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Table 2 Inequalities in treatment seeking behaviour

From: Quality of care for the treatment for uncomplicated malaria in South-East Nigeria: how important is socioeconomic status?

  Poorest 40% Third 20% Fourth 20% Richest 20% All P-value
n (%) [95% CI]* n (%) [95% CI]* n (%) [95% CI]* n (%) [95% CI]* n (%) [95% CI]*
  N = 362 N = 292 N = 423 N = 565 N = 1642  
Number of days since start of symptoms c
Same day 31 (11.4) [5.6-22.1] 51 (27.2) [16.6-41.3] 77 (24.2) [17.4-32.8] 89 (17.8) [13.5-22.9] 248 (20.6) [16.1-25.9]  
1 day 61 (16.3) [(9.8-25.8] 64 (22.4) [15.6-31.0] 82 (17.2) [10.9-26.0] 123 (22.9) [16.6-30.6] 330 (20.5) [16.0-25.9] 0.044
2 days 61 (15.0) [9.5-22.8] 54 (19.3) [11.5-30.7] 80 (21.6) [16.1-28.4] 126 (21.1) [17.9-27.2] 321 (21.1) [18.1-24.4]
3-5 days 121 (33.4) [24.7-43.5] 93 (24.8) [17.2-34.2] 118 (23.6) [16.8-32.0] 154 (25.3) [19.6-31.6] 486 (25.3) [21.2-29.7]
6+ days 88 (23.9) [16.2-33.8] 29 (6.4) [3.1-12.6] 64 (13.4) [8.4-20.7] 73 (12.6) [8.6-16.6] 254 (12.6) [9.3-16.9]
First time treatment was sought for illness episode d
Yes 202 (60.7) [51.3-69.4] 192 (80.9) [69.8-88.6] 327 (82.9) [74.9-88.7] 444 (81.2) [75.8-85.7] 1165 (80.1) [75.2-84.2] 0.002
No 160 (39.3) [30.7-48.7] 98 (19.1) [11.4-30.2] 93 (17.1) [11.3-25.1] 118 (18.8) [14.3-24.2] 469 (19.9) [15.8-24.9]
Of those that previously sought treatment for this illness episode what type of provider was visited?
Public hospital 13 (9.0 [2.7-26.4] 9 (13) [3.2-40.2] 4 (1.0) [0.2-5.2] 10 (9.4) [3.4-23.3] 36 (7.6) [3.5-15.5] 0.006
Primary health facility 15 (5.6) [3.0-10.2] 5 (3.5) [1.5-8.0] 11 (7.5) [2.7-18.8] 7 (1.2) [0.4-3.5] 38 (4.0) [2.2-7.2]
Pharmacy 3 (6.0) [0.8-33.5] 3 (3.0) [0.6-14.4] 14 (19.7) [7.0-44.3] 31 (37.0) [25.2-50.6] 51 (22.5) [14.4-33.4]
Patent medicine dealer 94 (62.7) [45.7-77.0] 53 (57.0) [39.9-72.5] 49 (57.3) [36.9-75.5] 38 (36.3) [25.2-50.6] 234 (49.1) [38.8-59.5]
Other 32 (16.7) [8.5-30.0] 25 (23.5) 10.0-45.7] 12 (14.6) [6.9-28.2] 22 (16.1) [9.2-26.8] 91 (16.8) [11.8-23.4]
Of those that previously sought treatment, what treatment was obtained? (n = 469)
Any AM 43 (27.4) [16.5-42.0] 30 (29.3) [17.1-45.6] 39 (43.9) [28.7-60.3] 48 (43.0) [27.9-59.6] 160 (38.9) [29.7-49.1] 0.265
ACT 6 (2.7) [1.1-6.6] 1 (1.0) [0.3-3.1] 9 (9.8) [3.2-27.0] 6 (5.8) [1.8-17.1] 22 (5.8) [2.6-12.4] 0.160
