scholarly journals Coping with ill-health: health care facility, chemist or medicinal plants? Health-seeking behaviour in a Kenyan wetland

Author(s):  
Carmen Anthonj ◽  
Peter Giovannini ◽  
Thomas Kistemann
Author(s):  
Yamuna B. N. ◽  
Ratnaprabha G. K. ◽  
Prakash Kengnal

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. 


Author(s):  
Rajarajeswari Neethiselvan ◽  
Gayathri S. ◽  
Shanmughapriya P.

Background: Fishermen community are involved in dangerous and complex profession and have diverse and untold constrains like work overtime in sea- nightshifts and late- night return from sea which worsen their morbid conditions.  Objectives were to explore the health seeking behaviour and challenges faced by the fishermen community to utilize the health care facility in Puducherry.Methods: A community based cross-sectional study was conducted among 102 individuals in the selected villages of fishermen community in Puducherry based on convenient sampling during September 2019 to November 2019.Results: Majority 63 (62.4%) utilized government hospitals for various illness. Nearly one-third of people 35 (34.5%) visited private hospital for their ailments and another 4 (3.9%) preferred pharmacies for their illness. More than half of the study participants working as an active fisherman 59 (57.8%) had approached health care facility during their illness (p<0.037). Around 54 (52.9%) subjects belonged to lower middle class visited health facility during their illness (p<0.046). Free of cost, 24×7 services, and easy accessibility, were reported as the commonest reason for choosing public health facility. Doctors availability, less time consumption and quality of medical care were the reasons for preferring private practitioners.Conclusions: Strengthening of public health care services near the fishermen community area is required to promote their health seeking behaviour. Also, special focus to be given for appropriate transport facility and arranging specialized healthcare professionals for this community. 


2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eshetu Haileselassie Engeda ◽  
Berihun Assefa Dachew ◽  
Hiwot Kassa Woreta ◽  
Mengistu Mekonnen Kelkay ◽  
Tesfaye Demeke Ashenafie

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.


Author(s):  
Ruchi Dhar ◽  
G. S. Vidya

Background: According to census 2011 the elderly population aged 60 years and above account for 8% of total population and is projected to rise to 12.4% by the year 2026. Health status is an important factor that has a significant impact on quality of life. The elderly is one of the most vulnerable and high risk groups in terms of health status and their health seeking behaviour is crucial in any society.Methods: A community based cross sectional study was carried out for a period of 1 year for which a predesigned and semi-structured questionnaire was used and a total of 440 elderly were interviewed by house to house survey.Results: In our study it was found that the majority of the subjects (36.8%) were in the age group of 60-64 years, 52.5% were illiterate, 51.1% were unemployed and 49% belonged to class IV socio economic status. Any degree of formal schooling was found to be associated with better health seeking behavior. Majority of the subjects (58%) visited a government health facility in case of an illness and the main reason that was stated for not visiting a health facility was that they suffered from mild discomfort (44.4%) and did not consider it necessary to visit a health facility.Conclusions: It was observed that more number of males visited a health care facility in case of an illness, 241 (92.7%) whereas only 154 (85.6%) females visited a health facility in case of an illness. This difference was found to be statistically significant.


Children ◽  
2018 ◽  
Vol 5 (9) ◽  
pp. 124 ◽  
Author(s):  
Ashish Pathak ◽  
Nitin Agrawal ◽  
Love Mehra ◽  
Aditya Mathur ◽  
Vishal Diwan

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.


2021 ◽  
Vol 8 (01) ◽  
pp. 1-5
Author(s):  
Chintha Sujatha ◽  
Reshma Rajan Sudha2 ◽  
Sreejith Lalitha Krishnankutty

BACKGROUND Dengue Fever is a major contributor to morbidity and mortality among all communicable diseases in Kerala. Delay in seeking care is significantly associated with complications. Understanding health seeking behaviour of persons with risk of infection, helps in improving health care delivery. METHODS A cross sectional study was done among 100 dengue fever patients listed under Integrated Disease Surveillance Programme (IDSP) of Thiruvananthapuram district, Kerala state. Data regarding their health seeking behaviour during the course of the disease was collected using a structured questionnaire. RESULTS Inappropriate health seeking behaviour indicated by delay in seeking care and self medication was found in 22 % (95 % CI; 13.9 - 30.1) of subjects. Mean (SD) of delay in seeking health care was 3.01 (1.3) days. Treatment was initiated from government health facility by 63 % of patients. Primary level health care facility was sought by 61 % patients whereas 30 % opted for a secondary level facility. Proximity of the location of health facility to the patient’s dwelling was the factor influencing choice of treatment facility in 70 % of patients, followed by perceived quality of facility (15 %) and patient perceived competency of the physician (9 %). Male gender (p = 0.03) and educational status less than secondary level (p = 0.008) were significant risk factors for self-medication and delay in seeking health care. CONCLUSIONS Inappropriate health seeking behaviour in patients with suspected Dengue Fever is comparatively less in Kerala. Majority are seeking care from Government facilities and access to health care is influencing health seeking behaviour. Awareness generation in general and specific interventions targeting those with lower education status can further improve health seeking behaviour and reduce complications of dengue. KEYWORDS Health Seeking Behaviour, Dengue Fever, Self-Medication, Delay in Seeking Care, Healthcare Access, Kerala


Author(s):  
Manisha Arora ◽  
George Koshy ◽  
Vandana Gangadharan

Background: Health care in India is a complex amalgam involving various stakeholders. For decades it has been a neglected area with reluctance in increasing the inputs such as finance or infrastructure required to drive this system. Utilization and access to this health system is a key indicator and major determinant of health seeking behaviour.Methods: This community based cross sectional study was conducted from January-February 2016 in, the urban slum located in a metro city using a pretested, semi-structured questionnaire. The data was analyzed using SPSS 22.Results: More than half of the participants preferred to seek treatment from a public health care facility compared to a private. One of the most predominant determining factors on choosing a particular health facility was affordability. Main barriers perceived in utilization of health services were long waiting time at the health facility and expenditure on treatment.Conclusions: The key for ensuring adequate and appropriate utilization of health care services is in having an efficient government health care delivery system which can offer quality and affordable medical care to one and all. 


Author(s):  
Sumit Ghansham Wasnik ◽  
Kamaxi Bhate ◽  
Arjun Mehta ◽  
Mandar Sadawarte

Background: There are genuine reasons why rag pickers are considered one of the worst form of labour. The risk related to rag pickers’ health and physical development, as well as the hindrance these work places have on their education and psychological development; make rag picking a particularly adverse occupation for women and children. The objectives of the study were to explore the health profile and to identify the factors affecting the health seeking behaviours of women rag pickers. Methods: This study was done with the help of NGO working for women rag pickers. 120 rag pickers were participated in the study during study period (Jan 2012 to July 2012). Results: Almost all rag pickers were having some or other type of physical or mental ailments in minor or major form. It is seen that ignorance about health and disease is because of illiteracy, lower socioeconomic condition, unavailability of good health care facility nearby to their locality, difficulty in getting time to visit nearest health care facility from their 10-12 hours of duty etc. Conclusions: It was found that these rag pickers prefers to visit private clinics as they are open in evening time and most of the time were affordable for minor ailments.   


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.


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