Socio-demographic determinants of health-care seeking options and alternative management practices of childhood diarrhoeal illness: A household survey among mothers in Iraq

2019 ◽  
Author(s):  
Ihab Habib ◽  
Ali Harb ◽  
Sam Abraham ◽  
Mark O’Dea ◽  
Haidar Ali Hantosh ◽  
...  
Keyword(s):  
Health Care ◽  
Management Practices ◽  
Household Survey ◽  
University Education ◽  
Relative Risk Ratio ◽  
P Value ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Alternative Management ◽  
Factors Associated

Abstract Background Diarrhoea remains a significant cause of child morbidity and mortality in Iraq. The objective of this study was to examine the current practices of home-based management of diarrhoeal illnesses among Iraqi children. We surveyed mothers of children below five years of age in order to identify the socio-demographic factors associated with maternal health-care seeking practices. Methods A total of 500 mother-child pairs were interviewed in a cross-sectional household survey in Thi-Qar Governorate, south-eastern Iraq between March 2016 and February 2017. Logistic and multinomial regression models were utilized to infer socio-demographic predictors of the health-care seeking and alternative management practices adopted by the mothers. Results The interviewees reported that 35.2% of their children had diarrhoea in the two weeks prior to the survey. The least likelihood of reported occurrence of diarrhoea was among mother-child pairs where the mothers had received university education, as compared to mothers who were illiterate or received only primary or secondary education. Lower odds (OR=0.4, P-value <0.001) of reported childhood diarrhoea was revealed among mothers aged >25 years old compared to those younger. Self-ordered medicine from a pharmacy was the most preferred alternative management option in almost half (52.4% (262/500)) of the interviewed mothers in Thi-Qar. Interestingly, 69.6% (348/500) of the mothers reported supplying their children suffering from diarrhoea with antibiotics. Relative to mothers with university education, those with high school education had more likelihood of selecting medical center (relative risk ratio (rrr) = 2.4) and pharmacy (rrr = 3.7) as against no treatment. Conclusions Lower maternal educational level, mothers' age <25 and the district of residence were important factors associated with diarrhoea occurrence among under-five children. In light of the findings from this study, intervention aimed at improving health-care seeking for managing diarrhoea in Iraqi children should jointly consider the influence of mothers age, education, as well as the level of economic status of the communities in which mothers of these children resides. The results of this study indicate the need for enhancing public health education in order to improve the maternal management of diarrhoeal disease and the avoidance of unnecessary use of antimicrobials.

scholarly journals Health care seeking behaviour for children with acute childhood illnesses and its relating factors in sub-Saharan Africa: evidence from 24 countries

2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Sanni Yaya ◽  
Emmanuel Kolawole Odusina ◽  
Nicholas Kofi Adjei
Keyword(s):  
Health Care ◽  
Health Care Seeking ◽  
Care Seeking ◽  
African Countries ◽  
Under Five ◽  
Factors Associated ◽  
Childhood Illnesses ◽  
Health Care Seeking Behaviour ◽  
Sub Saharan ◽  
Care Seeking Behaviour

Abstract Background Childhood illnesses and mortality rates have declined over the past years in sub-Saharan African countries; however, under-five mortality is still high in the region. This study investigated the magnitude and factors associated with health care seeking behaviour for children with childhood illnesses in 24 sub-Saharan African countries. Methods We used secondary data from Demographic and Health Surveys (DHSs) conducted between 2013 and 2018 across the 24 sub-Saharan African countries. Binary logistic regression models were applied to identify the factors associated with health care seeking behaviour for children with acute childhood illnesses. The results were presented using adjusted odds ratios (aOR) with 95% confidence intervals (CIs). Results Overall, 45% of children under-5 years with acute childhood illnesses utilized health care facilities. The factors associated with health care seeking behaviour for children with acute illnesses were sex of child, number of living children, education, work status, wealth index, exposure to media and distance to a health facility. Conclusions Over half of mothers did not seek appropriate health care for under-five childhood illnesses. Effective health policy interventions are needed to enhance health care seeking behaviour of mothers for childhood illnesses in sub-Saharan African countries.

scholarly journals Health care seeking behavior and patient delay in tuberculosis diagnosis

