scholarly journals Maternal Empowerment Indicators Predict Health Care Seeking Behavior during Pregnancy: Evidence from Ethiopian National Data

2021 ◽  
Vol 74 (1-3) ◽  
Author(s):  
Victoria Matatio Elia Guli
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Household Wealth ◽  
Outcome Variable ◽  
Demographic And Health Surveys ◽  
Care Seeking ◽  
Health Seeking ◽  
Seeking Behavior

ABSTRACT The purpose of this study was to examine the leverage of women’s empowerment status and their living context in healthcare-seeking behavior during pregnancy. The study used the Ethiopian Demographic and Health Surveys (EDHS). In addition, the frequency of Antenatal Care (ANC) was used as an outcome variable to gauge women’s health seeking behavior. The negative binomial regression analysis results showed that the expected mean number of ANC visits was lower for mothers with lower education levels and for women living with husbands having poor education. On the other hand, the expected mean number of ANC visits was much higher for younger women, working women, for those with some household decision making autonomy, women living in better household wealth category, women living in smaller households, and those who had reasonable access to media (radio). Given the significant contribution of women’s status and living contexts, aggressive moves should be made to reduce the demand-side barriers to health care services, mainly promoting women’s education and participation in decisionmaking at household and community levels

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).

scholarly journals Accessibility and utilization of modern health care among rural community in Ethiopia: The case of Bako district, Western Oromia: Community based descriptive cross-sectional study

2019 ◽  
Author(s):  
Tadesse Abdisa Abdisa ◽  
Zelalem Desalegn ◽  
Melese Chego Cheme
Keyword(s):  
Health Care ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
Care Seeking ◽  
Health Seeking ◽  
Community Based ◽  
Cross Sectional ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior

Abstract Objectives: Knowing determinants of health seeking behaviors of families is significant in assuring access and utilization of health services. Less is known on the seeking behaviors and access of modern health services among populations in rural settings in Ethiopia. The general Objective of the study is to assess health care seeking behavior (Utilization) and associated factors among the community of in Bako Tibe District, Ethiopia. Community based descriptive cross-sectional study design was used on 750 head of the residents of ≥18 years old. Multistage sampling technique was used to get the households and data was collected by interview using structured questionnaire and analyzed using SPSS version 24. Binary and multiple logistic regression analysis were used to identify the factors associated with the health seeking behavior. Results: 495(66%) reported having morbidity and level of health care seeking behavior was 78.6% of which 66% sought care from government facilities. Sex of respondent, residence, family size, educational status, monthly income, disease condition, Perceived severity & access to needed health information were found to be significant associated factors of healthcare seeking behavior of the respondents in multiple logistic regression analysis. Keywords: Health seeking behavior, Access, Bako district, Ethiopia

scholarly journals Health care seeking behavior for common childhood morbidities in Ethiopia: The effects of maternal behavior and access to key health services

2020 ◽  
Author(s):  
Cindy Xin Feng ◽  
Nigatu R Geda ◽  
Susan J Whiting ◽  
Rein Lepnurm ◽  
Carol J Henry ◽  
...  
Keyword(s):  
Working Mothers ◽  
Survey Design ◽  
Medical Attention ◽  
Demographic And Health Surveys ◽  
High Morbidity ◽  
Care Seeking ◽  
Health Seeking ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background: Childhood morbidities such as diarrhea and pneumonia are the leading causes of death in Ethiopia. Appropriate healthcare-seeking behavior of mothers for common childhood illnesses could prevent a significant number of these early deaths; however, little nation-wide research has been conducted in Ethiopia to assess mothers’ healthcare-seeking behavior for their children.Method: The study used the Ethiopian Demographic and Health Surveys (EDHS) conducted in 2016 on a nationally representative sample of 10641 children under the age of five. The main determinants of care-seeking during diarrhea and Acute Respiratory Infection (ARI) episodes were assessed using multiple logistic regression analyses while adjusting for complex survey design.Results: Only 43% and 35% of households sought medical attention for their children in episodes of diarrhea and ARI, respectively, during a reference period of two weeks before the survey. The odds of seeking care for diarrhea are lower for non-working mothers versus working mothers. The likelihood of seeking care for diarrhea or ARI is higher for fathers who had education versus no education. The place of delivery for the child, receiving postnatal checkup and getting at least one immunization in the past determined the likelihood of seeking care for ARI, but not for diarrhea. The odds of seeking care are higher for both diarrhea and ARI among households that are headed by females and where mothers experienced domestic violence. Religion and types of family structure are also significant factors of seeking care for diarrhea episodes, but not for ARI.Conclusion: Given the high morbidity and mortality rates for children in Ethiopia, a deeper understanding of the health-seeking behaviour of mothers may provide insights for identifying the potential gaps and developing improvement of mothers’ awareness and perception towards childhood problems

