scholarly journals Health Seeking Behaviour and Associated Factors among Pulmonary Tuberculosis Suspects in Lay Armachiho District, Northwest Ethiopia: A Community-Based Study

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eshetu Haileselassie Engeda ◽  
Berihun Assefa Dachew ◽  
Hiwot Kassa Woreta ◽  
Mengistu Mekonnen Kelkay ◽  
Tesfaye Demeke Ashenafie
Keyword(s):  
Health Care ◽  
Pulmonary Tuberculosis ◽  
Previous History ◽  
Care Facility ◽  
Health Care Facility ◽  
Northwest Ethiopia ◽  
Care Seeking ◽  
Health Seeking ◽  
Community Based ◽  
Modern Health Care

Studies in the northern part of Ethiopia showed high prevalence of undiagnosed cluster of tuberculosis cases within the community which demanded an investigation of the health care seeking behaviour of tuberculosis suspects. A community-based cross-sectional study was conducted in Lay Armachiho district, Northwest Ethiopia. Individuals who had cough for at least two weeks and aged greater than or equal to 15 years were included in the study. Data were collected by interview using pretested and structured questionnaire. Logistic regression was computed and adjusted odds ratio with 95% confidence interval was calculated. Out of the total population surveyed (29, 735), 663 (2.2%) individuals were found to be pulmonary tuberculosis suspects. Majority of the suspects reported that they had visited a modern health care facility. Those aged 15 to 34 and aged 35–54 had secondary educational level and above; those who were civil servants, those who were farmers, those who had previous history of tuberculosis treatment, and those who perceived that they were sick were more likely to visit a modern health care facility. The proportion of respondents who had taken traditional measures was found to be higher than some other districts. Improving the socioeconomic status of the community is recommended.

scholarly journals Can public sector community health workers deliver a nurturing care intervention in South Africa? The Amagugu Asakhula feasibility study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sonja Klingberg ◽  
Esther M. F. van Sluijs ◽  
Stephanie T. Jong ◽  
Catherine E. Draper
Keyword(s):  
South Africa ◽  
Health Care ◽  
Public Sector ◽  
Health Workers ◽  
Care Facility ◽  
Health Care Facility ◽  
Preschool Age ◽  
Primary Health Care Facility ◽  
Community Based ◽  
Primary Health

Abstract Background Nurturing care interventions have the potential to promote health and development in early childhood. Amagugu Asakhula was designed to promote developmentally important dietary and movement behaviours among children of preschool age (3–5 years) in South Africa. An initial formative study in Cape Town found the intervention to be feasible and acceptable when delivered by community health workers (CHWs) linked to a community-based organisation. This study evaluated the delivery of the Amagugu Asakhula intervention by CHWs linked to a public sector primary health care facility in Soweto, as this mode of delivery could have more potential for sustainability and scalability. Methods A qualitative design was utilised to assess feasibility, acceptability, adoption, appropriateness, implementation, fidelity and context. CHWs (n = 14) delivered the intervention to caregivers (n = 23) of preschool-age children in Soweto over 6 weeks. Following the completion of the intervention, focus group discussions were held with CHWs and caregivers. Further data were obtained through observations, study records and key informant interviews (n = 5). Data were analysed using deductive thematic analysis guided by a process evaluation framework. Results The delivery of the Amagugu Asakhula intervention through CHWs linked to a primary health care facility in Soweto was not found to be feasible due to contextual challenges such as late payment of salaries influencing CHW performance and willingness to deliver the intervention. CHWs expressed dissatisfaction with their general working conditions and were thus reluctant to take on new tasks. Despite barriers to successful delivery, the intervention was well received by both CHWs and caregivers and was considered a good fit with the CHWs’ scope of work. Conclusions Based on these findings, delivery of the Amagugu Asakhula intervention is not recommended through public sector CHWs in South Africa. This feasibility study informs the optimisation of implementation and supports further testing of the intervention’s effectiveness when delivered by CHWs linked to community-based organisations. The present study further demonstrates how implementation challenges can be identified through qualitative feasibility studies and subsequently addressed prior to large-scale trials, avoiding the wasting of research and resources.