2015 ◽  
Vol 31 (2) ◽  
pp. 321-330 ◽  
Author(s):  
Carlos Podalirio Borges de Almeida ◽  
Erika Cavalheiro Skupien ◽  
Denise Rossato Silva
Keyword(s):  
Health Care ◽  
Weight Loss ◽  
Multivariate Analysis ◽  
Patient Delay ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Factors Associated ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior

Delays in diagnosis of TB cases are major impeding factors in the control of TB. The objectives of this study were to describe the health care seeking behavior of TB patients, assessing patient delay and the number of health care facilities visited before the start of TB treatment. A cross-sectional study was carried out with adult patients with pulmonary TB presenting to two TB facilities to start treatment. We found a median patient delay of 20 days. The factors associated negatively with patient delay in multivariate analysis were weight loss, and have sought treatment because of the first symptom. We also demonstrated that 44.8% of patients incorrectly reported the mode of transmission of TB. In addition, the local of first attendance was an emergency room of public hospitals in 37.3% of patients. We demonstrated that the median patient delay in TB diagnosis in two TB services in a region with a high prevalence of TB was 20 days, and the protective factors associated with this delay in multivariate analysis were weight loss, and have sought treatment because of the first symptom.

scholarly journals Demand for malaria rapid diagnostic test, health care-seeking behaviour, and drug use among rural community members with fever or malaria-like illness in Ebonyi state, Nigeria: a cross-sectional household survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ugwu I. Omale ◽  
Onyinyechukwu U. Oka ◽  
Ifeyinwa M. Okeke ◽  
Benedict N. Azuogu ◽  
Chihurumnanya Alo ◽  
...  
Keyword(s):  
Health Care ◽  
Drug Use ◽  
Rural Community ◽  
Malaria Diagnosis ◽  
Household Survey ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Community Members ◽  
Cross Sectional ◽  
Traditional Practitioners

Abstract Background A good understanding of the demand for malaria rapid diagnostic test (MRDT), malaria health care-seeking behavior, and drug use among community members is crucial to malaria control efforts. The aim of this study was to assess the demand (use and/or request) for MRDT, health care-seeking behavior, and drug use, as well as associated factors, among rural community members (both children and adults) with fever or malaria-like illness in Ebonyi state, Nigeria. Methods A cross-sectional household survey was conducted between October 1st and November 7th, 2018, in 18 rural geographical clusters. Data was collected using a structured interviewer-administered questionnaire. Descriptive analysis was done using summary statistics. Associated factors (socio-demographic, knowledge and opinion level) were assessed using bivariate and multivariate binomial logistic regressions while the overall effects of these factors were assessed using the “postestimation test” command in Stata. Results A total of 1310 children under 5 years of age and 2329 children ages 5 years and above and adults (excluding pregnant women) (3639 overall) participated in the study. Among the 1310 children under 5 years of age: 521 (39.8%) received MRDT of which the caregivers of 82 (15.7%) requested for the MRDT; 931 (71.1%) sought care with public/private sector providers (excluding traditional practitioners/drug hawkers) the same/next day; 495 (37.8%) sought care at government primary health centres, 744 (56.8%) sought care with the patent medicine vendors (PMVs); 136 (10.4%) sought care with traditional practitioners; 1020 (77.9%) took ACTs (=88.2%, 1020/1156 of those who took anti-malarial drugs). Generally, lower values were respectively recorded among the 2329 children ages 5 years and above and adults (excluding pregnant women). The most important overarching predictor of the demand for MRDT and care-seeking behaviour was the knowledge and opinion level of respondent female heads of households about malaria and malaria diagnosis. Conclusions Among the rural community members with fever or malaria-like illness in Ebonyi state, Nigeria, while majority did not receive MRDT or diagnostic testing, and sought care with the PMVs, most took anti-malaria drugs, and mostly ACTs. Interventions are needed to improve the knowledge and opinion of the female heads of households about malaria and malaria diagnosis.

scholarly journals Factors associated with mothers’ health care-seeking behaviours for childhood fever in Burkina Faso: Findings from repeated cross-sectional household surveys

