Healthcare seeking behavior for common illness among Bangladeshi under-five children: a nationwide cross-sectional survey

Aims: The study sought to determine the determinants of delay in health-seeking among caregivers with under-five children. Study Design: This was a mixed-method, cross-sectional study. Place and Duration of Study: The study took place in Touboro Health District involving 386 caregivers of under-five children from May to July 30, 2020. Methodology: A structured questionnaire and two focused group discussions were used to gather information on caregiver knowledge of healthcare-seeking behavior. Data were analyzed using SPSS version 25.0. Bivariable logistic regression was employed to identify factors associated with of healthcare seeking behavior. Results: Results of the 386 sick children, fever 39.9% (154/386), diarrhea 30.3% (117/386) and cough 24.9% (96/386) were the common symptoms. The majority of the caregivers of the under-five children had poor knowledge of 63% (243/386) about common infant illnesses. Caregivers of female children under-five(OR= 2.26, 95% CI: 1.29-3.96, P = 0.004), caregivers aged between 21 and 30 years (OR=5.53, 95% CI: 1.32-23.11, P = 0.019), caregivers whose occupation is housewife (OR=2.64 95% CI 1.23-5.68, P =10.013),) ,caregivers who host > 6children in a household (OR= 3.56 95% CI 1.42-8.92 , P =0.007) were key determinants of delay in health-seeking. Conclusion: Caregivers of female children under-five, caregivers aged between 21 and 30 years, caregivers whose occupation is housewife, caregivers under-five children residing in a rural area, caregivers who host more than 6 children in a household, households with an average monthly income of <10.000 FRS Cfa were predictors of delay appropriate health-seeking. There is a need to intensify health education focusing on childhood illnesses, and timely care-seeking to effectively respond to caregiver's expectations among others.

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Prevalence and socioeconomic risk factors of overweight among the under-five children in Bangladesh: A nationwide cross-sectional survey

Obesity Medicine ◽

10.1016/j.obmed.2020.100315 ◽

2020 ◽

pp. 100315

Author(s):

Md Sabbir Ahmed ◽

Fakir Md Yunus

Keyword(s):

Risk Factors ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Socioeconomic Risk ◽

Socioeconomic Risk Factors

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Predictors of Health-Seeking Behavior for Fever Cases among Caregivers of Under-Five Children in Malaria-Endemic Area of Imo State, Nigeria

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16193752 ◽

2019 ◽

Vol 16 (19) ◽

pp. 3752 ◽

Cited By ~ 5

Author(s):

Sampson Oluchi ◽

Rosliza Manaf ◽

Suriani Ismail ◽

Theophilus Udeani

Keyword(s):

Early Stage ◽

Cross Sectional Study ◽

Health Seeking ◽

Presumptive Treatment ◽

Cross Sectional ◽

Under Five ◽

Imo State ◽

Under Five Children ◽

Seeking Behavior ◽

Pediatric Illnesses

Fever is one of the most common symptoms of pediatric illnesses; it is an important early symptom of malaria. Fever had served as the entry point for presumptive treatment of malaria among children in Nigerian. Appropriate HSB is important when seeking treatment for fever among under-five children; this will help for better prognosis because treatment will be initiated early. This study attempted to identify caregiver’s HSB for under-five children with fever. A cross-sectional study was conducted in Imo-State, Nigeria. Appropriate HSB was operationally defined as seeking treatment from health facility within 24 h of fever. Data were obtained using pretested self-administered questionnaire. Data were analyzed using SPSS version 22. Simple and multiple logistic regression were used to determine predictors of appropriate HSB. A total of 559 eligible respondents were recruited; 103 (18.6%) caregivers had appropriate HSB. The predictors of HSB are being male child (aOR = 2.760; 95% CI:1.536–4.958), the age of child younger than 27 months (aOR = 2.804; 95% CI:1.485–5.295), employed caregivers (aOR = 1.882; 95% CI:1.014–3.493), number of household members (aOR = 2.504; 95% CI:1.464–4.283), and caregivers who decided to seek treatment at early stage (aOR = 7.060; 95% CI:1.616–30.852). Only 18.6% caregivers practiced appropriate HSB for fever cases among under-five children. It is essential to educate caregivers and emphasise on early treatment of fever and appropriate use of health facilities for fever. The findings will be used to improve intervention at the community level and will be compared with follow-up data to evaluate their effectiveness.

