scholarly journals Listening to Caregivers: Narratives of Health Seeking for Children Under Five with Pneumonia and Diarrhea: Insights from the NIGRAAN Trial in Pakistan

2020 ◽  
Author(s):  
Maryam Huda ◽  
Leah Shipton ◽  
Wafa Aftab ◽  
Kausar S Khan ◽  
Maria Giulia Marini ◽  
...  
Keyword(s):  
Health Services ◽  
Health Providers ◽  
Process Of Care ◽  
Access To Health Services ◽  
Health Seeking ◽  
Joint Family ◽  
Children Under Five ◽  
Under Five ◽  
Care Giving ◽  
Health Seeking Behaviors

Abstract Background Access to health services is an important way to reduce child mortality and is influenced by health-seeking behaviors of caregivers. There are numerous contextual factors that affect health-seeking behaviors, such as distance to health services, transportation, treatment cost, caregiver access to household finances, perceived quality of available health providers, availability and comprehension of health information, social and religious norms (including gender-based mobility), and perceived severity of illness. Objective The objective of this study (embedded in a larger trial called Nigraan) was to gather caregiver narratives in order to develop a comprehensive understanding of the context and process of care giving for children under five with pneumonia and diarrhea, in order to highlight the complexities and dynamics of health seeking in rural Sindh, Pakistan. Methods This study used a narrative interview approach gathering information in the form of stories from care givers of children under five with pneumonia and diarrhea. Twenty caregivers from 11 households participated in this exercise. All data collection was conducted privately in participants’ homes.Results The role of joint family households is integral in health seeking for pneumonia and diarrhea in children under five. Elders and female relatives, especially the child’s paternal grandmother, are an important and trusted source of knowledge regarding child sickness in the household. Furthermore, practice of home remedies is inherited from mother-in-law and older sisters-in-law in the household, and oftentimes their recommendations are taken as authority. Caregivers were generally dissatisfied with doctors in public sector who provide free consultation and associated higher quality care with private doctors who charge more and had shorter waiting times. Joint family households were generally observed to increase the support available to address the financial and practical considerations of health seeking and implementing treatment plans for pneumonia and diarrhea. Conclusions Policy and research on community-based health programs and interventions would be more comprehensive if a health education intervention considered the context of decision making and social influences at the household level rather than focusing on individual caregivers.

scholarly journals An Empirical Analysis of the Socioeconomic and Demographic characteristics influencing Birth Certification in Nigeria

2020 ◽  
Author(s):  
Uchechi Shirley Anaduaka
Keyword(s):  
Health Services ◽  
Parental Education ◽  
Household Wealth ◽  
Ordinary Least Squares ◽  
Conditional Cash Transfer ◽  
Access To Health Services ◽  
Children Under Five ◽  
Under Five ◽  
Access To Health ◽  
Socioeconomic And Demographic Factors

Abstract Background: Promoting birth certification is instrumental to achieving target 16.9 of the Sustainable Development Goals: legal identity for all by 2030. Currently, the birth certification rates are very low: on average, only 16.6% of children under-five years have their births certified. Methods: Using the nationally representative Nigerian Demographic and Health Survey, this paper analyzes the socioeconomic and demographic factors associated with the birth certification of children under-five years. The relationship with these factors and birth certification were analyzed using robust econometric techniques – ordinary least squares and multilevel regression approaches.Results: The study finds that access to health services, parental education and household ‌‌wealth strongly influence birth certification. Conversely, distance to registration center, higher birth orders, longer birth intervals and father’s working status are significant obstacles to birth certification. Finally, child age, maternal age at birth and father age have non-linear effects on birth certification among children under-five years in Nigeria. I find no significant effects of gender on birth certification. Conclusions: Improving access to health services and anchoring birth certification on child-targeted conditional cash transfer programs could be significant policy instruments for increasing birth certification in Nigeria.

scholarly journals Factors Influencing Caregivers’ Health Seeking Behavior for Malaria Treatment of Children Under 5 Years in Busia Municipality, Uganda

2021 ◽  
Author(s):  
David Bwire Odimbe ◽  
Christine Atuhairwe
Keyword(s):  
Malaria Treatment ◽  
Malaria Episode ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Factors Influencing ◽  
Health Seeking Behaviors ◽  
Seeking Behavior