2021 ◽  
Author(s):  
Hermann Badolo ◽  
Aristide Romaric Bado ◽  
Hervé Hien ◽  
Nicolas Méda ◽  
Appunni Sathiya Susuman
Keyword(s):  
Health Care ◽  
Burkina Faso ◽  
Health Care Quality ◽  
Household Wealth ◽  
Care Quality ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Factors Associated ◽  
The Impact ◽  
Childhood Fever

Abstract IntroductionFever is one of the most frequent reasons for paediatric consultations in Burkina Faso, but health care-seeking behaviours and the factors associated with health care-seeking in the event of childhood fever are poorly documented. This study aims to help fill this gap.MethodsThis study used the data from the baseline and endline surveys conducted to evaluate the impact of the Performance-Based Financing (PBF) program in Burkina Faso. Univariate and multivariate binary logistic regression analyses were used to identify the factors associated with appropriate healthcare-seeking for childhood fever. Odds ratios (ORs) were estimated to assess the strength of associations and used 95% confidence intervals for significance tests. Data were cleaned, coded and analysed using Stata software version 16.1.ResultsAmong the children under five who had a fever, 75.19% and 79.76 sought appropriate health care in 2013 and 2017, respectively. Being 24–59 months old (AOR: 0.344, 95% CI: 0.182–0.649 in 2013) and 79,2% (AOR: 0. 208, 95% CI: 0.115–0.376 in 2017), living in a very wealthy household households (AOR: 2.014, 95% CI: 1.149–3.531 in 2013 and AOR: 2.165, 95% CI: 1.223–3.834 in 2017), having a mother with a secondary or higher level of education or having made at least four antenatal care visits were significantly associated with seeking appropriate health care for childhood fever. Living in an area where the health facility is safe was also significantly associated with seeking appropriate care for childhood fevers.ConclusionThe findings underscore the need for interventions that would improve appropriate health care-seeking among mothers for their children. These interventions could include mothers’ sensitization to the benefits of modern health care use, increasing women’s education, improving household wealth status, improving the level of prenatal and postnatal care use and improving health care quality and safety in health facilities.

Factors associated with health care seeking in irritable bowel syndrome

1998 ◽  
Vol 114 ◽  
pp. A810
Author(s):  
MK Newcomer ◽  
MJ Shaw ◽  
TJ Beebe ◽  
SA Adlis ◽  
NJ Talley
Keyword(s):  
Health Care ◽  
Irritable Bowel Syndrome ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Factors Associated ◽  
Irritable Bowel

scholarly journals Factors associated with low adherence to medicine treatment for chronic diseases in Brazil

2016 ◽  
Vol 50 (suppl 2) ◽  
Author(s):  
Noemia Urruth Leão Tavares ◽  
Andréa Dâmaso Bertoldi ◽  
Sotero Serrate Mengue ◽  
Paulo Sergio Dourado Arrais ◽  
Vera Lucia Luiza ◽  
...  
Keyword(s):  
Health Care ◽  
Drug Treatment ◽  
Chronic Diseases ◽  
Household Survey ◽  
Wald Test ◽  
Population Based ◽  
P Value ◽  
Cross Sectional ◽  
Factors Associated ◽  
Probabilistic Sample

ABSTRACT OBJECTIVE To analyze factors associated with low adherence to drug treatment for chronic diseases in Brazil. METHODS Analysis of data from Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos (PNAUM - Brazilian Survey on Access, Use and Promotion of Rational Use of Medicines), a population-based cross-sectional household survey, based on a probabilistic sample of the Brazilian population. We analyzed the association between low adherence to drug treatment measured by the Brief Medication Questionnaire and demographic, socioeconomic, health, care and prescription factors. We used Poisson regression model to estimate crude and adjusted prevalence ratios, their respective 95% confidence interval (95%CI) and p-value (Wald test). RESULTS The prevalence of low adherence to drug treatment for chronic diseases was 30.8% (95%CI 28.8-33.0). The highest prevalence of low adherence was associated with individuals: young adults; no education; resident in the Northeast and Midwest Regions of Brazil; paying part of the treatment; poor self-perceived health; three or more diseases; reported limitations caused by a chronic disease; using five drugs or more. CONCLUSIONS Low adherence to drug treatment for chronic diseases in Brazil is relevant, and regional and demographic differences and those related to patients’ health care and therapy regime require coordinated action between health professionals, researchers, managers and policy makers.

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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