Antipyretic 78 (39.4) [27.4-52.8] 51 (43.4) [29.8-58.4) 46 (42.8) [30.3-56.2] 59 (49.7) [35.9-63.4] 234 (45.4) [37.2-53.9] 0.581
Antibiotic 14 (7.0) [3.7-12.8] 10 (10.6) [2.8-32.9] 5 (4.5) [1.1-16.9] 9 (7.0) [2.4-18.8] 38 (6.8) [3.5-12.6] 0.715
Type of provider for current treatment
Public facility 144 (28.8) [19.6-40.2] 116 (13.5) [9.2-19.5] 103 (5.5) [4.4-7.2] 103 (4.3) [2.3-8.0] 466 (7.9) [6.5-9.5] <0.001
Pharmacy 14 (13.0) [4.8-30.5] 38 (23.8) [10.8-44.5] 111 (34.1) [17.5-55.7] 199 (44.0) [27.4-62.1] 362 (35.6) (21.9-52.2]
Patent Medicine Dealer 204 (58.3) [43.4-71.7] 138 (62.7) [42.4-79.3] 209 (60.4) [39.5-78.1] 263 (51.8) [34.2-68.9] 814 (56.5) [40.6-71.1]
Reasons given for the choice of provider e
Have used before 263 (67.0) [55.4-76.9] 178 (52.7) [35.4-69.3] 218 (47.3) [37.2-57.5] 316 (57.1) [48.7-65.1] 975 (54.2) [46.7-61.6] 0.103
Convenient location 155 (43.6) [32.8-55.1] 154 (59.3) [45.4-71.8] 238 (61.1) [52.1-69.3] 299 (52.5) [43.9-61.0] 846 (55.4) [48.9-61.8] 0.1041
Good reputation 100 (26.0) [18.6-35.1] 110 (43.6) [30.3-57.9] 187 (46.4) [38.4-54.7] 277 (54.2) [45.1-63.0] 674 (48.1) [40.5-55.7] 0.002
Availability of drugs 126 (33.5) [23.2-45.8] 116 (41.8) [30.4-54.1] 202 (48.9) [34.5-63.5] 231 (48.8) [37.2-60.6] 675 (46.7) [37.4-56.6] 0.280
Inexpensive 111 (27.5) [19.3-37.5] 86 (21.5) [14.8-30.2] 94 (15.1) (9.2-24.0) 93 (12.8) [8.8-18.3] 384 (15.9) [12.1-20.7] 0.021
Qualification of staff 65 (13.9) [7.5-24.3] 79 (17.6) [9.4-30.6] 97 (19.3 (11.6-30.3) 65. (9.2) [5.4-15.3] 306 (13.9) [9.4-20.1] 0.022
Travel time (minutes) f
0-15 149 (46.3) [35.6-57.4] 169 (74.2) [63.4-82.6] 290 (82.2) [73.7-88.4] 395 (76.1) [68.6-82.2] 1003 (75.3) [69.7-80.1] <0.001
16-30 107 (27.6) [20.3-36.4] 64 (16.4) [10.6-24.5] 67 (12.6) [7.6-20.3] 110 (17.1) [11.9-24.0] 348 (16.5) [12.7-21.1]
31-45 39 (9.3) [5.1-16.3] 24 (5.2) [1.8-14.0] 23 (3.5) [1.7-7.1] 23 (4.5) [2.2-8.9] 109 (4.6) (3.1-7.0]
46-60 22 (6.2) [3.6-10.4] 13 (2.8) [1.0-7.0] 6 (0.4) [0.2-1.0] 12 (1.5) [0.6-3.9] 53 (1.7) [1.1-2.8]
>60 32 (10.7) [4.2-24.5] 6 (1.5) [0.3-8.0] 10 (1.3) [0.4-4.2] 5 (0.8) [0.2-3.6] 53 (1.9) [0.9-3.7]
  1. *Population averaged percentages and corresponding 95% confidence intervals, which have been adjusted for the survey design.
  2. Notes: (c)missing 3 responses; (d)missing 8 responses (e)unprompted and multiple responses were possible; (f)missing 15 responses.