Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal

Ndèye Marème Sougou; Gilles Boestch; Mouhamadou Makhtar Mbacké Leye; Mayassine Diongue; Ibrahima Seck; Anta Tal-Dia

doi:doi:10.11648/j.cajph.20170306.13

| Peer-Reviewed

Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal

Ndèye Marème Sougou, Gilles Boestch, Mouhamadou Makhtar Mbacké Leye, Mayassine Diongue, Ibrahima Seck, Anta Tal-Dia

Published in Central African Journal of Public Health (Volume 3, Issue 6)

Received: 26 October 2017 Accepted: 20 November 2017 Published: 14 December 2017

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

In African rural area, self-treatment has its place in the devices of therapeutic choices. The aim of this study was to determine the extent and pattern of self-treatment among children living in Senegal rural area. A cross-sectional study was carried out to examine the place of self-treatment in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we had included in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Mothers were interviewed on the therapeutic itinerary chosen in case of children disease. Bivariate and multivariate analyses were made. Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4% of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5% and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that living away from health facility (more than 30 minutes) was positively correlate with self-treatment p<0.01, ORaj=5.39 IC= [1.42-24.26]. This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. This study shows that geographical inaccessibility of health facilities impact on self-medication practices in rural area.

Published in	Central African Journal of Public Health (Volume 3, Issue 6)
DOI	10.11648/j.cajph.20170306.13
Page(s)	110-114
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Self-Medication, Children, Rural Area, Senegal

References

[1]	Franckel A. "Les comportements de recours aux soins en milieu rural au Sénégal. Le cas des enfants fébriles à Niakhar Sociologie. Université de Nanterre- Paris X, 2004. Français. "2004; thèse.
[2]	Rapport provisoire AGVSAN (2010): Principaux facteurs structurels de risque de la malnutrition en milieu rural au Sénégal. Kolda-Sédhiou-Matam-Diourbel-Fatick-Kédougou.
[3]	Yoro BM. Pluralisme thérapeutique et recours aux soins en milieu rural ivoirien1: approche méthodologique, Ph.D. Recherches qualitatives. 2012; 31 (1): 47-61.
[4]	Canguilhem G. Le normal et le pathologique. 1996; Paris: PUF.
[5]	Jacquemot P., « Les systèmes de santé en Afrique et l'inégalité face aux soins », Afrique contemporaine 3/2012 (n° 243), p. 95-97.
[6]	www.eco-consult.com/ferlo/spip2cb7.htlm/article4.
[7]	Daniel WW, Editor. Biostatistics: a foundation for analysis in the health sciences. 7th ed. New York: John Wiley & Sons; 1999.
[8]	Unicef. La situation des enfants dans le monde 1998. Résumé la Malnutrition, causes conséquences et solutions. Consulté le 21 octobre 2017. URL: https://www.unicef.org/french/sowc98.
[9]	Faye S. L., Lalou R., Adjamagbo A., Soigner les enfants exclusivement à domicile en cas de paludisme en milieu rural sénégalais: un effet de la pauvreté? African Population Studies 2004; 19 (2sA).
[10]	Thiombiano BG. Genre et prise de décision au sein du ménage au Burkina Faso. Cahiers québécois de démographie Genre et famille en Afrique Burkina Faso. 2014; 43 (2): 249–278.
[11]	Adjiwanou V, LeGrand T. Gender inequality and the use of maternal healthcare services in rural sub-Saharan Africa. Health & Place 29. 2014; 67–78.
[12]	Blitman S., (2006), « L’Afrique malade de ses médicaments », Alternatives économiques, 243: 50- 52.
[13]	Keith JP., Weinman J. Perceptions of Health and Illness: Current Research and Applications harwood academic.
[14]	Abrahams N, Jewkes R, Mvo Z. Indigenous healing practices and self-medication amongst pregnant women in Cape Town, South Africa. Afr J Reprod Health. 2002; 6 (2): 79-86.
[15]	Kalaiselvi S., Kumar G., Ramalingam A. Prevalence of self-medication practices and its associated factors in Urban Puducherry, India Journal List Perspect Clin Resv. 2014; 5 (1).
[16]	Amexo M., Tolhurst R., Barnish G., Bates A. Malaria misdiagnosis: effects on the poor and vulnerable. The Lancet. 2004; 364 (9448): 1896-1898.
[17]	Commeyras C., Ndo JR., Merabet O., Kone H., Rakotondrabe FP., Comportement de recours aux soins et aux médicaments au Caméroun. 2006; 16 (1).
[18]	Ndir A., Automédication au Sénégal. Thèse Pharma, Dakar, 1990, n°81.
[19]	Coulibaly I., Keita B., Kuepie M., Les déterminants du recours thérapeutique au Mali: entre facteurs socioculturels, économiques et d’accessibilité géographique. Démographies et cultures. 2003; 223-240.
[20]	Nikiéma A, Rossier C, Ridde V, Inégalités de l’accès aux soins en milieu urbain africain: le cas de la périphérie nord de Ouagadougou communication à la 6ème conférence africaine sur la population «Population africaine: passé, présent et futur», UEPA, Ouagadougou, Burkina Faso, 2011; 16 p.
[21]	Fleuret S. Automédication et territoire: la pertinence de la lecture géographique. Actes des Rencontres Nord/Sud de l'automédication et de ses déterminants. 2015; 119-135.
[22]	Sébastien Fleuret, Anne Cécile Hoyez et Juliane Christen, «Un système d’information géographique pour mieux comprendre les pratiques d’automédication», Géocarrefour [En ligne], 91/4 \| 2017, mis en ligne le 20 mai 2017, consulté le 21 octobre 2017. URL: http://geocarrefour.revues.org/10191; DOI: 10.400z0/geocarrefour. 10191.

