scholarly journals Childlessness and health seeking behavior in resource poor setting of dang and Udayapur district of Nepal

2021 ◽  
Vol 10 (11) ◽  
pp. 4076
Author(s):  
Rajani Gupta ◽  
Renu Adhikari ◽  
Poonam Rishal
Keyword(s):  
Low Income ◽  
Social Life ◽  
Social Dimension ◽  
Low Income Countries ◽  
Public Health Issue ◽  
Resource Poor Setting ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Resource Poor ◽  
Seeking Behavior

Background: Childlessness is not problem in resource-poor area where fertility rates are high. The consequence of childlessness is very severe in low-income countries like Nepal, particularly for women. Childless women are frequently stigmatized, isolated, ostracized, disinherited and neglected by the family and local community. This may result in physical and psychological abuse, polygamy and even suicide. The aim of the study is to explore the perception of childlessness, its cause and consequences and health seeking behavior among couples in order to develop strategies for action and policy-setting.Methods: This was a qualitative study conducted in Dang and Udayapur district of Nepal. Childlessness couple were recruited through snowball sampling. Information was also gathered from key informant and Focus group discussion. All interview were audiotaped using a digital recorder.Results: Women expressed that they are being discriminated, humiliated and intimated by their family members and society for being childlessness. Despite childlessness problem with husband, women experience emotional and physical abuse. Financial constraints and unaffordable service as one of the major problems among couple that led to withdrawal or stop attending their follow up for modern treatment.Conclusions: The study concludes that childlessness women suffer from all spare of their personal and social life although childlessness is a biomedical cause. Financial hardship and family pressure made them to seek traditional healer for first treatment approach for childlessness rather than modern method of treatment. Therefore, childlessness needs to be seen as a public health issue rather than a pure medical condition. Hence, multi-sectoral (i.e., Preventive, promotive and social dimension) response to address childlessness could be valuable. 

scholarly journals UNINTENTIONAL HOUSEHOLD INJURIES AMONG CHILDREN UNDER TWELVE YEARS OF AGE, AND THEIR MOTHERS' HEALTH SEEKING BEHAVIOR: A CROSS SECTIONAL SURVEY CONDUCTED AT MILITARY HOSPITAL, RAWALPINDI

1970 ◽  
Vol 6 (4) ◽  
pp. 17-20
Author(s):  
Humaira Mahmood ◽  
Saira Maroof ◽  
Sumaira Masood ◽  
Mahmood Ur Rahman
Keyword(s):  
Low Income ◽  
Low Income Countries ◽  
Military Hospital ◽  
Health Seeking ◽  
Unintentional Injuries ◽  
Severe Injuries ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
At Home

Background: Unintentional injuries among children cause a large burden of mortality and morbidity. Environmental factors play an important role in causing these injuries. The mortality rate from unintentional injuries in low income countries is nearly double than in the high income countries.Objectives: To assess frequency of unintentional household injuries among children and mothers' health seeking behavior in different types of injuries.Methods: It was a descriptive cross sectional study conducted in Military Hospital Rawalpindi from September 2015 to February 2016. A total of 116 mothers were interviewed having at least one child less than 12 years of age who has had sustained any household injury in last three months. A structured questionnaire was used for the study covering various aspects of the injury sustained and their health seeking behavior, after taking verbal consent from the participants. Collected data was analyzed using SPSS 22. A p < 0.05 was considered significant for a result.Results: Of all the 116 participants, 68(58.6%) were males and 48(41.4%) were females with 36(31%) from rural and 80(69%) from urban area of residence .Mean age of the children was 5.74±2.78.Most common injuries suffered in order of decreasing frequency were fall related injuries 48(41.4%), cuts/wound/bruises 41(35.3%), burns 18 (15.5%),choking 8(6.9%) and poisoning 1(0.9% ).Most of the injuries were sustained at evening time 44(37.9%) and mostly 78(67%) when the child was not accompanied by an adult.. As far as, management is concerned 48(41.4%) of the injuries were managed at home rest taken to some health facility.Conclusion: The most common accidental household injuries were falls. Most of the injuries were managed at home adequately but in case of severe injuries mothers seek help from a hospital or nearby clinic.