scholarly journals Health Seeking Behavior and Utilization of Health Care Services in Eastern Hilly Region of Nepal

2015 ◽  
Vol 11 (2) ◽  
pp. 8-16 ◽  
Author(s):  
Sailesh Bhattarai ◽  
Surya Bahadur Parajuli ◽  
Rajan Bikram Rayamajhi ◽  
Ishwari Sharma Paudel ◽  
Nilambar Jha
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Services ◽  
Traditional Healers ◽  
Health Centers ◽  
Health Seeking ◽  
Government Health ◽  
Care Services ◽  
The People ◽  
Seeking Behavior

noBackground & Objectives: Preventive, promotive, curative, and rehabilitative health care services depend not only in availability & accessibility of it but also on awareness and attitude of the people and various inter-woven social structure that determines in making choice. The objective of this study was to explore health seeking behavior and utilization of health care services in the rural places in VDCs of Ilam district of Eastern Nepal.Materials & Methods: A cross sectional study was conducted in between period of March 25th 2013 to April 10th 2013 Fikkal and Pashupatinagar VDCs in Ilam district with sample of 300 people. Data was collected using a semi-structured questionnaire.Results: One fifth of the populations were found to be seeking traditional healers’ service and 80 percent among modern treatment system were relying on private treatment facility for treating sickness. People who had lived more than 20 years in that place and who felt modern health services were costly were likely to use service of traditional healers. Similarly people suffering from chronic illness, having health facility more than 30 minutes and using stretcher or walking as means of transportation were using government health centers more compared to private services.Conclusion: Significant people still use traditional healers’ service and the government health facility utilization was low as compared to private. The people living for longer period in that place and having the concept that modern health centers are costly were primary user of traditional healing system. Health facility nearby or people who could afford for automobile travel facilities were using costly private health centers.JCMS Nepal. 2015; 11(2):8-16

scholarly journals Determinants of Health Seeking Behavior among Caregivers of Infants Admitted with Acute Childhood Illnesses at Kenyatta National Hospital, Nairobi, Kenya

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Winfred Muringi Wambui ◽  
Samuel Kimani ◽  
Eunice Odhiambo
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Seeking ◽  
National Hospital ◽  
Health Seeking Behavior ◽  
Danger Signs ◽  
Childhood Illnesses ◽  
Seeking Behavior

