Journal
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
Volume 81, Issue 6, Pages 935-943Publisher
AMER SOC TROP MED & HYGIENE
DOI: 10.4269/ajtmh.2009.08-0361
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Funding
- Department for International Development, UK
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Informal sources of care may lead to ineffective use of antimalarial drugs. A survey conducted in Malawi estimated the frequency of use of informal and formal services, medications,and household costs. A total of 508 household interviews were conducted. Treatment with an antimalarial was reported in 24% of young children accessing the informal sector and in 91% accessing formal services. Informal care was associated with shorter travel and waiting times, a lower proportion of carers or feverish adults missing work Or Studies and losing earnings, and a lower proportion of older children missing studies or work. Total out of pocket costs of fever episodes constitutes between 9% and 14% in Young children and 18% in adults of their total available resources. Patients may perceive informal services to be associated with Opportunity cost advantages; however, these may be associated with health risks of inadequate prescribing, particularly in young children.
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