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 Utilization of Insecticide Treated Nets and Health Seeking Behavior for fever among Children under Five in Southwest Nigeria

2021 ◽  
Author(s):  
Melford Esuabom ◽  
Mabel Kamweli Aworh ◽  
Chukwuma David Umeokonkwo ◽  
Muhammad Shakir Balogun ◽  
Eniola Bamgboye ◽  
...  
Keyword(s):  
Effective Means ◽  
Care Seeking ◽  
Insecticide Treated Nets ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Under Five ◽  
Under Five Children ◽  
Itn Use ◽  
Seeking Behavior ◽  
Southwest Nigeria

Abstract BackgroundMalaria remains a burden globally with the WHO African region accounting for 94% of the overall disease burden and deaths in 2019. Nigeria alone accounted for 27% of total malarial cases and 23% of deaths. Insecticide-treated nets (ITN) use and receiving early care for fever represent the most cost-effective means of malaria prevention and control. In this study, we assessed the utilization of ITNs in households with under-five children in Southwest Nigeria, the health-seeking behavior of their caregivers for fever, and associated factors.MethodsThis was a secondary data analysis of the 2018 Nigeria Demographic and Health Survey. Analysis was restricted to under-five children residing in Southwest Nigeria. Multivariate analysis using logistic regression was conducted to determine factors associated with utilization of ITNs and care-seeking for fever in under-five children. Complex samples command of SPSS (Version 23) was used to account for survey sampling design.ResultsOf 2,281 under-five children in households with at least one ITN, 67.6% (1542) slept under an ITN the night before the survey. Predictors of ITN use were the age of child (<12 months), wealth index (poorest), number of nets in a household (2 or more), and number of household members (1-3). Of the 4,153 under-five children, 8.7% (360) had fever, and advice or treatment was sought for 72.4% (261). Predictors of good health-seeking behavior were the age of a child <12 months (AOR=2.81, 95% CI = 1.08-7.31), mothers’ education, and state of residence. Mothers who had secondary education were less likely to report care-seeking than those with higher education (AOR = 0.43, 95% CI = 0.19-0.98). Mothers from Osun, Ekiti, and Lagos state were less likely to seek care than those from Ogun state.ConclusionWe found that the utilization of insecticide-treated nets and seeking of care for fever in under five years of age in Southwest Nigeria were below the National Malaria Strategic Plan goal of 80% and 100% respectively. The state governments of Osun, Ekiti, and Lagos should develop strategies to improve ITN use and early seeking of care for fever in under-five children.

scholarly journals The Influence Factor of Health Seeking Behavior of the Caregivers for under-Five Sick Children in Southern Xinjiang, China

2020 ◽  
Author(s):  
Lihua Ren ◽  
Yefan Du ◽  
Yongyang Yan ◽  
Xiu Zhu ◽  
Zhihao Wang ◽  
...  
Keyword(s):  
Child Mortality ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
The Public ◽  
Under Five ◽  
Factors Influencing ◽  
Medical Institutions ◽  
Seeking Behavior ◽  
Sick Children ◽  
Southern Xinjiang

Abstract Background: Child mortality can be reduced by 20% with the caregivers’ appropriate health seeking behaviors. Therefore, in order to reduce child mortality in remote areas, we examined the Health Seeking Behavior (HSB) of caregivers of sick children under five years old in Moyu County, Southern Xinjiang, which is the remotest and poorest areas in China, and the factors influencing HSB of caregivers.Methods: We analyzed the factors influencing the health seeking behavior of 846 caregivers of sick children with a questionnaire survey in Chinese and Uighur by a cross-sectional study. Binary logistic regression analysis was used to predict the influencing factors on HSB of caregivers. Results: After the children’s illness was detected, 89.94% caregivers took their children to go to the doctor. 44.91% caregivers took their children to the doctor in the public medical institutions, while 40.07% caregivers chosen the private medical institutions. Compared with the private medical institutions, public medical institutions were likely to be chosen when caregivers consider the treatment cost or the children with cough, runny nose and stuffy nose, but considering children’s age (0.5times), reputation of doctor (0.6times), adequate drug resources (0.5times), the traditional habits on HSB (0.5times), and time to get to hospital (0.2times), the public medical institutions weren’t be chosen.Conclusions: The HSB of the caregivers for sick children in Southern Xinjiang isn’t optimistic. The doctors’ competencies, the quantity of medicines, the distance, the traditional habits influencing caregivers to choose hospitals, which is also the most significant thing to promote the health of rural children in Xinjiang and northwest China.

