scholarly journals Ocular Morbidity and Health Seeking Behaviour in Kwara State, Nigeria: Implications for Delivery of Eye Care Services

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e104128 ◽  
Author(s):  
Laura Senyonjo ◽  
Robert Lindfield ◽  
Abdulraheem Mahmoud ◽  
Kahaki Kimani ◽  
Safiya Sanda ◽  
...  
Keyword(s):  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Eye Care ◽  
Care Services ◽  
Ocular Morbidity

scholarly journals Mother’s / care giver’s health seeking behaviour during childhood illness in an urban slum of Dhaka city

Pulse ◽  
2015 ◽  
Vol 7 (1) ◽  
pp. 5-15 ◽  
Author(s):  
F Mahejabin ◽  
S Parveen ◽  
M Ibrahim
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Urban Slum ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
College Hospital ◽  
Medical College ◽  
Care Services ◽  
Care Givers ◽  
Receive Treatment

Objectives: To determine the health seeking behaviour of mothers / care givers of children under 5 years of age during their illnesses.Materials and methods: A descriptive cross-sectional study was conducted among 439 mothers/ care givers of under 5 year old children in an urban slum area of Dhaka city from September 2013 to February 2014. Data were collected through face-to-face interview by using a structured pre-tested questionnaire. The collected data were analyzed using SPSS version 20.0. All analyzed data were presented in the form of percentages. Chi-square test was applied wherever applicable.Results: Out of 439 mothers / care givers, most (90%) of them sought health care services during their children’s illness. [A statistically significant association was found between mother’s /care giver’s education and sought health care services during illness of children (p=0.055). In the study, 200 (50%) of the respondents consulted drug sellers of medicine shops during their children’s illness. Others went to medical college hospital (34.6%), Government hospitals (13.5%), consulted a private practitioners (11%) and NGO facilities (6.3%). Forty (9.1%) respondents did not seek any health care with multiple reasons or responses. Majority (27, 67.5%) waited for self recovery, 21 (52.5%) had lack of money, 5 (12.5%) did not receive any advice to receive treatment. Four (10%) respondents said that the health care facility was too far to receive treatment and 3 (7.5%) respondents did not feel that treatment was necessary. [Health seeking behaviour of the mothers / care givers was statistically highly significant in educated person. They took the child to Govt. hospital (p=0.001) during illness. The relationship between health seeking behaviour and monthly family income of the respondents was statistically significant. The respondents took their child to medical college hospital (p=0.040) and also consulted drug sellers (p=0.038) during illness of the child.]Conclusion: Health education and behaviour change communication activities can be undertaken in the slum for mothers / care givers about early recognition of childhood illness and on the importance of seeking early treatment.Pulse Vol.7 January-December 2014 p.5-15

scholarly journals Ocular Status, Health Seeking Behaviours and Barriers to Uptake Eye Care Services among Children of Slum Community in Chittagong, Bangladesh

2017 ◽  
Vol 1 (2) ◽  
Keyword(s):  
Rural Areas ◽  
Care Center ◽  
Health Seeking ◽  
Eye Care ◽  
General Measure ◽  
Ocular Abnormalities ◽  
Care Services ◽  
Health Seeking Behaviors ◽  
Very High ◽  
Slum Community

Purpose: The purpose of this study was to find out the ocular status, ocular health seeking behaviors and barriers to uptake eye care services among children of slum community in Chittagong, Bangladesh. Methods: The study was conducted in several urban slums in Chittagong city, which is home of slum children. A total of 410 children aged 5 to 16 years were clinically examined. Their accompanying guardians were also interviewed for collecting data about health seeking behaviors and identifying the barriers, if any, to uptake eye care services. Three focus group discussions were also held with guardians. Results: About 47.3% of the sampled children were male and 52.7% female. About 40% of the children had some complain where we found 36.6% having some ocular abnormalities. Among the respondents (n=410), related with ocular abnormalities (n=150), the diagnosed problems were; Refractive Error (26.7%), Allergic Conjunctivitis (21.3%), Blepharitis (16.0%), Squint (7.3%), Convergence Insufficiency (6.6%), Meibomian Gland Dysfunction (8.7%), Dacryocystitis (3.3%), Conjunctivitis (4.0%), Congenital Cataract (2.7%), Corneal scar 2.0%, Pseudophakia 2.0%, Xerophthalmia (1.3%). Infrequently Entropin, Ptosis, Corneal Opacities, Retrobulbar Neuritis, Retinal Detachment, Episcleritis, Scleritis, Microphthalmos, Ocular FB, Chalazion, Stye, Nystagmus and Proptosis were also present in limited percentage. However 25.70% were referred to tertiary eye care center, 39.60% were treated with medicine, 22.20% were given optical correction, and 25.70% were given general measure. Most of them (73%) never went to an eye care specialist. The main reasons assigned for not going to a doctor were: financial constraints (16.30%), didn’t feel necessary (33.70%), lack of escort (3.4%), lack of time (3.7%), traditional belief (0.3%) and not aware of hospital doctor (4.5%). The Guardians consider recent cost of treatment is very high. They want low cost treatment, provide free spectacle, increase more hospital facilities and hold free eye camps. Conclusion: This study found very high ocular morbidities among slum children, the vast majority of the guardians’ cannot afford medical treatment for lack of money, awareness, escort, time and indifference to eyes. Though adequate eye care facilities are available in Chittagong city compared to many other urban and rural areas in Bangladesh, most of the slum dwellers can’t take advantage of it for financial reason and lack of knowledge.

