Malaria Journal

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Care-seeking patterns for fatal malaria in Tanzania

Don de Savigny*, Charles Mayombana, Eleuther Mwageni, Honorati Masanja, Abdulatif Minhaj, Yahya Mkilindi, Conrad Mbuya, Harun Kasale and Graham Reid

Malaria Journal 2004, 3:27 doi:10.1186/1475-2875-3-27

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Commentary   Open Access Highly Accessed

Implementing ideal health policy in a fragile health system: the example of expanding the use of malaria rapid diagnostic tests in mainland Tanzania

Irene M Masanja, Xavier de Bethune, Jan Jacobs Malaria Journal 2011, 10:322 (28 October 2011)

Introducing an intervention with system-wide effect, such as the use of RDTs in areas where malaria is still a public health problem, should be accompanied by system strengthening measures to better attain the goal of improving quality of care.

Review   Open Access

Social autopsy for maternal and child deaths: a comprehensive literature review to examine the concept and the development of the method

Henry D Kalter, Rene Salgado, Marzio Babille, Alain K Koffi, Robert E Black Population Health Metrics 2011, 9:45 (5 August 2011)

This article is part of a collection on Verbal autopsy:...

Research   Open Access

Social autopsy: INDEPTH Network experiences of utility, process, practices, and challenges in investigating causes and contributors to mortality

Karin Källander, Daniel Kadobera, Thomas N Williams, Rikke Nielsen, Lucy Yevoo, Aloysius Mutebi, Jonas Akpakli, Clement Narh, Margaret Gyapong, Alberta Amu, Peter Waiswa Population Health Metrics 2011, 9:44 (5 August 2011)

This article is part of a collection on Verbal autopsy:...

Research   Open Access Highly Accessed

Two treatments, one disease: childhood malaria management in Tanga, Tanzania

Deshka Foster, Stacie Vilendrer Malaria Journal 2009, 8:240 (27 October 2009)

An interesting paper which looks at the actions taking by caregivers of children and the reasons behind these actions. The most important message of the paper is the course of action taking by caregivers in treatment of children with severe malaria and this has important implications not only in Tanzania

Research   Open Access Highly Accessed

Socio-cultural predictors of health-seeking behaviour for febrile under-five children in Mwanza-Neno district, Malawi

Alinafe I Chibwana, Don P Mathanga, Jobiba Chinkhumba, Carl H Campbell Malaria Journal 2009, 8:219 (24 September 2009)

A description of treatment-seeking behaviour for fever/malaria in children under five, drawn from focus group discussions with parents of young children and health workers, and in depth interviews with two key informants.

Research   Open Access

Socio-cultural factors explaining timely and appropriate use of health facilities for degedege in south-eastern Tanzania

Angel Dillip, Manuel W Hetzel, Dominic Gosoniu, Flora Kessy, Christian Lengeler, Iddy Mayumana, Christopher Mshana, Hassan Mshinda, Alexander Schulze, Ahmed Makemba, Constanze Pfeiffer, Mitchell G Weiss, Brigit Obrist Malaria Journal 2009, 8:144 (29 June 2009)

Interesting findings on factors influencing treatment-seeking behaviour for forms of severe malaria in Tanzanian children.

Research article   Open Access

"I never had the money for blood testing" – Caretakers' experiences of care-seeking for fatal childhood fevers in rural Uganda – a mixed methods study

Helena Hildenwall, Göran Tomson, Judith Kaija, George Pariyo, Stefan Peterson BMC International Health and Human Rights 2008, 8:12 (2 December 2008)

Reducing mortality in children suffering from acute febrile illnesses in rural communities in the developing world requires improved training for both caretakers and health professionals together with better resourced primary health care centers.

Research article   Open Access

Obstacles to prompt and effective malaria treatment lead to low community-coverage in two rural districts of Tanzania

Manuel W Hetzel, Brigit Obrist, Christian Lengeler, June J Msechu, Rose Nathan, Angel Dillip, Ahmed M Makemba, Christopher Mshana, Alexander Schulze, Hassan Mshinda BMC Public Health 2008, 8:317 (16 September 2008)

Research   Open Access Highly Accessed

Malaria risk and access to prevention and treatment in the paddies of the Kilombero Valley, Tanzania

Manuel W Hetzel, Sandra Alba, Mariette Fankhauser, Iddy Mayumana, Christian Lengeler, Brigit Obrist, Rose Nathan, Ahmed M Makemba, Christopher Mshana, Alexander Schulze, Hassan Mshinda Malaria Journal 2008, 7:7 (9 January 2008)

Paper describing malaria risk in a population subject to seasonal migration to farm lands away from home. The rate of net usage and promptness of treatment-seeking are high, probably reflecting the impact of malaria control programme and intensive social marketing of nets in the study area for many years.

