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Title: Adherence to antimalarial drug therapy among vivax malaria patients in northern Thailand
Authors: Nardlada Khantikul
Piyarat Butraporn
Han S. Kim
Somjai Leemingsawat
M. A.Sandra B. Tempongko
Wannapa Suwonkerd
Mahidol University
University of Utah
SEAMEO Office Network Bangkok
Office of Disease Prevention and Control No. 10
Keywords: Agricultural and Biological Sciences;Environmental Science;Medicine
Issue Date: 1-Jan-2009
Citation: Journal of Health, Population and Nutrition. Vol.27, No.1 (2009), 4-13
Abstract: Vivax malaria is a significant cause of morbidity due to malaria in northern Thailand, accounting for approximately 50% of all malaria cases. The objective of this study was to determine the behavioural factors associated with adherence to the standard 14-day course of chloroquine and primaquine, prescribed from malaria clinics, among patients with vivax malaria. A retrospective study was conducted among 206 patients living in Muang and Mae Sa Riang districts of Mae Hon Son province in northern Thailand. Data on adherence and potential behavioural factors relating to adherence were collected using a structured interviewer-administered questionnaire and supplemented with qualitative data from focus-group interviews. The results indicated that 76.21% of the 206 patients with vivax malaria did not complete the medication course. The adherence of the patients was associated with knowledge scores of malaria (adjusted odds ratio [AOR]=2.2, 95% confidence interval [CI] 1.1-4.5) and accessing drug prescription scores (AOR=5.6, 95% CI 2.13-15.3). Therefore, further effort is needed to educate patients with vivax malaria on knowledge of malaria and its treatment with simple health messages and encourage them to adhere to their treatment. © International Centre for Diarrhoeal Disease Research, Bangladesh.
ISSN: 16060997
Appears in Collections:Scopus 2006-2010

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