Abstract Background: Malaria remains a serious cause of under-five mortality and morbidity worldwide and Uganda inclusive. This burden can be minimized by promptly seeking health care. In Uganda, however, studies around malaria health-seeking behaviors for under-five children in the most malaria prevalent areas are very few. This study aimed at determining the factors influencing caregivers’ health-seeking behavior for malaria treatment of children under five years in Busia Municipality, Uganda. Methods: A cross-sectional research design was used with a structured questionnaire to collect data. Data were analyzed using SPSS Version 22 to establish relationships between the variables. Results: The results showed that the current health-seeking behaviors of the caregivers of under-five children in Busia municipality are associated with caregiver education level (p= 0.008), the health worker’s behavior towards the client (p=0.015), the severity of fever (p<0.001), the severity of last malaria episode (p<0.001), waiting time (p=0.001), the quality of health services (p= 0.001) and age of caregiver (p<0.001). Traditional medicine and home remedies are the most utilized means of malaria management in under-five children in Busia Municipality. Conclusions: Caregivers need to be sensitized about the proper health-seeking behaviors for the management of malaria in children under-five years through radio shows, television, community engagement meetings among others to enhance the knowledge and understanding of communities about the recommended malaria treatment-seeking practices. There is a need to continuously train medical workers on client engagement skills to promote a good relationship with patients and encourage their return.

scholarly journals MODEL KOLABORASI PERAWAT SANITARIAN DALAM PELAYANAN KESEHATAN PENDERITA DIARE BALITA DI KOMUNITAS

2018 ◽  
Vol 2 (1) ◽  
pp. 32
Author(s):  
Muryoto 1 ◽  
Atik Badi'ah
Keyword(s):  
Health Service ◽  
Health Services ◽  
Random Sampling ◽  
Control Design ◽  
T Test ◽  
Clean Water ◽  
Children Under Five ◽  
E Coli ◽  
Under Five ◽  
Number Of Patients

ABSTRAKLatar Belakang : Penyakit diare masih merupakan masalah kesehatan masyarakat di Indonesia, di Kabupaten Sleman insiden rate diare 34,8 per seribu penduduk atau 2909 balita dengan cakupan pelayanan 70% di Puskesmas Gamping I sekitar 325 balita (Profil Dinas Kesehatan Kabupaten Sleman, 2013). Kolaborasi perawat dan sanitarian dalam pelayanan kesehatan di komunitas menggunakan pendekatan input-proses-output-efek-outcome.  Input meliputi jumlah penderita diare balita, perawat, sanitarian, program lintas tuntas diare. Proses meliputi penemuan penderita diregister di Puskesmas, pemeriksaan balita, botol susu, sumber air, terapi, desinfeksi, klorinasi dan konseling.  Sedangkan output meliputi jumlah balita diare yang dilayani dua kali selama empat belas hari. Efek berupa penurunan skor dehidrasi out come berupa turunnya angka kesakitan diare. Tujuan :Penelitian ini bertujuan secara umum membuat model pelayanan kesehatan kolaborasi perawat sanitarian penderita diare balita dikomunitas yang dapat mencegah dan menurunkan derajat dehidrasi. Secara khusus bertujuan menetapkan pengaruh pelayanan kesehatan kolaborasi perawat sanitarian terhadap penurunan derajat dehidrasi.  Metode : Jenis penelitianQuasi eksperiment dengan rancangan“Pre test Post test with Control Design“.Penderita diare balita3 (tiga) bulan yang lalu dicatatan medis Puskesmas diambil secara sistimatis random sampling 15 (lima belas) balita untuk kelompok kontrol dan 15 (lima belas) balita untuk kelompok perlakuan. Uji analisa data menggunakan t test. Hasil :Ada pengaruh kolaborasi terhadap penurunan skor dehidrasi anak balita diare, tidak ada pengaruh kolaborasi terhadap penurunan jumlah kuman botol susu anak balita diare. Ada pengaruh kolaborasi terhadap penurunan MPN E Coli air bersih anak balita diare. Ada pengaruh kolaborasi terhadap penurunan MPN Coliform air bersih anak balita diare. Kesimpulan :Ada pengaruh pelayanan kesehatan kolaborasi perawat sanitarian terhadap penurunan skor derajat dehidrasi penderita diare balita. Saran : Dalam kolaborasi perawat sanitarian ditingkat internal program Puskesmas perlu dibuatkan panduan yang memuat etika profesi sesuai lingkup kerja dan fungsinya.Kata Kunci : Model Kolaborasi, Perawat, Sanitarian, Pelayanan Kesehatan, Penderita diareABSTRACTBackground : Diarrhea disease is still a public health problem in Indonesia, in Sleman District incidence rate of diarrhea 34,8 per thousand population or 2909 under fives with coverage 70% service in PuskesmasGamping I about 325 balita (Profile of Sleman District Health Office, 2013). Collaboration of nurses and sanitarians in community health services using an input-process-output-effect-outcome approach. Inputs include the number of patients with diarrhea toddlers, nurses, sanitarians, diarrhea diarrhea programs. The process includes the findings of patients enrolled in Puskesmas, checking for infants, bottles of milk, water sources, therapy, disinfection, chlorination and counseling. While the output includes the number of infant diarrhea that is served twice for fourteen days. The effect of decreasing the dehydration score out come is the decrease of morbidity rate of diarrhea. Objective : This study aims at generating a model of healthcare services for the collaboration of sanitarian nurses with diarrhea in children under five who can prevent and reduce dehydration. Specifically aimed at establishing the influence of sanitarian nurse collaboration health services on dehydration degrees reduction. Method : Quasi experimental research type with "Pre testPost test with Control Design"  Patients with child diarrhea 3 (three) months ago medical Puskesmas was taken by systematic random sampling of 15 (fifteen) children under five for control group and 15 (fifteen) children under five for treatment group. Test data analysis using t-test. Result: There is influence of collaboration to decrease dehydration score of children under five diarrhea, there is no influence of collaboration to decrease amount of germ of baby milk bottle diarrhea. There is a collaboration effect on the decrease of MPN E Coli clean water for children under five diarrhea. There is a collaboration effect on the decrease of MPN Coliform clean water of children under five diarrhea. Conclusion: There is influence of health service of sanitarian nurse collaboration to decrease of dehydration degrees score of diarrhea sufferer. Suggestion: In the collaboration of sanitarian nurses at the internal level of the Puskesmas program, it is necessary to create guidelines that contain professional ethics according to the scope of work and function.Keywords: Collaboration Model, Nurse, Sanitarian, Health Service, Diarrhea Patient

