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041 _afre
042 _adc
100 1 0 _aLosimba Likwela, Joris
_eauthor
700 1 0 _aMacq, Jean
_eauthor
700 1 0 _aPiette, Danielle
_eauthor
700 1 0 _aDonnen, Philippe
_eauthor
700 1 0 _aD’Alessandro, Umberto
_eauthor
700 1 0 _aDramaix-Wilmet, Michèle
_eauthor
245 0 0 _aDeterminants of Adherence to Treatment for Uncomplicated Malaria in Northeastern DRC
260 _c2012.
500 _a18
520 _aThe purpose of this study was to identify the determinants of adherence to malaria treatment (co-blistered AS-AQ) among health care providers, medicine sellers and patients in the northeastern region of the Democratic Republic of Congo. A cross-sectional study was carried out on health care providers, medicine sellers and patients in 13 health zones between March and June 2009. Only 69% of the cases of uncomplicated malaria were treated with AS-AQ, including 62.3% of cases treated using the correct dosages. The availability of AS-AQ, the intention to prescribe AS-AQ, longer consultations, providing explanations to patients, working in rural areas, training on the new policy, and the availability of treatment guidelines were found to be significantly associated with treatment adherence among health care providers. The limited availability of AS-AQ, the adverse effects of the treatment, the use of low-quality AS-AQ and the availability of cheap illegal antimalarial drugs were the main factors associated with non-adherence. Among patients, non-adherence was related to the perceived adverse effects of malaria treatment. The results suggest that improving the accessibility and quality of AS-AQ and the quality of communication with patients, the provision of appropriate training to healthcare providers, the provision of treatment guidelines and appropriate supervision are needed to promote the use of AS-AQ.
690 _aadherence
690 _aantimalarials
690 _aartesunate-amodiaquine
690 _aDR Congo
690 _amalaria
786 0 _nSanté Publique | 24 | HS | 2012-06-08 | p. 33-46 | 0995-3914
856 4 1 _uhttps://stm.cairn.info/journal-sante-publique-2012-HS-page-33?lang=en&redirect-ssocas=7080
999 _c2221402
_d2221402