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Knowledge and Healthcare Seeking Behavior of Tuberculosis Patients attending Gimbi General Hospital, West Ethiopia

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v28i5.3 ◽

1970 ◽

Vol 28 (5) ◽

Author(s):

Asmamaw Abayneh Badane ◽

Mohammed Gebre Dedefo ◽

Edao Sado Genamo ◽

Nigatu Addisu Bekele

Keyword(s):

General Hospital ◽

Treatment Phase ◽

Signs And Symptoms ◽

Good Knowledge ◽

Cross Sectional ◽

Poor Knowledge ◽

Tuberculosis Patients ◽

Healthcare Seeking ◽

Seeking Behavior ◽

Healthcare Seeking Behavior

BACKGROUND: Tuberculosis (TB) now ranks alongside HIV (Human Immunodeficiency Virus) as a leading cause of death worldwide. Globally, 9.6 million people were estimated to have fallen ill with TB in 2014. The aim of this study is to assess the knowledge and healthcare seeking behaviour of tuberculosis patents in Gimbi General Hospital, West Ethiopia.METHODS: A cross sectional study was conducted among tuberculosis patients from March 8 to April 30, 2015. The data collection method was face-to-face interview through structuredstandard questionnaire. To identify the factors associated with knowledge about TB and healthcare seeking behavior, backward logistic regression analysis was used.RESULTS: Of the 138 TB patients, 85(61.6%) had good knowledge about TB while 53(38.4%) had poor knowledge about TB. On multivariable logistic analysis, poor knowledge about TB was more likely to occur among TB patients in intensive treatment phase (Adjusted odds ratio (AOR)=4.1, 95% CI= 1.7-9.6, p=0.001).CONCLUSION: TB patients had good knowledge on signs and symptoms of TB, transmission of TB and healthcare seeking behaviour of TB, but their knowledge on the cause of TB, treatment of TB and prevention of TB were not adequate. This study also revealed that the health careseeking behaviour of TB patients were good.

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Malaria infection and anemia status in under-five children from Southern Tanzania where seasonal malaria chemoprevention is being implemented

PLoS ONE ◽

10.1371/journal.pone.0260785 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260785

Author(s):

Richard O. Mwaiswelo ◽

Bruno P. Mmbando ◽

Frank Chacky ◽

Fabrizio Molteni ◽

Ally Mohamed ◽

...

Keyword(s):

Socioeconomic Status ◽

Socioeconomic Factors ◽

Low Socioeconomic Status ◽

Malaria Infection ◽

Bed Net ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Under Five ◽

Under Five Children ◽

Seasonal Malaria Chemoprevention

Background Malaria and anemia remain major public health challenges in Tanzania. Household socioeconomic factors are known to influence these conditions. However, it is not clear how these factors influence malaria transmission and anemia in Masasi and Nanyumbu Districts. This study presents findings on malaria and anemia situation in under-five children and its influencing socioeconomic factors in Masasi and Nanyumbu Districts, surveyed as part of an ongoing seasonal malaria chemoprevention operational study. Methods A community-based cross-sectional survey was conducted between August and September 2020. Finger-prick blood samples collected from children aged 3–59 months were used to test for malaria infection using malaria rapid diagnostic test (mRDT), thick smears for determination of asexual and sexual parasitemia, and thin smear for parasite speciation. Hemoglobin concentration was measured using a HemoCue spectrophotometer. A structured questionnaire was used to collect household socioeconomic information from parents/caregivers of screened children. The prevalence of malaria was the primary outcome. Chi-square tests, t-tests, and logistic regression models were used appropriately. Results Overall mRDT-based malaria prevalence was 15.9% (373/2340), and was significantly higher in Nanyumbu (23.7% (167/705) than Masasi District (12.6% (206/1635), p<0.001. Location (Nanyumbu), no formal education, household number of people, household number of under-fives, not having a bed net, thatched roof, open/partially open eave, sand/soil floor, and low socioeconomic status were major risks for malaria infection. Some 53.9% (1196/2218) children had anemia, and the majority were in Nanyumbu (63.5% (458/705), p<0.001. Location (Nanyumbu), mRDT positive, not owning a bed net, not sleeping under bed net, open/partially open eave, thatched window, sex of the child, and age of the child were major risk factors for anemia. Conclusion Prevalence of malaria and anemia was high and was strongly associated with household socioeconomic factors. Improving household socioeconomic status is expected to reduce the prevalence of the conditions in the area.