scholarly journals Determinants of health seeking behaviour of women with obstetric fistula in south- south and south east, Nigeria: A review of the impact of availability and quality of health care services through a cross-sectional study

2021 ◽  
Vol 4 (2) ◽  
pp. 060-065
Author(s):  
E Peters Grace ◽  
N Ononokpono Dorathy ◽  
U Willson Nsikanabasi ◽  
I Oko Nnabuike ◽  
EJ Peters
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Obstetric Fistula ◽  
Pelvic Bone ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Care Services ◽  
The Impact

Background: Obstetric fistula is a condition that results from obstructed labour, which occurs when the baby cannot pass through the mother’s birth canal because it either does not come head first or is too large for her pelvis. Prompt medical intervention, often including Caesarean section, permits a safe delivery for both mother and child. Despite this possibility, yearly, thousands of women across the country receive no such aid and their labour is a futile agony lasting between three and five days, with uterine contractions constantly forcing the baby, usually head first, against the organs of the pelvic and unyielding pelvic bone resulting in Vesico Vaginal Fistula (VVF). The main thrust of this study was to examine how health system factors affect health seeking behaviour of women with obstetric fistula in Akwa Ibom and Ebonyi States, Nigeria. Methods: Qualitative and descriptive research approaches were adopted for the study and a total sample of two hundred and sixteen (216) respondents comprising of one hundred and fifty (150) post fistula repair operative patients and sixty six (66) health workers were purposively selected using simple random techniques. The data were analyzed using thematic analysis and tables of frequency. Results: The respondents views showed that availability of treatment centre and quality of health care services influenced health seeking behaviour of women with obstetric fistula in Nigeria. Conclusion: The study indicated that health seeking behaviour of women with obstetric fistula is a major challenge in Nigeria. Establishment and proper equipment of obstetric fistula treatment centres as well as subsidization of the cost of treatment to allow women with this health problem to access health care services are strongly recommended. Therefore, government at all level and non-governmental organizations need to educate the women and create awareness on the causes and dangers of VVF.

Pattern of morbidities of under-5 year children and health seeking behaviour of their mother in rural community of Bangladesh

2018 ◽  
Vol 2 (2) ◽  
pp. 88-93
Author(s):  
Md. Abu Jafar Sujan ◽  
Muhammad Tareque Hasan ◽  
Bikash Chandra Sah ◽  
Md. Al Amin Khan ◽  
Ishraque Chowdhury ◽  
...  
Keyword(s):  
Rural Community ◽  
Health Seeking Behaviour ◽  
Health Seeking

scholarly journals Eye care delivery models to improve access to eye care for Indigenous peoples in high-income countries: a scoping review

2021 ◽  
Vol 6 (3) ◽  
pp. e004484
Author(s):  
Helen Burn ◽  
Lisa Hamm ◽  
Joanna Black ◽  
Anthea Burnett ◽  
Matire Harwood ◽  
...  
Keyword(s):  
Diabetic Retinopathy ◽  
Service Delivery ◽  
Indigenous Peoples ◽  
Indigenous Communities ◽  
High Income ◽  
Eye Care ◽  
Service Delivery Models ◽  
Care Services ◽  
Delivery Models ◽  
Improve Access

PurposeGlobally, there are ~370 million Indigenous peoples. Indigenous peoples typically experience worse health compared with non-Indigenous people, including higher rates of avoidable vision impairment. Much of this gap in eye health can be attributed to barriers that impede access to eye care services. We conducted a scoping review to identify and summarise service delivery models designed to improve access to eye care for Indigenous peoples in high-income countries.MethodsSearches were conducted on MEDLINE, Embase and Global Health in January 2019 and updated in July 2020. All study designs were eligible if they described a model of eye care service delivery aimed at populations with over 50% Indigenous peoples. Two reviewers independently screened titles, abstracts and full-text articles and completed data charting. We extracted data on publication details, study context, service delivery interventions, outcomes and evaluations, engagement with Indigenous peoples and access dimensions targeted. We summarised findings descriptively following thematic analysis.ResultsWe screened 2604 abstracts and 67 studies fulfilled our eligibility criteria. Studies were focused on Indigenous peoples in Australia (n=45), USA (n=11), Canada (n=7), New Zealand (n=2), Taiwan (n=1) and Greenland (n=1). The main disease focus was diabetic retinopathy (n=30, 45%), followed by ‘all eye care’ (n=16, 24%). Most studies focused on targeted interventions to increase availability of services. Fewer than one-third of studies reported involving Indigenous communities when designing the service. 41 studies reflected on whether the model improved access, but none undertook rigorous evaluation or quantitative assessment.ConclusionsThe geographical and clinical scope of service delivery models to improve access to eye care for Indigenous peoples in high-income countries is narrow, with most studies focused on Australia and services for diabetic retinopathy. More and better engagement with Indigenous communities is required to design and implement accessible eye care services.

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