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Interactions between malaria workers and clinical malaria patients in Jepara District, Indonesia.

Journal article
Authors Adi Utarini
Lennarth Nystrom
Rossi Sanusi
Daniel Chandramohan
Anna Winkvist
Published in The Southeast Asian journal of tropical medicine and public health
Volume 38
Issue 6
Pages 959-70
ISSN 0125-1562
Publication year 2007
Published at Institute of Medicine, Department of Clinical Nutrition
Pages 959-70
Language en
Keywords Community Health Aides, utilization, Female, Humans, Indonesia, Longitudinal Studies, Malaria, therapy, Male, Patient Acceptance of Health Care, Professional-Patient Relations, Tape Recording
Subject categories Health Care Service and Management, Health Policy and Services and Health Economy, Public Health, Global Health, Social Medicine and Epidemiology


In a one-year longitudinal study of all clinical malaria cases treated by the Village Malaria Workers (VMWs) during 1999-2000, data on health-seeking behavior during a seven-day illness period were collected using a diary; 24 interactions were audiotaped. The results showed that 87% of cases had been treated by the VMWs on day four of the illness period. On day two, the percentage not treated was significantly higher in male as compared with female cases (p = 0.01) and in those below 15 years of age as compared with those 15 years and older (p < 0.001). "Not doing anything" and "using VMWs only" were the two most common actions. Interactions between the VMWs and the patients focused on medical tasks, and low compliance with treatment was a common concern of the VMWs. The concept of preventive measures and the role of mosquitoes were lacking in the interactions.

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