Inequities in Valuation of Benefits, Choice of Drugs, and Mode of Payment for Malaria Treatment Services Provided by Community Health Workers in Nigeria.


Onwujekwe, O; Ojukwu, J; Shu, E; Uzochukwu, B; (2007) Inequities in Valuation of Benefits, Choice of Drugs, and Mode of Payment for Malaria Treatment Services Provided by Community Health Workers in Nigeria. The American journal of tropical medicine and hygiene, 77 (1). pp. 16-21. ISSN 0002-9637

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Abstract

This study determined inequities of using community health workers (CHWs) for timely and appropriate treatment of malaria in terms of: 1) valuation of benefits; 2) actual purchase of drugs; and 3) payment modality in southeast Nigeria. Socioeconomic status (SES) influenced the valuation of benefits. Also, the poorest households consumed more of the cheaper drug and less of the more expensive drug (P < 0.05). The least poor households mostly paid in full, whereas the poorest households paid mostly through installments (P < 0.05). The use of CHWs improved overall geographic but not socioeconomic equity to the drugs. Hence, interventions for timely and appropriate treatment of malaria should be accompanied by drug delivery and payment strategies that would ensure SES equity in consumption of appropriate malaria treatment services.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Global Health and Development
PubMed ID: 17620625
Web of Science ID: 247979800004
URI: http://researchonline.lshtm.ac.uk/id/eprint/9428

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