scholarly journals Determinants Of Delay In Care Seeking For Diarrheal Diseases Among Mothers/caregivers With Under-five Children In Public Health Facilities Of Arba Minch Town, Southern Ethiopia; 2019: A Case Control Study

2019 ◽  
Author(s):  
Alemayehu Fikre ◽  
Gistane Ayele ◽  
Desta Haftu
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Professionals ◽  
Case Control Study ◽  
Wealth Index ◽  
Educational Status ◽  
Care Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Control Study

Abstract Background Timely and appropriate health care seeking for diarrhea of under-five children is important to reduce severe and life-threatening complications. However, different findings indicate that mothers of under-five children often delay in seeking care which in turn contributes to the death of large number of children without ever reaching a health facility. Therefore, a proper understanding of determinants of delay in seeking care inform intervention strategies for health service planners. Objectives the aim of this study was to identify the determinants of delay in care seeking for diarrheal disease among Mothers/Caregivers of under-five children in Public Health Facilities of Arba Minch Town, South Ethiopia, 2019. Methods -Facility based Case Control study was conducted from March 4 to April 30, 2019. Total sample size was 400. Cases were selected by systematic random sampling technique while controls were mothers of under-five children with signs and symptoms diarrhea who came to the same health facility within 24 hours following cases. Data was collected by using pretested structured questionnaire by three data collectors and entered into EpiData V4 and exported to SPSS V23 for further analysis. Bivariable and Multivariable logistic regression was done and p-value <0.05 and 95%CI of AOR was used to declare statistical significance. Result -child sex[AOR=1.93, (95%CI: 1.11,3.36)], child age[AOR=4.47,95%CI:2.51,7.97)], mothers’/caregivers educational status [AOR=6.90, (95%CI:3.10,15.37)], and [AOR=3.12,(95%CI:1.44,6.73)], household wealth index category[AOR=2.81, (95%CI:1.20,6.58) and AOR= 2.61,(95%CI: 1.12, 6.09)], response to first episode diarrhea [AOR= 4.55, (95%CI:2.41,8.59)], how the last six month visit helped for today’s visit [AOR= 0.29, (95%CI:0.15,0.55)], and perceived health care professionals respect[AOR=4.91, (95%CI:2.64,9.15)] were important determinants of delay in seeking care. Conclusions -Sex and age of the child, educational status of the Mother/Caregiver, poor wealth index category, not visiting health facility at first response, satisfaction with the care and examination, and respect of health care professionals were important determinants of delay in seeking care among mothers/caregivers of under-five children with diarrhea illness. All concerned body should focus interventions on poor and less educated Mothers/Caregivers with emphasis on female children and <24 months. Health Workers are needed to provide respectful service to promote satisfaction level of clients.

scholarly journals Factors associated with enrollment for community-based health insurance scheme in Western Ethiopia: Case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252303
Author(s):  
Meseret Belete Fite ◽  
Kedir Teji Roba ◽  
Bedasa Taye Merga ◽  
Belay Negash Tefera ◽  
Gemechu Ayela Beha ◽  
...  
Keyword(s):  
Health Care ◽  
Case Control Study ◽  
Wealth Index ◽  
Case Control ◽  
Perceived Health Status ◽  
Community Based ◽  
Factors Associated ◽  
Perceived Quality Of Care ◽  
Control Study

