Household satisfaction with health services and response strategies to malaria in mountain communities of Uganda
Loading...
Date
2025-01
Journal Title
Journal ISSN
Volume Title
Publisher
Oxford University Press
Abstract
Background: Measuring satisfaction with health service delivery in fragile communities provides an opportunity
to improve the resilience of health systems to threats including climate change. Additionally, understanding
factors associated with the choice of response strategies to certain public health threats provides an opportunity
to design context-specific interventions.
Methods: We used polytomous latent class analyses to group participants’ responses and an additive Bayesian
modelling network to explore satisfaction with health service delivery as well as factors associated with response
strategies of households to malaria. We did this with a focus on the rural parts of Uganda in Mount Elgon.
Results: We found that approaches to malaria control and management at household level include the use
of traditional (54.5%), private (20.5%) and publicly available services (25%). Regarding satisfaction with health
services, 66.6% of respondents were satisfied with health service components of information flow, drug/vaccine
access and accessibility. Type of housing, livelihood sources, previous malaria experience and health services
were strongly associated with responses to malaria occurrence at household level. The rest of the factors were
weakly associated with malaria responses.
Conclusions: The indigenous interventions utilised by households to manage and control malaria were largely
dependent on their satisfaction with health service delivery components. Interventions thus ought to leverage
local existing knowledge to optimise outcomes and ensure sustainable health.
Description
Keywords
Citation
Aggrey, Siya, Anthony Egeru, John Bosco Kalule, et al. 'Household Satisfaction with Health Services and Response Strategies to Malaria in Mountain Communities of Uganda', Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 119/no. 1, (2025), pp. 85-96.