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Table 2 Shows summaries of statements made by different focus group discussions (4 FGDs) with men 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?

- People who had experienced side effects due to SP can never use the drug again in their life time.

-Most people fear using SP because they think it is not a good drug. health facilities because people don't use the drug may be unless you force them

-When one takes the drug needs to eat a enough food and drink a lot of water

-Few people get side effects due to SP and actually it is not easy to tell if really what people complain is due to SP.

-A lot of people are affected by and many have died.

-Children who use SP get very weak, tired, and some become confused.

- In general SP cures better than chloroquine and it is a good drug except of its minor problems it causes

-SP is a combination of Fansidar, Metakelfin and Septrin.

-Even if you tell the doctor that you don't have malaria still you will get SP prescribed.

- These drugs are still on trial and this is bad to play with peoples lives.

- Sometime when you ask the doctors about SP they become harsh and they think that you are trying to teach them their job.

-These days doctors don't pay much attention to patients as they mind their own business and less time for patients.

- It is up to the Ministry of Health and experts to decide what should be done regarding malaria treatment.

- Find preventive measures against malaria and more research on SP is needed.

- More efforts should be done to inform and educate the people about the drug.

- There is a need to improve laboratory facilities so that people should be checked for malaria parasites before they are given or prescribed SP.

- There is a need to have SP injection formulation.

- SP dosage should be reduced especially for under-five children as the drug is too strong though it is a good one.

- Radio and newspapers should help in educating people.

-SP should be removed from use and chloroquine be brought back

-Doctors should be educated on measuring weight of patients before prescribing SP and should check who to give SP.

- All married men take responsibilities as children are our only investment.

- Most decisions involving finances are done by men and if the father is not around the wife takes the task in the absence of the husband.

- Many women prefer to start with traditional healers for a seriously sick child.

-Even if the husband is a drinker, when one gets home we normally ask if things are in order. As the father is a bread earner in most households.

- The wife takes care of the children and the father looks for money to feed the family.

- Sometimes we men take the responsibility of helping our wives to take a sick child to hospital or go together if we around home.

- Most father's can not leave his/her sick child dying without helping each other at home.

-We father's participate especially if the sick child is above 5 years and mother's deal with sick under-fives.

- These news people are making business sometime by writing misleading information about SP.

- So people need to be careful when reading newspapers or watching television or listening to the radio.

- These media do not give or talk about the positive aspects of the drug instead they just talk of the negative aspects of SP.

- You will find that most of the side effects of SP we have heard or seen them shown in newspapers, radios and televisions.

-Even pictures of affected individuals by SP are shown on televisions and newspapers.

- In our village or community we have not yet experienced any person so far getting problems with SP but have only read in newspapers.