scholarly journals Perception and belief in oral health among Karen ethnic group living along Thai-Myanmar border, Thailand

2020 ◽  
Author(s):  
Sai Wai Yan Myint Thu ◽  
Yaowaluk Ngeonwiwatkul ◽  
Pannamas Maneekan ◽  
Suparat Phuanukoonnon
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Oral Health Care ◽  
Health Problems ◽  
Health Seeking ◽  
Oral Health Promotion ◽  
Health Seeking Behaviors ◽  
Oral Health Services

Abstract Background: Utilization of oral health services has been low among rural populations in Thailand, especially for minority ethnicity populations living along the borders. The aim of this study was to increase understanding of the determinants of the underutilization of oral health services among these populations.Methods: A qualitative study using in-depth interview and semi-structured interview was conducted among participants of Karen ethnicity living in Mae Tan Sub-district, Thasongyang District, Tak Province, Thailand. The interviews focused on exploring the participants’ perceptions of oral health problems, oral health and hygiene, and oral health-seeking behaviors. The verbatim-transcribed interviews were analyzed using thematic analysis.Results: A total of 101 participants (50 adults and 51 children) with a Karen ethnic background took part in the interviews. Most participants could not identify oral health problems and did not perceive dental disease as a problem unless there was severe pain that could not be relieved by painkillers. The Karen ethnic community worked as subsistence farmers, and their busy daily activities consisted of farming, going to the forest to hunt and gather, performing housework, and taking care of their children. Dental health was given a lower priority compared with general health. The perceived value of primary teeth was low, which was identified as an underlying factor resulting in delayed oral health care seeking among this population. The participants had relied on self-care throughout their lifetimes, using either traditional medicines or modern painkillers to relieve toothaches. Fear of dental procedures among children was also described as a barrier to seeking dental health care.Conclusions: This study found that the lifestyle and traditions of Karen people living in this area influence their oral health care and hygiene activities as well as their health-seeking behaviors. Further research should emphasize how to improve oral health promotion by providing necessary services and health education appropriately to Karen ethnic populations living along the Thai-Myanmar border.

scholarly journals Assessing and decomposing inequality of opportunity in access to child health and nutrition in sub-Saharan Africa: evidence from three countries with low human development index

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Yacobou Sanoussi ◽  
Bright Opoku Ahinkorah ◽  
Aduragbemi Banke-Thomas ◽  
Sanni Yaya
Keyword(s):  
Sub Saharan Africa ◽  
Inequality Of Opportunity ◽  
Access To Health Services ◽  
Children Under Five ◽  
Under Five ◽  
Guinea Bissau ◽  
Health And Nutrition ◽  
Access To Health ◽  
Sub Saharan ◽  
Favorable Group