Background. Poor, delayed, or inappropriate health seeking for a sick infant with acute childhood illness is associated with high morbidity/mortality. Delay in health seeking is implicated with fatal complications and prolonged hospital stay. Thus, caregivers ought to identify danger signs and promptly seek professional help for a sick infant. Objective. Establish determinants of health seeking behavior among caregivers of infants admitted with acute childhood illnesses in Kenyatta National Hospital. Methods. A mixed method cross-sectional study involving caregivers (n=130) of sick infants. Semistructured questionnaire and two focused group discussions were used to gather data on caregiver knowledge on danger signs, health care seeking options, and decision-making regarding health care seeking. Data was analyzed with SPSS V. 22. Results. Knowledge of danger signs of infancy was poor. Immediate health seeking was associated with tertiary [P=0.009] and secondary [P=0.030] education, knowledgeability on danger signs [P=0.002], and being married [P=0.019]. Respondents who resided in urban [P=0.034] or less than a kilometer [P=0.042] from a health facility sought care immediately. Those who rated services as excellent (P=0.005) and satisfactory (P=0.025) sought care promptly. Conclusion. Poor knowledge on danger signs of infancy was common among caregivers blurring the magnitude of acute illness resulting in delayed health seeking. Knowledgeability of danger signs of infancy, high educational level, and being married were associated with immediate health care seeking. Caregivers who resided in urban setting and/or near a health facility were linked to immediate health seeking. Additionally, satisfaction and perception of quality health care services were associated with immediate health seeking. Interventions with caregivers should involve capacity building through partnership with families and communities to raise awareness of danger signs of infancy. Strengthening of health care system to offer quality basic health services could improve health seeking behavior. Provision of a seamless supply system, infrastructural support, and technical support for soft skills minimize the turnaround time which is critical.

scholarly journals Health Seeking Behaviour of Afar Pastoral Community

2019 ◽  
Vol 8 (5S3) ◽  
pp. 292-296
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Survey Design ◽  
Health Seeking ◽  
Positive Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Care Services ◽  
Seeking Behavior

Community level health seeking behavior needs investigation since community plays either protective or pathogenic role to health. This study, therefore, intended to examine the health seeking behavior of Afar using a community based cross-sectional survey design. The survey employed both quantitative and qualitative methods to collect relevant data. The findings revealed that a substantial number of participants have had misconceptions and/or erroneous knowledge about the causes and symptoms of illnesses. Besides, most of the participants preferred treatment service from modern health care institutions. Their choice is significantly associated with age and level of education. Moreover, various factors including cost, distance, attitude toward health, decision-making power on health, perceived satisfaction, social capital and socio-religious behaviour affect the utilization of available health care services. In general, the findings implied the presence of a positive health seeking behavior among Afar that can be further strengthened with interventions. The interventions should address the misconceptions about causes/symptoms of illnesses and promote appropriate hierarchy of resort to the utilization of available health care services.

scholarly journals Health care seeking behavior of parents of under five in District Kanga, Himachal Pradesh

2018 ◽  
Vol 5 (2) ◽  
pp. 561 ◽  
Author(s):  
Akshay Minhas ◽  
Vishav Chander ◽  
Seema Sharma ◽  
P. Bansal
Keyword(s):  
Health Care ◽  
Breast Feeding ◽  
Health Care Seeking ◽  
Health State ◽  
Care Seeking ◽  
Health Seeking ◽  
Health Seeking Behavior ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior

Background: Health seeking behavior denotes the process involved in seeking a particular health state. Whereas, the healthcare seeking behavior of any individual denotes the end point contact of care. The objectives of the study were to understand the health seeking behavior and health care seeking behavior of parents of children, 0-5 yrs of age in Himachal Pradesh.Methods: A community based cross- sectional study on 2400 children of age less then and equal to 59 months was conducted. Morbidity profile and socio demographic indicators along with other variables were defined as indicators of health and health care seeking behaviour. The study was conducted using 30 cluster techniques with 80 participants from each cluster of district Kangra. Results: Water and sanitation was taken as one of the indicators of health seeking behavior and majority of our study population was dependent on ‘bavdi’ as water source. Earthen and steel pots were the most sought after storage vessel. In slums however plastic buckets were used. More than 80% of the households did nothing for purification. Majority responded that (82.6%) their child took bath daily. Institutional delivery was prevalent among 81.2% cases and lowest among rural slum. Nutrition was also taken as an indicator. Exclusive breast feeding was prevalent in 51.1% cases. In case of health care seeking behavior in our study around 47.0% parents visited the health facility, but also 24.0% were dependent on home remedies. Majority (30.5%), took treatment from secondary level of health care followed by 28.4% from private Ayurvedic Doctor. Conclusions: The system needs to understand its weaknesses as to why the population still practices unsatisfactory behavior across various areas. Especially in case of institutional deliveries, breast feeding and seeking treatment from a quack. 