Abortion care seeking in India: patterns and predictors

2019 ◽  
Vol 52 (3) ◽  
pp. 353-365
Author(s):  
Palak Sharma ◽  
Manas Ranjan Pradhan
Keyword(s):  
Health Care ◽  
Multinomial Logistic Regression ◽  
Care Facility ◽  
Health Care Facility ◽  
Public Health Problem ◽  
Wealth Quintile ◽  
Bivariate Analysis ◽  
Care Seeking ◽  
Abortion Care ◽  
Facility Type

AbstractUnsafe abortions remain a considerable public health problem and continue to be a leading cause of maternal morbidity and mortality throughout the world. This study assessed whether women’s choice of type of health care facility for abortion in India varied by their socio-demographic and economic characteristics, and aimed to determine the significant predictors of choice of health care facility. Data were taken from the 2015–16 Indian National Family and Health Survey (NFHS-4). The study sample included women aged 15–49 years, irrespective of their marital status, who had terminated their last pregnancy by induced abortion in the five years before the survey (N = 6876). A bivariate analysis was carried out to assess the pattern in the choice of health care facility type for an abortion, and a multinomial logistic regression model was fitted to assess the predictors affecting the choice of health care facility type for an abortion. The results showed that, at the time of the 2015–16 survey, women in India went to private facilities more than public facilities for abortion care, irrespective of their age, distance to facility and financial constraints. The probability of visiting a private facility increased with women’s age, gestational age and the wealth quintile. A wide variation in choice of health facility for abortion care by socioeconomic characteristics was observed.

scholarly journals Prevalence of acute morbidities and their health seeking behaviour among under-five children of urban slums in a city in Karnataka

2017 ◽  
Vol 4 (7) ◽  
pp. 2449
Author(s):  
Yamuna B. N. ◽  
Ratnaprabha G. K. ◽  
Prakash Kengnal
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Sampling Technique ◽  
Cluster Sampling ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Cross Sectional ◽  
Under Five ◽  
The Past

Background: Morbidity and lack of health facility especially in the first five years of life would cause irreparable damage. Therefore it is important to assess the magnitude of morbidities, and their health seeking behaviour. The objectives of the study were to assess the prevalence of acute morbidities and their associated factors among Under-five (U5) children residing in slums of Davanagere city, Karnataka, and to assess the health-seeking behaviour of their mothers/caregiversMethods: It was a cross sectional study done in the slums of Davanagere city during August-September 2016. Using 30 cluster sampling technique, the estimated sample size was 656. A total of 22 children were included in each cluster. Questionnaire consisting of demographic details, history of acute morbidities in the past two weeks and their treatment details was administered to the mother/caregiver. Data was entered in Microsoft Excel sheet and analyzed using SPSS Version 20.Results: Totally 656 mothers/caregivers of U5 children were contacted, majority of the children were in the age group of 13 to 60 months. Total of 348 (53%) children suffered from some acute morbidity in the past 2 weeks, of whom 282 (81%) children were taken to some health care facility, and majority preferred private practitioner (73.4%). Most common reason for poor health seeking behaviour was “following the medicines which were prescribed for previous illness”.Conclusions: More than half of the children suffered from some acute morbidity in the past 2 weeks and 81% of them were taken to health care facility. 

scholarly journals Accessibility and utilization of modern health care among rural community in Ethiopia: The case of Bako district, Western Oromia: Community based descriptive cross-sectional study

2019 ◽  
Author(s):  
Tadesse Abdisa Abdisa ◽  
Zelalem Desalegn ◽  
Melese Chego Cheme
Keyword(s):  
Health Care ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Care Seeking ◽  
Health Seeking ◽  
Community Based ◽  
Cross Sectional ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior

Abstract Objectives: Knowing determinants of health seeking behaviors of families is significant in assuring access and utilization of health services. Less is known on the seeking behaviors and access of modern health services among populations in rural settings in Ethiopia. The general Objective of the study is to assess health care seeking behavior (Utilization) and associated factors among the community of in Bako Tibe District, Ethiopia. Community based descriptive cross-sectional study design was used on 750 head of the residents of ≥18 years old. Multistage sampling technique was used to get the households and data was collected by interview using structured questionnaire and analyzed using SPSS version 24. Binary and multiple logistic regression analysis were used to identify the factors associated with the health seeking behavior. Results: 495(66%) reported having morbidity and level of health care seeking behavior was 78.6% of which 66% sought care from government facilities. Sex of respondent, residence, family size, educational status, monthly income, disease condition, Perceived severity & access to needed health information were found to be significant associated factors of healthcare seeking behavior of the respondents in multiple logistic regression analysis. Keywords: Health seeking behavior, Access, Bako district, Ethiopia

Impact of Gene Xpert on the diagnosis of pulmonary tuberculosis at a tertiary health care facility in Nigeria

2021 ◽  
Vol 23 (1) ◽  
pp. 11
Author(s):  
AyobamiAdebayo Bakare ◽  
OlayinkaS Ilesanmi ◽  
BamideleO Adeniyi ◽  
AdesolaO Kareem
Keyword(s):  
Health Care ◽  
Pulmonary Tuberculosis ◽  
Care Facility ◽  
Health Care Facility

scholarly journals Prevalence of self-reported gynaecological problems in a community of district Srinagar Kashmir valley

