||Malaria Case-Management in Urban Area: Various Challenges in Public and Private Health Facilities in Benin, West Africa
AGUEMON BADIROU DIN OWOLADÉ OTONIKOU ,
HINSON Antoine Vikkey ,
OUENDO Edgard-Marius ,
Damien Georgia ,
||The Open Public Health Journal
In Benin, malaria remains endemic and perennial throughout the year in most areas. During the last decade, a substantial increase
was noticed in the procurement of Artemisinin-based combination therapies and malaria RDT. This study aimed to evaluate the
quality of uncomplicated malaria cases-management in public and private health facilities.
A cross-sectional survey was carried out in public and private health facilities in the municipality of Abomey-Calavi in southern
Benin from August to September 2016. The study focused on two targets: (i) patients with uncomplicated malaria who sought care in
a health facility in Abomey-Calavi during the study period; and (ii) the health care providers in public and private health facilities
authorized by the Ministry of Health.
In 27 health facilities investigated, 15 in the public sector and 12 in the private sector, a total of 313 patients and 93 health care
providers were included. Forty-four percent (44%) had no education. Among the patients, 60% were identified in the public health
facilities. About 87% of uncomplicated malaria patients were tested in public facilities while 63% were tested in private facilities. In
the same way, 54% of patients were treated in accordance with National Malaria Control Program (NMCP) guidelines.
The present study showed a poor performance in uncomplicated malaria case-management in private health facilities compared to
public health facilities. Strategy to improve access and utilization of malaria case-management supplies needs to be reviewed in both
public and private health facilities.
||Malaria case-management, National Policy, Health facilities, Public and private, Benin, National Malaria Control
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