Determinants of malaria diagnostic uptake in the retail sector: qualitative analysis from focus groups in Uganda

摘要: Background: In Uganda, as in most other malaria-endemic countries, presumptive treatment for malaria based on symptoms without a diagnostic blood test is still very common. While testing public sector facilities increasing, many people Uganda who suspect visit private outlets to purchase medications. Increasing the availability and uptake of rapid tests (RDTs) could help increase but raises questions about patient demand valuation that are less critical introduction. Methods: preparation behaviour change campaign encourage sustain RDTs drug shops, eight focus group discussions with total 84 community members were conducted six districts across Uganda’s Eastern Region November-December 2011. Focus groups explored incentives barriers seeking diagnosis malaria, how react results why, what can be done willingness pay RDTs. Results: Overall, participants familiar understood its importance, yet when faced limited financial resources, patients preferred spend their money medication sought only proved ineffective. side effects did seem concern, not mention potential costs taking unnecessary or ineffective medications, such wasted excess so r delays resolution symptoms. Very few individuals Conclusion: order boost demand, these suggest will have made convenient affordable targeted campaigns should strive perceived value diagnosis.