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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.