Abstract Background Inequality of opportunity in health and nutrition is a major public health issue in the developing regions. This study analyzed the patterns and extent of inequality of opportunity in health and nutrition among children under-five across three countries sub-Saharan Africa with low Human development index (HDI). Methods We used data from the Multiple Indicator Cluster Survey of the Democratic Republic of Congo (20,792 households, 21,756 women aged 15 to 49 and 21,456 children under five), Guinea Bissau (6601 households, 10,234 women aged 15–49 and 7573 children under five) and Mali (11,830 households, 18,409 women in 15–49 years and 16,468 children under five) to compute the human opportunity index (HOI) and the dissimilarity index (D-index). Secondly, the Shapley decomposition method was used to estimate the relative contribution of circumstances that are beyond the control of children under-five and affecting their development outcomes in later life stages. Results The study revealed that children belonging to the most favorable group had higher access rates for immunization (93.64%) and water and sanitation facilities (73.59%) in Guinea Bissau. In Congo DR, the access rate was high for immunization (93.9%) for children in the most favorable group. In Mali, access rates stood at 6.56% for children in the most favorable group. In Guinea Bissau, the inequality of opportunity was important in access to health services before and after delivery (43.85%). In Congo DR, the inequality of opportunity was only high for the immunization composite indicator (83.79%) while in Mali, inequality of opportunity was higher for access to health services before and after delivery (41.67%). Conclusion The results show that there are efforts in some places to promote access to health and nutrition services in order to make access equal without distinction linked to the socio-economic and demographic characteristics in which the children live. However, the inequalities of opportunity observed between the children of the most favorable group and those of the least favorable group, remain in general at significant levels and call on government of these countries to implement policies taking them into account.

scholarly journals Cost of malaria treatment and health seeking behaviour of children under-five years in the Upper West Region of Ghana

PLoS ONE ◽  
2018 ◽  
Vol 13 (4) ◽  
pp. e0195533 ◽  
Author(s):  
Maxwell Ayindenaba Dalaba ◽  
Paul Welaga ◽  
Abraham Oduro ◽  
Laata Latif Danchaka ◽  
Chieko Matsubara
Keyword(s):  
Malaria Treatment ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Children Under Five ◽  
Under Five ◽  
West Region

scholarly journals Healthcare services utilization among international students in Ankara, Turkey: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Abednego Nzyuko Masai ◽  
Bahar Güçiz-Doğan ◽  
Polet Njeri Ouma ◽  
Israel Nyaburi Nyadera ◽  
Victor Kipkoech Ruto
Keyword(s):  
International Students ◽  
Health Services ◽  
Healthcare Access ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Providers ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Exact Test ◽  
Services Utilization

Abstract Background While international students form an increasing population of higher education students in Turkey, there is limited empirical evidence about their health services utilization. The study aim was to investigate healthcare access among a group of international students studying in Ankara city and identify potential barriers that affect full healthcare utilization. Method A total of 535 international students from 83 countries completed an online-based questionnaire. The survey was conducted from September until October 2020. Variables between groups within the study sample were compared using ANOVA and Chi-square tests (with Fisher’s exact test). Logistic regression analysis was used to evaluate the relationships between variables related to access to health services. Results Of the study population, 80.6% accessed the general practitioner (GP), 40% accessed the student health centres, and 11.4% were admitted to the hospital at least once. About 80% of international students reported changing their views to access healthcare more because of the COVID-19 pandemic. Conclusion Lack of awareness of healthcare support systems, perceived stigma associated with mental health services, and language barriers were the main barriers affecting healthcare access by international students. Implications Study findings indicate the need for education of international students on available healthcare, targeted health promotion, and training of health providers on effective communication.

scholarly journals Pengaruh Pendidikan Kesehatan Tentang Deteksi Dini Perkembangan Anak Usia Balita Terhadap Peningkatan Pengetahuan dan Ketrampilan Ibu Dalam Melakukan Deteksi Dini Perkembangan Anak di Pusat Kesehatan Masyarakat Sikumana, Kota Kupang

2017 ◽  
Vol 15 (1) ◽  
pp. 1-13
Author(s):  
Agustina Agustina ◽  
Mariana Oni Betan
Keyword(s):  
Child Development ◽  
Health Education ◽  
Child Health ◽  
Early Detection ◽  
Health Services ◽  
Maternal And Child Health ◽  
Child Health Services ◽  
Children Under Five ◽  
Under Five ◽  
And Child Health

Early childhood is the "golden period" of child development, the window of opportunity and the critical period. This period is a sensitive period, a period of rapid and important growth and development. If there is a drift of growth and not detected early then it will affect the growth of the next flower (Siswanto, 2010). Based on data from East Nusa Tenggara Health Profile (2010), early detection in children under five in Kupang City was 1,506 children (9.3%) of 16,121 children under five. Research Ina A., 2014, in Kota Kupang, found 19 respondents experiencing development deviations. Existing phenomenon in the field rarely found early detection activities of child development in Maternal and Child Health Services. Assessment of progress with KPSP is easy to do as long as you know how. This study aims to analyze the influence of health education on early detection of the child under five development of children towards improving mother's knowledge and skill in early detection of child development, at Maternal and Child Health Services, health center of Sikumana, Kupang City ". This type of research is experimental with one group design pre-test and post-test design. The sample size was 44 people, ie 22 treatment and 22 no treatment. Random sampling. The results of this study indicate that there is an effect of health education on early detection of the development of children under five on improving mother's knowledge and skills in early detection of child development, in Maternal and Child Health Services Sikumana Health Center, Kupang City "with p = 0,000, for knowledge and p = 0,000 for skills.

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