Influence des services de prise en charge du paludisme dans la décision de ne pas y utiliser la milda

In Ivory Coast, the LLIN is the prevention tool highly promoted by the National Malaria Control Program. But its use by the people is not yet a given. Research has focused on problems related to its adoption in households. This study examines the difficulties of adopting this tool within malaria care services. The study is qualitative and of ethnographic type. It was carried out in the malaria management services of 10 districts in the health regions of Gkêkê, Tonpki and Kabadougou in Ivory Coast. Several observations were made in these services and documented. In addition, about 20 semi-directive interviews were conducted with health workers and in population about the influence of malaria treatment services on people's attitudes towards LLIN. The results show that malaria care and observation services are a "bad example" for users of LLIN use. The rationalization theorization test at work in the decision not to use the LLIN shows that the image of the LLIN projected to the populations in these places often induces the refusal to use it. The lack of hygiene, the unavailability of LLINs, their use for other purposes are factors that influence the decision of populations. This text invites the actors of malaria care services to consider these places as opportunities to raise awareness among the population, in order to encourage the adoption of the LLINs not only within these services but also at home.