Exploring patients’ viewpoints on uncomplicated malaria and its management in primary healthcare facilities of Plateau State, Nigeria: a qualitative study

N. Jimam, N. Ismail, S. David, B. Joseph, Michael A. Adeniyi, Victory O. Olutuase, P. A. Damun, R. C. Okunlola
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Abstract

Malaria infection is a major public health problem in Nigeria. The present study explored patients’ thoughts and feelings on uncomplicated malaria and its management practices in some primary healthcare (PHC) facilities of Plateau state, Nigeria. An in-depth interview was conducted on patients receiving treatment in some of the facilities in the state, who were recruited through purposive sampling method up to saturation point. All the information was audio-recorded and transcribed verbatim before analysis using the principles of thematic content analysis of inductive method. Generally, their views on malaria-related issues were categorised into four main themes based on their relevancies as: patients’ perceptions on malaria infection and anti-malarial drugs, the role of healthcare workers and family during treatment, medications taken and socio-economic-related factors, as well as their general views on healthcare facilities-related factors. The study showed patients’ perceptions of the aforementioned factors as influencing their treatment and management practices of the disease in the study area. Necessary interventions that would improve patients’ quality of management of the disease toward achieving the desired outcome of therapy are recommended.
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探索患者对尼日利亚高原州初级卫生保健设施中简单疟疾及其管理的看法:一项定性研究
疟疾感染是尼日利亚的一个主要公共卫生问题。本研究探讨了尼日利亚高原州一些初级卫生保健(PHC)设施中患者对非复杂性疟疾的想法和感受及其管理做法。对在该州部分医疗机构接受治疗的患者进行深度访谈,采用有目的抽样法,直至饱和点。采用归纳法的主题内容分析原则,将所有资料逐字录音并誊写。一般来说,他们对与疟疾有关的问题的看法根据其相关性分为四个主题,即:患者对疟疾感染和抗疟疾药物的看法、保健工作者和家庭在治疗期间的作用、所服用的药物和与社会经济有关的因素,以及他们对与保健设施有关的因素的一般看法。该研究显示了患者对上述因素的看法,这些因素影响了他们在研究地区对该疾病的治疗和管理实践。建议采取必要的干预措施,以提高患者对疾病的管理质量,达到预期的治疗效果。
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