scholarly journals Maternal health expenditures and health seeking behavior among lowest wealth quintile of the rural population in an under developed district of the Punjab, Pakistan

2018 ◽  
Vol 7 (7) ◽  
pp. 2579
Author(s):  
Mariam Sughra ◽  
Farwa Fatima ◽  
Mouzma Marrium ◽  
Khizer Abbas
Keyword(s):  
Maternal Health ◽  
Low Income ◽  
Rural Areas ◽  
Health Expenditures ◽  
Wealth Quintile ◽  
Monthly Income ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Seeking Behavior ◽  
The Mean

Background: Expenditures on maternal health is important factor to determine the health seeking behavior in pregnant women among the lowest economical section of Pakistan. This study was carried out determine the maternal health expenditures and health seeking behavior among lowest wealth quintile of rural Rahim Yar Khan.Methods: Sample Size: For this cross- sectional study, a total of 230 subjects were involved in the study from rural areas of Rahim Yar Khan including Basti Bahishti, Bah-o-Bahar and Chak 83/P. This study was comprised of duration of 06 months from 02/03/2016 to 04/09/2016. The head of Family (Husband) with monthly income less than 15000 Pakistani rupees (PKR) were included and marriage with in last 5 years with at alive delivery. While subjects having income more than 15000 PKR and not willing to participate in study were excluded from the study.Results: People with mean monthly income of PKR. 1176±4109 spent mean amount of PKR. 146442 ± 7747 on their marriages. While the mean expenses on treatment of complication in the last pregnancy were PKR. 35808±6771 and the amount saved for the treatment of complication was PKR. 2750±1157 only. Mean antenatal expenses were PKR. 1807±3335, Mean expenses on delivery were PKR. 7351±855 as compared to the money saved for delivery was PKR. 6115±1460. Mean expenses on complications during delivery were PKR. 1692±523. Mean expenses on postnatal care were PKR.8596±3597 while the mean amount used for treatment of postnatal complications were of PKR. 2451±560. Mean expenses on birth celebrations were of PKR. 7697±832.Conclusions: Present study reveals that there is a high financial cost of maternal health expenditures paid by the lowest wealth quintile in rural areas of Rahim Yar Khan when compared with the income of this quintile. Access of the people to the health sector is still limited due to low income of people, low health education and unavailability of health services in rural areas and even in 2017.

scholarly journals Daily Hassles' Role in Health Seeking Behavior among Low-income Populations

2014 ◽  
Vol 38 (2) ◽  
pp. 297-306 ◽  
Author(s):  
Rebekah Jacob ◽  
Lauren D. Arnold ◽  
Jean Hunleth ◽  
K. Allen Greiner ◽  
Aimee S. James
Keyword(s):  
Low Income ◽  
Daily Hassles ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Seeking Behavior

Addressing the needs of adolescent mothers and their offspring in Nigeria: a community-based study

2012 ◽  
Vol 24 (4) ◽  
pp. 307-313 ◽  
Author(s):  
Bolajoko O. Olusanya ◽  
Olufunke M. Ebuehi
Keyword(s):  
Postsecondary Education ◽  
Adolescent Mothers ◽  
Low Income ◽  
Low Income Countries ◽  
Childhood Immunization ◽  
Health Seeking ◽  
Community Based ◽  
Poor Countries ◽  
Seeking Behavior ◽  
Obstetric Services

Abstract Objective: The purpose of this study is to determine the perinatal profile of adolescent mothers with surviving offspring against the backdrop of limited community-based data on the outcomes of adolescent pregnancy in low-income countries. Methods: A case-control study of adolescent mothers (13–19 years) attending four community-based clinics for routine childhood immunization from July 2005 to March 2008 in Lagos, Nigeria, matched for infant age and sex. Maternal and infant factors associated with adolescent mothers were determined using unconditional and conditional multivariable logistic regression analyses. Results: A total of 241 adolescent mothers (mean age, 18.2±1.2 years) were consecutively recruited over the study period and matched with 1205 controls (mean age, 27.3±3.9 years). Adolescent mothers in this population were significantly more likely to be unmarried, of the Hausa ethnic tribe, without postsecondary education, unemployed, and primiparous. Although all received antenatal care, they were also more likely to deliver outside hospital without skilled attendants, and their offspring were likely to be undernourished. Conclusions: Socio-demographic profile of adolescent girls who become pregnant is likely to have a significant influence on their health-seeking behavior for obstetric services. Teenagers especially from the most vulnerable ethnic groups in resource-poor countries should be educated on the developmental risks of early childbearing in their surviving offspring.