2017 ◽  
Vol 4 (9) ◽  
pp. 3105 ◽  
Author(s):  
Mahbooba Rasool ◽  
Taha Ayub ◽  
Sheema Samreen
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Individual Perceptions ◽  
Perceptions And Attitudes ◽  
The Individual ◽  
Good Percentage

Background: Gynaecological disorders are quite frequent in the community but still mortality is an indicator of maternal health. Treatment seeking behaviour depends upon the individual perceptions and attitudes towards health care. Methods: A community based cross sectional study in which 419 eligible women in the age group of 15-45 were enrolled and interviewed for the study. A semi structured pretested questionnaire was used. The questionnaire included information about the socio demographic characteristics of the students. Data was analysed using percentages. Results: The prevalence came out to be 20.28% which was percentage of women reporting one or more gynaecological disorders. 52.94% did not seek anywhere care or visited any health care facility. Conclusions: The study found a good percentage of women who self-reported one or more gynaecological disorder, which prompts one to find out various factors associated with this problem. 

scholarly journals First Aid Practices and Health-Seeking Behaviors of Caregivers for Unintentional Childhood Injuries in Ujjain, India: A Community-Based Cross-Sectional Study

Children ◽  
2018 ◽  
Vol 5 (9) ◽  
pp. 124 ◽  
Author(s):  
Ashish Pathak ◽  
Nitin Agrawal ◽  
Love Mehra ◽  
Aditya Mathur ◽  
Vishal Diwan
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
First Aid ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Health Seeking ◽  
Post Injury ◽  
Cross Sectional ◽  
Childhood Injuries

Data on types of community first aid use and treatment provided post-injury from many low‒middle-income countries, including India, are lacking. This cross-sectional study was conducted among children aged one month to 18 years of age, in Ujjain, India, to understand types of first aid given and health-seeking post-injury. A total of 1087 injuries in 1049 children were identified in the past year. A total of 729 (67%) injured children received first aid and 758 (70%) sought some form of health care. Children with burns received the most (86%) first aid, and most children (84%) with road traffic accidents (RTA) sought health care. Most children (52%) sought health care from a private health care facility; most children (65%) were transported to a health care facility within the golden hour. Motorbikes were the most preferred (50%) mode of transport. Only 1% of the injured used ambulance services. Commonly reported methods or substances for first aid included the use of coconut oil on wounds from falls (38%) and burns (44%), the use of antiseptic cream on wounds from RTA (31%), the application of turmeric for wounds from falls (16%), and rubbing of metal on a bitten area (47%). For most injuries, appropriate, locally available substances were used. Potentially harmful substances applied included lime, toothpaste, clay, and mud. The findings will help design community interventions to increase the provision of appropriate first aid for childhood injuries.

scholarly journals Modern health-seeking behaviour and associated factors among mothers having under 5-years old children in Shire town, Tigray, Ethiopia: A cross-sectional study 2018

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Girmay T. Weldesamuel ◽  
Tsega T. Alemayoh ◽  
Hagos T. Atalay ◽  
Teklewoini M. Zemichael
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Cross Sectional Study ◽  
P Value ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Seeking ◽  
Cross Sectional ◽  
Modern Health Care ◽  
Health Care Seeking Behaviour

Background: The practice of appropriate health care-seeking is important to reduce severe and life-threatening childhood illnesses. In Shire town, little is known about the mother’s health care-seeking behaviour on childhood illness.Aim: To assess modern health-seeking behaviour and associated factors of mothers having under 5-years old children in Shire town.Setting: The study setting was Shire town, northwest Tigray, Ethiopia.Methods: A community-based cross-sectional study was conducted to interview 504 mother-child pairs by systematic random sampling technique. Data were collected through interviewer-administered semi-structured questionnaires. Data were coded, entered, cleaned and edited using EPIDATA version 3.1 and export to Statistical Package for Social Science (SPSS) Version 22.0 for analysis. To identify the significant variables, binary logistic regression was employed. Variables with p-value 0.05 at 95% CI (confidence interval) in multivariate logistic regression were considered statistically significant.Results: In this study, around 76.2% (72.1, 80) of mothers sought modern health care. In a multivariate logistic regression analysis at a p-value of 0.05, caregivers with age of ≥ 28 years (AOR [adjusted odds ratios]: 1.65; 95% CI [1.02, 2.68]), educational level of secondary school and above (AOR: 0.44; 95% CI [0.23, 0.86]), child feeding per day 8 times (AOR: 2.77; 95% CI [1.75, 4.38]) and perceived severity of illness (AOR: 2; 95% CI [1.07, 3.82]) were statistically associated with modern health care-seeking behaviour.Conclusion: Strengthen healthcare services is recommended at the community level through information, education and communication/behavioural change strategies to improve the mother’s health care-seeking behaviour.

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