1. Sub-national disparities in accessing anti-malarial drug treatment in eastern Indonesia
- Author
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Andri Ruliansyah, Mara Ipa, Joni Hendri, Firda Yanuar Pradani, Iqbal R. F. Elyazar, Heni Prasetyowati, Endang Puji Astuti, Agung Dwi Laksono, and Henry Surendra
- Subjects
Adult ,Rural Population ,medicine.medical_specialty ,Anti malarial ,Logistic regression ,Antimalarials ,Drug treatment ,Environmental health ,Health care ,Epidemiology ,parasitic diseases ,Eastern Indonesia ,medicine ,Humans ,The 2018 Indonesia basic health survey ,Public health ,business.industry ,Public Health, Environmental and Occupational Health ,Sub-national disparities ,medicine.disease ,Malaria ,Pharmaceutical Preparations ,Indonesia ,Biostatistics ,Public aspects of medicine ,RA1-1270 ,business ,Anti-malarial drug ,Research Article - Abstract
BackgroundPoor access to health care providers was among the contributing factors to less prompt and ineffective malaria treatment. This limitation could cause severe diseases in remote areas. This study examined the sub-national disparities and predictors in accessing anti-malarial drug treatment among adults in Eastern Indonesia.MethodsThe study analyzed a subset of the 2018 National Basic Health Survey conducted in all 34 provinces in Indonesia. We extracted socio-demographic data of 4655 adult respondents diagnosed with malaria in the past 12 months in five provinces in Eastern Indonesia. The association between socio-demographic factors and the access to anti-malarial drug treatment was assessed using logistic regression.ResultsOver 20% of respondents diagnosed with malaria within last 12 months admitted that they did not receive anti-malarial drug treatment (range 12–29.9%). The proportion of untreated cases was 12.0% in East Nusa Tenggara, 29.9% in Maluku, 23.1% in North Maluku, 12.7% in West Papua, and 15.6% in Papua. The likelihood of receiving anti-malarial drug treatment was statistically lower in Maluku (adjusted OR = 0.258; 95% CI 0.161–0.143) and North Maluku (adjusted OR = 0.473; 95% CI 0.266–0.840) than those in Eastern Nusa Tenggara (reference). Urban respondents were less likely to receive malaria treatment than rural (adjusted OR = 0.545; 95% CI 0.431–0.689).ConclusionsThis study found that there were sub-national disparities in accessing anti-malarial drug treatment in Eastern Indonesia, with a high proportion of untreated malaria cases across the areas. Findings from this study could be used as baseline information to improve access to anti-malarial drug treatment and better target malaria intervention in Eastern Indonesia.
- Published
- 2021