n Africa Journal of Nursing and Midwifery - Factors influencing malaria treatment and patient adherence to antimalarial drugs in southern Ethiopia

Volume 16, Issue 2
  • ISSN : 1682-5055


In Ethiopia the health system is underdeveloped and much of the rural population has limited access to modern health services. The Ethiopian government introduced the Health Extension Programme which is a community-based health care delivery system aimed at accessing essential health services such as malaria treatment through its health extension workers (HEWs). The objective of this study was to evaluate factors influencing the malaria treatment practice of HEWs and patient adherence to antimalarial drugs. A qualitative research design that is explorative and descriptive was used. Data were collected by means of in-depth individual interviews among 20 HEWs and 7 focus-group discussions with patients treated for malaria. Data were analysed thematically. Four themes emerged from the data, namely: (1) health facility-related factors, (2) HEW-related factors, (3) patient-related factors, and (4) community-related factors. Improving the availability of essential resources such as rapid diagnostic test (RDT) kits and antimalarial drugs, improving the community's perception of antimalarial drug effectiveness and adequately educating patients on how to take antimalarial drugs can improve the malaria treatment practice of the HEWs and patient adherence to antimalarial drugs.

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