scholarly journals The PASS-model: a model for guiding health-seeking behavior and access to care research

2012 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Susanna Hausmann Muela ◽  
Joan Muela Ribera ◽  
Elizabeth Toomer ◽  
Koen Peeters Grietens
Keyword(s):  
Access To Care ◽  
Low Income ◽  
Health Condition ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Practical Applications ◽  
Seeking Behavior ◽  
Potential Factors ◽  
Economic Landscape ◽  
The Right

The mobilization of affordable measures and treatments has brought health services and health care tools closer to the poor. This is particularly the case in the context of malaria control and elimination efforts. Still, the other side of delivery is use: the targeted populations have to access and accept these resources. Although the need to better align the delivery and user sides is increasingly recognised, there still is a gap between this awareness and researchers&rsquo; response to adequately address the community side in a way that actionable results can be achieved. In order to avoid actions based on preconceptions, practical applications should draw from theoretical knowledge. Furthermore, in order to get a total view, such applications should consider the full array of potential factors relevant for access to care or health-seeking behavior (HSB). We believe that one of the reasons why theoretically-based, holistic approaches to HSB and access to care still are scarce is the lack of a hands-on and easy-to-use model that allows the researcher to ask the right questions and to interpret the results. In this article, we present such a model, the PASSmodel for HSB and access to care. Founded on theory, the model facilitates the formulation of questions to cover the broad array of elements that guide HSB and access to care. It is adaptable to different contexts and research questions. The goal is that any researcher interested in situating health behavior in a given social, political, and economic landscape can use this tool for any health condition, in low income as well as high income countries.

scholarly journals Effective Adoption of Tablets for Psychodiagnostic Assessments in Rural Burundi: Evidence for the Usability and Validity of Mobile Technology in the Example of Differentiating Symptom Profiles in AMISOM Soldiers 1 Year After Deployment

2021 ◽  
Vol 9 ◽  
Author(s):  
Roland Weierstall ◽  
Anselm Crombach ◽  
Corina Nandi ◽  
Manassé Bambonyé ◽  
Thomas Probst ◽  
...  
Keyword(s):  
Mobile Technology ◽  
Low Income ◽  
Large Scale ◽  
Latent Profile Analysis ◽  
Low Income Countries ◽  
Resource Poor Setting ◽  
Depression Symptom ◽  
Tablet Computers ◽  
Symptom Profiles ◽  
Resource Poor

Research on the use of mobile technology in health sciences has identified several advantages of so-called mHealth (mobile health) applications. Tablet-supported clinical assessments are becoming more and more prominent in clinical applications, even in low-income countries. The present study used tablet computers for assessments of clinical symptom profiles in a sample of Burundian AMISOM soldiers (i.e., African Union Mission to Somalia; a mission approved by the UN). The study aimed to demonstrate the feasibility of mHealth-supported assessments in field research in Burundi. The study was conducted in a resource-poor setting, in which tablet computers are predestined to gather data in an efficient and reliable manner. The overall goal was to prove the validity of the obtained data as well as the feasibility of the chosen study setting. Four hundred sixty-three soldiers of the AMISOM forces were investigated after return from a 1-year military mission in Somalia. Symptoms of posttraumatic stress disorder (PTSD) and depression were assessed. The used data-driven approach based on a latent profile analysis revealed the following four distinct groups, which are based on the soldiers' PTSD and depression symptom profiles: Class 1: moderate PTSD, Class 2: moderate depression, Class 3: low overall symptoms, and Class 4: high overall symptoms. Overall, the four identified classes of soldiers differed significantly in their PTSD and depression scores. The study clearly demonstrates that tablet-supported assessments can provide a useful application of mobile technology in large-scale studies, especially in resource-poor settings. Based on the data collected for the study at hand, it was possible to differentiate different sub-groups of soldiers with distinct symptom profiles, proving the statistical validity of the gathered data. Finally, advantages and challenges for the application of mobile technology in a resource-poor setting are outlined and discussed.

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