Togo)].
BACKGROUND
Malaria is a common and frequently fatal disease in sub-Saharan Africa and children suffer the consequences of their family's erroneous therapeutic decisions.


OBJECTIVE
To assess knowledge, attitudes and practices related to malaria treatment and prevention among mothers of children younger than 5 years old.


METHODS
Cross-sectional survey conducted from July to September 2000, in Notsé (Togo) among a sample of 385 mothers of children aged younger than 5 years. Investigators completed environmental evaluation cards and used a questionnaire to interview mothers.


RESULTS
Mothers' level of knowledge was qualified as high among 53% of the subjects, intermediate among 30%, and poor among 17%. It was associated with the mothers' level of education. All mothers considered malaria to be a serious disease; 79% said that they were favourable to drug use for malaria prevention in children; 81% preferred mosquito nets as the means of prevention; 94% of them preferred that their child receive modern medical treatment for malaria. Mothers' global practices for malaria prevention and treatment were qualified as good among 5%, intermediate among 23%, and poor among 73%. Practices were associated with educational and level of knowledge and inversely associated with the number of children she had.


CONCLUSIONS
These results suggest that improved communication with the population and promotion of intra- and inter-sector collaborations and literacy in mothers, together with active participation by the population, might be useful measures for reaching the objectives of antimalaria program in Togo.
Déti
Edouard K
EK
Service d'information médicale Hôpital Pellegrin CHU de Bordeaux Place Amélie-Raba-Léon 33076 Bordeaux France. edet27@hotmail.com
Flénon
Joseph
J
Zohoun
Théophile
T
Maurice-Tison
Sylvie
S
Salamon
Roger
R
Atakouma
Yawo D
YD
D000293:Adolescent; D000328:Adult; D016009:Chi-Square Distribution; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D003625:Data Collection; D004493:Education; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006699:Home Care Services; D006801:Humans; D007223:Infant; D007407:Interviews as Topic; D008288:Malaria / Q000517:prevention & control / Q000628:therapy*; D008297:Male; D009035:Mothers; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014037:Togo