Research   Open Access Highly Accessed

Climate prediction of El Niño malaria epidemics in north-west Tanzania

Anne E Jones, Ulrika Wort, Andrew P Morse, Ian M Hastings, Alexandre S Gagnon Malaria Journal 2007, 6:162 (6 December 2007)

A topic of considerable interest to the climate and health community. It adds further analysis on climate and malaria interactions – a subject already well covered by a number of research groups in East Africa, with the added novelty of an evaluation of seasonal forecasting models.

Research article   Open Access

Health seeking and access to care for children with suspected dengue in Cambodia: An ethnographic study

Sokrin Khun, Lenore Manderson BMC Public Health 2007, 7:262 (24 September 2007)

Case study   Open Access Highly Accessed

Understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania: the ACCESS Programme

Manuel W Hetzel, Nelly Iteba, Ahmed Makemba, Christopher Mshana, Christian Lengeler, Brigit Obrist, Alexander Schulze, Rose Nathan, Angel Dillip, Sandra Alba, Iddy Mayumana, Rashid A Khatib, Joseph D Njau, Hassan Mshinda Malaria Journal 2007, 6:83 (29 June 2007)

Prompt access to effective treatment is central in the fight against malaria. The ACCESS programme covers a wide range of different activities, including social marketing for improved care-seeking at community level as well as strengthening of quality of care at health facilities, as well as improve the performance of drug stores. In addition , a comprehensive set of monitoring and evaluation activities measuring the programme performance and health impact.

Research   Open Access Highly Accessed

An exploratory study of community factors relevant for participatory malaria control on Rusinga Island, western Kenya

Pamela Opiyo, W Richard Mukabana, Ibrahim Kiche, Evan Mathenge, Gerry F Killeen, Ulrike Fillinger Malaria Journal 2007, 6:48 (24 April 2007)

Evidence-based education interventions, utilizing participatory tools, need to be applied at grassroots level, to look at traditional beliefs and enable understanding of causal connections between mosquito ecology, parasite transmission and the diagnosis, treatment and prevention of disease

Research   Open Access

Patterns of malaria-related hospital admissions and mortality among Malawian children: an example of spatial modelling of hospital register data

Lawrence N Kazembe, Immo Kleinschmidt, Brian L Sharp Malaria Journal 2006, 5:93 (26 October 2006)

Reducing malaria burden may require integrated strategies encompassing adequate care at primary facilities, introducing home or community case management, as well as encouraging early referral and reinforcing interventions to interrupt malaria transmission.

Research   Open Access

Community concepts of malaria-related illness with and without convulsions in southern Ghana

Collins K Ahorlu, Kwadwo A Koram, Cynthia Ahorlu, Don de Savigny, Mitchell G Weiss Malaria Journal 2005, 4:47 (27 September 2005)

The perception of illness can influence care-seeking behaviour and changes in attitude to the cause of convulsions, which had previously mostly been identified as magico-religious, may substantially reduce malaria related deaths associated with convulsions.

Research   Open Access Highly Accessed

Intermittent preventive treatment of malaria during pregnancy: a qualitative study of knowledge, attitudes and practices of district health managers, antenatal care staff and pregnant women in Korogwe District, North-Eastern Tanzania

Godfrey Mubyazi, Paul Bloch, Mathias Kamugisha, Andrew Kitua, Jasper Ijumba Malaria Journal 2005, 4:31 (20 July 2005)

The paper provides a qualitative analysis of the programmatic issues faced when implementing IPT during pregnancy, from both provider and user perspectives. Of particular interest is the Tanzanian experience of the specific link made between SP-IPT and Steven Johnson¿s Syndrome by pregnant women, which is unique and has been one of the most important barriers to the effective uptake of ITP, as a result of media spin. The paper highlights the need for much greater attention to awareness creation among pregnant women, which is all too often an afterthought to the delivery of IPT.