Cite This Article

Plain Text BibTeX RIS

APA Style

Ndèye Marème Sougou, Gilles Boestch, Mouhamadou Makhtar Mbacké Leye, Mayassine Diongue, Ibrahima Seck, et al. (2017). Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal. Central African Journal of Public Health, 3(6), 110-114. https://doi.org/10.11648/j.cajph.20170306.13

Copy | Download

ACS Style

Ndèye Marème Sougou; Gilles Boestch; Mouhamadou Makhtar Mbacké Leye; Mayassine Diongue; Ibrahima Seck, et al. Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal. Cent. Afr. J. Public Health 2017, 3(6), 110-114. doi: 10.11648/j.cajph.20170306.13

Copy | Download

AMA Style

Ndèye Marème Sougou, Gilles Boestch, Mouhamadou Makhtar Mbacké Leye, Mayassine Diongue, Ibrahima Seck, et al. Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal. Cent Afr J Public Health. 2017;3(6):110-114. doi: 10.11648/j.cajph.20170306.13

Copy | Download

@article{10.11648/j.cajph.20170306.13,
  author = {Ndèye Marème Sougou and Gilles Boestch and Mouhamadou Makhtar Mbacké Leye and Mayassine Diongue and Ibrahima Seck and Anta Tal-Dia},
  title = {Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal},
  journal = {Central African Journal of Public Health},
  volume = {3},
  number = {6},
  pages = {110-114},
  doi = {10.11648/j.cajph.20170306.13},
  url = {https://doi.org/10.11648/j.cajph.20170306.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20170306.13},
  abstract = {In African rural area, self-treatment has its place in the devices of therapeutic choices. The aim of this study was to determine the extent and pattern of self-treatment among children living in Senegal rural area. A cross-sectional study was carried out to examine the place of self-treatment in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we had included in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Mothers were interviewed on the therapeutic itinerary chosen in case of children disease. Bivariate and multivariate analyses were made. Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4% of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5% and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that living away from health facility (more than 30 minutes) was positively correlate with self-treatment p<0.01, ORaj=5.39 IC= [1.42-24.26]. This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. This study shows that geographical inaccessibility of health facilities impact on self-medication practices in rural area.},
 year = {2017}
}