scholarly journals Health Seeking Behavior among Mentally and Physically Ill Patients: A Comparative Study

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Naglaa M Gaber
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Mentally Ill ◽  
Health Care Services ◽  
Health Seeking ◽  
Care Services ◽  
Number Of Patients ◽  
Seeking Behavior ◽  
Remedial Actions ◽  
Physical Diseases

Health-seeking behaviour has been defined as a sequence of remedial actions that individuals undertake to rectify perceived ill-health. Therefore, this study was to assess the barriers affecting seeking health care services as perceived by mentally and physically ill patients. A descriptive comparative design was utilized in this study. A sample of convenience of 100 patients (50 physically ill patients and 50 mentally ill patients) was recruited for the conduction of this study. Socio-demographic/medical data sheet, barriers affecting seeking health care services questionnaire were used for data collection. Findings of this study indicated that, near half of studied sample of patients with mental illness express severe level of difficulties in seeking health care services as compared to more than one third of patients with physical diseases. Meanwhile, more than one third of studied sample of patients with mental illness express moderate level of difficulties in seeking health care services as compared to two thirds of patients with physical diseases. To conclude no statistical difference was found between patients with mental illness and patients with physical disease in relation to barriers affecting seeking health care services. Further studies on a larger number of patients with different diagnoses from different geographical areas are recommended

Health Care Seeking Behavior of Elderly People in Rural Part of Jimma Zone, South West Ethiopia

2021 ◽  
Author(s):  
Abdi Teyib ◽  
Dereje Alemayehu ◽  
Tilahun Tufa ◽  
Negalign Birhanu
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Seeking ◽  
Jimma Zone ◽  
Care Seeking Behavior ◽  
Seeking Behavior ◽  
Health Care Seeking Behavior ◽  
Rural Part

Abstract Background: Aging is the process of becoming older. Old age comprises age group of 60 year and above. Health care seeking behavior is any activity undertaken by individuals who perceive themselves to have a health problem or to be ill for the purpose of finding an appropriate therapy. Though health care seeking behavior of peoples have significant role for their health, limited number of studies were done so far in Ethiopia particularly among elderly peoples. To the best of our knowledge health seeking behavior of elderly people in Ethiopia haven’t been addressed well by previous researchers. Hence, the objective of this study was to measure health care seeking behavior and associated factors among elderly people in rural parts of Jimma zone, south west Ethiopia, 2020. Methods: Community based cross-sectional study was conducted among elderly peoples living in rural parts of Jimma Zone from March 10 to30, 2020. Multi stage sampling technique was used to select study participants. A total of 590 elderly peoples were included in the study. Data were collected using interviewer administered questionnaire. The data were entered into Epi data version 3.1 and exported to SPSS version 23 for analysis. Descriptive statistics were used to summarize the data. Bivariate and multivariate logistic regression analyses were used to identify factors associated with health seeking behavior. P – Value ≤ 0.05 was used to declare statistical significance.Result: The level of health care seeking behavior of elderly peoples in rural part of Jimma zone was 89.2%. Being female [AOR= 0.422(95%CI: 0.204–0.874)], good perception towards health facility[AOR= 20.676(95%CI: 5.077–84.205)], service option availability [AOR=8.597(95%CI: 1.998 – 36.989)], affordable price of modern health service [AOR=3.589(95%CI:1.631–7.900)], awareness about the cause of their sickness[AOR=6.060(95%CI:1.539–23.866)], and having good housing condition[AOR=5.017(95%CI=1.924–13.082) were predictors of health care seeking behavior. Conclusion: Health care seeking behavior of elderly people in rural part of Jimma zone was higher than what was reported in many other studies. Special attention is need from government and concerned stakeholders to take action on the identified factors of health care seeking behavior of elderly people.

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