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A Study to Assess Knowledge Regarding Prevention and Home Care Management of Diarrhea among Mothers of Under-Five Children Attending a Tertiary Level Hospital, Thiruvananthapuram, Kerala

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210775 ◽

2021 ◽

Vol 6 (3) ◽

pp. 466-471

Author(s):

Ancey K Toby ◽

Aruna R ◽

Avani Anil

Keyword(s):

Home Care ◽

Care Management ◽

Sampling Technique ◽

Research Approach ◽

Knowledge Level ◽

Diarrheal Diseases ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Under Five ◽

Under Five Children

Aim: To find out the knowledge level of mothers of under five children regarding prevention and home care management of diarrhea and develop educational intervention to provide them adequate information regarding management. Objectives: i) To assess the knowledge of mothers regarding prevention and home care management of diarrhea. ii) To find out the association between knowledge level of mothers regarding prevention and homecare management of diarrhea and selected socio-demographic variables. Method: A quantitative research approach-descriptive cross-sectional survey design was adopted. 80 samples were selected for the study by using purposive sampling technique. Results: It was found that 72.5% of mothers had average knowledge and 6.25% of mothers had poor knowledge regarding prevention and homecare management of diarrhea. After calculation of chi square values, it is identified that there is a statistically significant association between knowledge of mothers and their educational status. Conclusion: The finding of this study showed that the knowledge level of mothers was unsatisfactory about the prevention and home care management of under-five diarrheal diseases. Therefore, health education, dissemination of information, and community conversation should plan and implement to create a positive attitude and practice towards the better prevention and management of under-five diarrheal diseases. Keywords: diarrhea, mothers, under-five children.

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Childhood Sanitation Practices and Incidence of Diarrhea in Slum Communities With Implications for Community-Based Education in Less Developed Countries

10.21203/rs.3.rs-44777/v1 ◽

2020 ◽

Author(s):

Akpovire B Oduaran ◽

Okechukwu Stephen Chukwudeh

Keyword(s):

Low Income ◽

Developed Countries ◽

Less Developed Countries ◽

Cross Sectional Survey ◽

Community Based ◽

Cross Sectional ◽

Community Based Education ◽

Under Five ◽

Under Five Children ◽

Slum Dwellers

Abstract Background Diarrhoea is a major cause of mortality among under-five children, especially in less developed countries. Previous studies on childhood diarrhoea have largely focused on biomedical methods with little attention given to community-based approach to reduce the prevalence of the disease in the slums, classified in literature among areas of high diarrhoea incidence. The key question is does childhood sanitation practices influence the incidence of diarrhea? This study, was therefore, designed to examine the association between childhood sanitation practices and incidence of diarrhea using community-based approach.Methods The value beliefs and planned behavior theories were adopted as framework, while cross-sectional survey was use to elicit data from 900 mothers of under-five children who had lived in the study locations for at least 12 months preceding the research and 10 In-depth interviews was conducted.Results There was a positive significant association between defecating with unimproved toilet facilities (χ2=42.167, p<0.05), cleaning buttocks with inappropriate materials (χ2=4.274, p<0.05), disposing faeces around household environments (χ2=10.542, p<0.05), and childhood diarrhea. The odds was higher among children whose mothers had no education (OR=1.560), widow (OR=5.542), poor (OR=1.556), and children that defecates with unhygienic toilet facilities (OR=7.806).Conclusion Community perceptions interact with poverty to influence unhygienic toilet practices in the slums. This has negative health implications on the lives of low-income and vulnerable slum dwellers. Thus, community-based education on improved sanitary practices is necessary to reduce diarrhoea prevalence.

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