Since malaria is often viewed as an "
ordinary illness" in many endemic countries [
1,
9], of particular interest in this study was the way in which mothers perceived the severity of their child's illness. Evidence from this study indicated that 61 (52.1%) mothers did not consider their child's illness to be severe. This was particularly evident in responses such as "
my child's illness is mild," and "
my child's illness is not all that severe." Even in situations in which mothers stated that their children's illness was caused by
"malaria" or "
exposure to mosquito bites" and their children were experiencing noticeable signs and symptoms such as "
high temperature," some still stated that their children's illness was "
not too severe" and that it was "
manageable." A similar phenomenon was found in Kenya [
3,
25] and Tanzania [
1] where child febrile illness is often not perceived as severe but rather as a mild, ordinary illness. These perceptions have implications for malaria treatment practices as it often leads to delay in seeking prompt diagnosis and appropriate treatment at health facilities. In elaborating perceptions of perceived severity of illness, follow-up questioning revealed that some mothers believed that since their children were still "
active" and "
playing around", their children's illness were not severe. Indeed, studies have shown that caregivers have their own way of categorizing child fever into mild and severe illness [
3,
26]. For example, in describing the predictors of health-seeking behaviour relating to child fever among caretakers in Malawi, Chibwana and colleagues [
26] found that caregivers believed that children with fever who were able to play were classified as having mild fever, while children with fever who could not play were considered as having severe fever. Mother's perceptions about the severity of their child's fever dictated their course of action with treatment as those who perceived the illness to be mild or not severe only sought effective treatment because the "
symptoms persisted" and they wanted "
proper treatment" that will make their "
child feel better."