The online version of this article (doi:10.1186/1475-2875-11-417) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
J-WX, Q-ZX and HL designed the study and developed the protocol, analyzed and interpreted the data. HL supervised the field survey. Q-ZX, Y-R Z and HL conducted HHs survey, SDI, health facility visits and the outlet survey, and entered the data. J-WX and Q-ZX wrote the first draft of the paper. All authors read and approved the final manuscript.
In Southeast Asia, data on malaria treatment-seeking behaviours and related affecting factors are rare. The population of the Wa ethnic in Myanmar has difficulty in accessing formal health care. To understand malaria treatment-seeking behaviour and household-affecting factors of the Wa people, a cross-sectional study carried out in Shan Special Region II, Myanmar.
The two methods, questionnaire-based household surveys to household heads and in-depth interviews to key informants, were carried out independently. The proportion of treatment-seeking patterns was calculated. Logistic regression was used to determine affecting factors of treatment-seeking. Qualitative data were analysed by using Text Analysis Markup System.
Overall, 87.5% of the febrile population sought treatment, but only 32.0% did so within 24 hours. The proportion accessing the retail sector (79.6%) was statistically significant higher (P<0.0001) than accessing the public sector (10.6%). Multivariable logistic regression analysis identified family income, distances from a health facility, family decision and patient characteristics being independently associated with delayed malaria treatment.
Malaria treatment-seeking behaviour is not appropriate, and affecting factors include health service systems, social and cultural factors in Wa State of Myanmar.
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- Malaria treatment-seeking behaviour and related factors of Wa ethnic minority in Myanmar: a cross-sectional study
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