scholarly journals Determinants of Delay in Healthcare Seeking for Common Childhood Illnesses among Caregivers with Under-Five Children in Touboro Health District, Near Cameroon’ s Northeastern Border with Chad

2021 ◽  
pp. 1-14
Author(s):  
H. Ngouakam ◽  
E. Nekehforba ◽  
B. Tientche
Keyword(s):  
Health District ◽  
Health Seeking ◽  
Children Under Five ◽  
Healthcare Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Childhood Illnesses ◽  
Female Children ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Aims: The study sought to determine the determinants of delay in health-seeking among caregivers with under-five children. Study Design: This was a mixed-method, cross-sectional study. Place and Duration of Study: The study took place in Touboro Health District involving 386 caregivers of under-five children from May to July 30, 2020. Methodology: A structured questionnaire and two focused group discussions were used to gather information on caregiver knowledge of healthcare-seeking behavior. Data were analyzed using SPSS version 25.0. Bivariable logistic regression was employed to identify factors associated with of healthcare seeking behavior. Results: Results of the 386 sick children, fever 39.9% (154/386), diarrhea 30.3% (117/386) and cough 24.9% (96/386) were the common symptoms. The majority of the caregivers of the under-five children had poor knowledge of 63% (243/386) about common infant illnesses. Caregivers of female children under-five(OR= 2.26, 95% CI: 1.29-3.96, P = 0.004), caregivers aged between 21 and 30 years (OR=5.53, 95% CI: 1.32-23.11, P = 0.019), caregivers whose occupation is housewife (OR=2.64 95% CI 1.23-5.68, P =10.013),) ,caregivers who host > 6children in a household (OR= 3.56 95% CI  1.42-8.92 , P =0.007) were key determinants of delay in health-seeking. Conclusion: Caregivers of female children under-five, caregivers aged between 21 and 30 years, caregivers whose occupation is housewife, caregivers under-five children residing in a rural area, caregivers who host more than 6 children in a household, households with an average monthly income of  <10.000 FRS Cfa were predictors of delay appropriate health-seeking. There is a need to intensify health education focusing on childhood illnesses, and timely care-seeking to effectively respond to caregiver's expectations among others.

scholarly journals Trends of inequalities in care seeking behavior for under-five children with suspected pneumonia in Ethiopia: evidence from Ethiopia demographic and health surveys (2005–2016)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gebretsadik Shibre ◽  
Betregiorgis Zegeye ◽  
Dina Idriss-Wheeler ◽  
Sanni Yaya
Keyword(s):  
Health Surveys ◽  
Demographic And Health Surveys ◽  
Care Seeking ◽  
Health Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Index Of Inequality ◽  
Suspected Pneumonia

Abstract Background Pneumonia is a leading public health problem in under-five children worldwide and particularly in Africa. Unfortunately, progress in reducing pneumonia related mortality has been slow. The number of children with symptoms of pneumonia taken to health facilities for treatment is low in Ethiopia, and disparities among sub-groups regarding health seeking behavior for pneumonia have not been well explored in the region. This study assessed the trends of inequalities in care seeking behavior for children under five years of age with suspected pneumonia in Ethiopia. Methods Using cross-sectional data from the 2005, 2011 and 2016 Ethiopia Demographic and Health Surveys (DHS) and the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT), this study investigated the inequalities in health seeking behavior for children with suspected pneumonia. Four measures of inequality were calculated: Difference, Ratio, Slope Index of Inequality and Relative Index of Inequality. Results were disaggregated by wealth, education, residence, and sex with computed 95% Uncertainty Intervals for each point estimate to determine significance. Results The percentage of under-five children with symptoms of pneumonia who were taken to a health facility was significantly lower for children in the poorest families, 15.48% (95% UI; 9.77, 23.64) as compared to children in the richest families, 61.72% (95% UI; 45.06, 76.02) in 2011. Substantial absolute (SII = 35.61; 95% UI: 25.31, 45.92) and relative (RII = 4.04%; 95% UI: 2.25, 5.84) economic inequalities were also observed. Both educational and geographic inequalities were observed; (RII = 2.07; 95% UI: 1.08, 3.06) and (D = 28.26; 95% UI: 7.14, 49.37), respectively. Economic inequality decreased from 2011 to 2016. There was no statistically significant difference between male and female under-five children with pneumonia symptoms taken to health facility, in all the studied years. Conclusions Health care seeking behavior for children with pneumonia was lower among the poorest and non-educated families as well as children in rural regions. Policies and strategies need to target subpopulations lagging behind in seeking care for pneumonia treatment as it impedes achievement of key UN sustainable development goals (SDGs).

Sign in / Sign up

Export Citation Format

Share Document