Copy | Download

TY - JOUR
T1 - Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal
AU - Ndèye Marème Sougou
AU - Gilles Boestch
AU - Mouhamadou Makhtar Mbacké Leye
AU - Mayassine Diongue
AU - Ibrahima Seck
AU - Anta Tal-Dia
Y1 - 2017/12/14
PY - 2017
N1 - https://doi.org/10.11648/j.cajph.20170306.13
DO - 10.11648/j.cajph.20170306.13
T2 - Central African Journal of Public Health
JF - Central African Journal of Public Health
JO - Central African Journal of Public Health
SP - 110
EP - 114
PB - Science Publishing Group
SN - 2575-5781
UR - https://doi.org/10.11648/j.cajph.20170306.13
AB - In African rural area, self-treatment has its place in the devices of therapeutic choices. The aim of this study was to determine the extent and pattern of self-treatment among children living in Senegal rural area. A cross-sectional study was carried out to examine the place of self-treatment in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we had included in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Mothers were interviewed on the therapeutic itinerary chosen in case of children disease. Bivariate and multivariate analyses were made. Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4% of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5% and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that living away from health facility (more than 30 minutes) was positively correlate with self-treatment p<0.01, ORaj=5.39 IC= [1.42-24.26]. This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. This study shows that geographical inaccessibility of health facilities impact on self-medication practices in rural area.
VL - 3
IS - 6
ER -

Copy | Download

Author Information

Ndèye Marème Sougou

Department of Public Health and Preventive Medicine, University Cheikh Anta Diop, Dakar, Senegal
Gilles Boestch

Department of Unité Mixte International 3189, University Cheikh Anta Diop, Dakar, Senegal
Mouhamadou Makhtar Mbacké Leye

Department of Public Health and Preventive Medicine, University Cheikh Anta Diop, Dakar, Senegal
Mayassine Diongue

Department of Public Health and Preventive Medicine, University Cheikh Anta Diop, Dakar, Senegal
Ibrahima Seck

Department of Public Health and Preventive Medicine, University Cheikh Anta Diop, Dakar, Senegal
Anta Tal-Dia

Department of Public Health and Preventive Medicine, University Cheikh Anta Diop, Dakar, Senegal

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Ndèye Marème Sougou, Gilles Boestch, Mouhamadou Makhtar Mbacké Leye, Mayassine Diongue, Ibrahima Seck, et al. (2017). Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal. Central African Journal of Public Health, 3(6), 110-114. https://doi.org/10.11648/j.cajph.20170306.13

Copy | Download

ACS Style

Ndèye Marème Sougou; Gilles Boestch; Mouhamadou Makhtar Mbacké Leye; Mayassine Diongue; Ibrahima Seck, et al. Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal. Cent. Afr. J. Public Health 2017, 3(6), 110-114. doi: 10.11648/j.cajph.20170306.13

Copy | Download

AMA Style

Ndèye Marème Sougou, Gilles Boestch, Mouhamadou Makhtar Mbacké Leye, Mayassine Diongue, Ibrahima Seck, et al. Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal. Cent Afr J Public Health. 2017;3(6):110-114. doi: 10.11648/j.cajph.20170306.13

Copy | Download

@article{10.11648/j.cajph.20170306.13,
  author = {Ndèye Marème Sougou and Gilles Boestch and Mouhamadou Makhtar Mbacké Leye and Mayassine Diongue and Ibrahima Seck and Anta Tal-Dia},
  title = {Self-Medication Among Children Under 5 Years Living in Rural Area, Ferlo Senegal},
  journal = {Central African Journal of Public Health},
  volume = {3},
  number = {6},
  pages = {110-114},
  doi = {10.11648/j.cajph.20170306.13},
  url = {https://doi.org/10.11648/j.cajph.20170306.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20170306.13},
  abstract = {In African rural area, self-treatment has its place in the devices of therapeutic choices. The aim of this study was to determine the extent and pattern of self-treatment among children living in Senegal rural area. A cross-sectional study was carried out to examine the place of self-treatment in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we had included in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Mothers were interviewed on the therapeutic itinerary chosen in case of children disease. Bivariate and multivariate analyses were made. Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4% of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5% and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that living away from health facility (more than 30 minutes) was positively correlate with self-treatment p<0.01, ORaj=5.39 IC= [1.42-24.26]. This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. This study shows that geographical inaccessibility of health facilities impact on self-medication practices in rural area.},
 year = {2017}
}

Copy | Download