Introduction Modern health services utilization in developing countries has continued low. Financial shortage to access health-care services might be averted by stirring from out-of-pocket payment for health care at the time of use. The government of Ethiopia; depend greatly on foreign aid (50%) and out-of-pocket payments (34%) to fund health services for its population. This study was aimed to identify factors associated with households’ enrollment to CBHI scheme membership. Methods Case-control study design was conducted from May 18–July 27, 2019 among 332 participants (166 enrolled and 166 non-enrolled to CBHI scheme). Simple random sampling technique was used to select the study participants. Bi-variable and multivariable logistic regression model were fitted to identify factors associated with enrollment to community based health insurance. Adjusted odds ratio (AOR) with 95% CI was used to report association and significance was declared at P<0.05. Result A total of 332 (100% response rate) were involved in the study. Educational status (College and above, AOR = 3.90, 95%CI; 1.19, 12.75), good awareness about CBHI scheme (AOR = 21.595, 95% CI; 7.561, 61.681), affordability of premium payment (AOR = 3.403, 95% CI; 5.638–4.152), wealth index {(Poor, AOR = 2.59, 95%CI; 1.08, 6.20), (Middle, AOR = 4.13, 95%CI; 1.11, 15.32)} perceived health status (AOR = 5.536; 95% CI; 1.403–21.845), perceived quality of care (AOR: 21.014 95%CI; 4.178, 105.686) and treatment choice (AOR = 2.94, 95%CI; 1.47, 5.87) were factors significantly associated with enrollment to CBHI. Conclusion Enrolment to CBHI schemes is influenced by educational level, awareness level, affordability of premium, wealth index, perceived health status, perceived quality of care and treatment choice. Implementation strategies aimed at raising community awareness, setting affordable premium, and providing quality healthcare would help in increasing enrollment of all eligible community groups to the CBHI scheme.

scholarly journals Behavioral and environmental determinants of acute diarrhea among under-five children from public health facilities of Siyadebirena Wayu district, north Shoa zone, Amhara regional state, Ethiopia: Unmatched case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259828
Author(s):  
Behailu Tariku Derseh ◽  
Natnael Mulushewa Tafese ◽  
Hazaratali Panari ◽  
Awraris Hailu Bilchut ◽  
Abel Fekadu Dadi
Keyword(s):  
Public Health ◽  
Acute Diarrhea ◽  
Room Temperature ◽  
Case Control Study ◽  
Case Control ◽  
Hand Washing ◽  
Childhood Diarrhea ◽  
Under Five ◽  
Under Five Children ◽  
Control Study

Background Acute diarrhea is a major public health problem in the world. Next to pneumonia, it is the leading cause of death in children under five years old. Globally, even though childhood diarrhea disease kills millions, the interaction of socio-demographic, behavioral, and environmental factors of acute diarrhea in children aged 6–59 months is not investigated yet in the current study area. Objective To determine behavioral and environmental predictors of acute diarrhea among under-five children from public health facilities of Siyadebirena Wayu district, North Shoa, Amhara Regional State, Ethiopia, 2019. Methods A facility-based unmatched case-control study was conducted from March 12, 2019, to May 12, 2019. A total of 315 under-five children were included in the study (105 cases and 210 controls). A systematic random sampling technique was used to select study participants. Data were collected by a structured questionnaire and analyzed by using SPSS. To analyze the data, bivariable and multivariable logistic regression analysis was used. Results The study showed that average family monthly income of 12–23 USD (AOR = 6. 22; 95% CI: 1.30, 29.64), hand washing practice of mothers/ care givers with water only (AOR = 3.75; 95% CI: 1.16, 12.13), improper disposal of infant feces (AOR = 11.01; 95% CI: 3.37, 35.96), not treating drinking water at home (AOR = 9.36; 95% CI: 2.73, 32.08), children consuming left-over food stored at room temperature (AOR = 5.52; 95% CI: 1.60, 19.03) and poor knowledge of the respondents about the risk factors for diarrhea were the determinants that significantly associated with acute childhood diarrhea. Conclusion The potential predictors of childhood diarrhea morbidity were improper hand-washing practice, not treating drinking water at home, unsafe disposal of children’s feces, children consuming left-over food stored at room temperature, and having poor knowledge about the major risk factors for diarrhea. Thus, awareness of the community on hygiene and sanitation focusing on proper handling of human excreta, safe water handling, proper hand washing practice, and proper management of leftover food should be enhanced to prevent children from acute diarrhea diseases.

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