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Table 1 Shows summaries of statements made by different focus group discussions (4 FGDs) with mother's/guardian's about SP

From: How sulfadoxine-pyrimethamine (SP) was perceived in some rural communities after phasing out chloroquine (CQ) as a first-line drug for uncomplicated malaria in Tanzania: lessons to learn towards moving from monotherapy to fixed combination therapy

About SP

Why switch to SP?

How can the situation be improved?

Who's responsibility to care the sick child?

What's wrong with the media?

- SP is mixture of all drugs like Fansidar.

- SP is not good because it causes: swelling, body rashes, children dying.

- We are afraid of using it because it is too strong and kills people.

- My son became like a cobra-snake and got black like a charcoal after using SP.

- SP has no side-effects to me and when I use it cures my malaria.

-SP is a good drug, my son used it and has never fallen sick again.

- The drug is too strong and one needs to eat enough food.

- People are afraid of using the drug and we hate it and we don't give our children when they give us at the hospital.

- Now we are being forced at the hospital to give our children the drug under supervision of nurses.

-Parasite are resistant to CQ.

-SP is on research trial by the government.

- They want to see how many people will be killed by the drug.

- If drug was good, we would not find it plenty in our hospitals.

- We have nothing to do, but agree with what the government gives us as we are forced to use the drug.

- The Ministry of Health should work hard on sensitizing and educating the people.

- If you tell the doctors that you don't use SP he/she may listen to you and give an alternative drug or not it depends.

- We are treated with SP at the facilities for all illnesses.

- Doctors don't ask whether don't use SP.

- More research has to be done how to lower the dose and what causes these side effects.

- Educate people first about SP before introducing for large scale use.

- Nurses should educate mother's on how to take this drug and about side effects to be expected.

- Educate the news writers about the drug.

- The sulfa component should be removed from SP.

- We want doctors and nurses to properly inform us how to use SP whether without eating etc

- Nurses and doctors should be given seminars on how to properly treat malaria.

- Doctors should listen carefully to patients so that they can reduce the dose as the drug is too strong for weak people.

- Put in place drugs which are less strong for mild to moderate malaria and reserve SP for severe cases.

- When the children are sick we mothers take them to hospital.

- Father's directs us not to take SP.

- Father work to get money and most of the time they are out but they provide money.

- If the father is not at home and the child is sick I can't wait, I go myself to hospital or take any other immediate actions.

- We mother's are first child's doctors in our homes.

- Some men are lazy and sometimes they are drunk and do not care about the child.

- Most fathers' get involved when the child is seriously ill.

- At times we discuss with our husband's if they are at home, otherwise we brief them what transpired when they were not around.

- In most cases we involve them if the child's condition gets worse.

- The father mostly gives you money to go and buy drugs or as bus fare to send the child to hospital and very rarely they escort you.

- SP is advertised so much in newspapers, radio and television.

- They show people who gets affected by the drug after using it.

- They also put a name and a picture of a person who has been affected by SP.

- These news scare a lot of people who see or read them.

- We also here in radio that chloroquine is no longer working in treating malaria.