Factors affecting health seeking behavior for common childhood illnesses in Yemen
- PMID: 24187490
- PMCID: PMC3810343
- DOI: 10.2147/PPA.S51124
Factors affecting health seeking behavior for common childhood illnesses in Yemen
Abstract
Introduction: Appropriate medical care seeking could prevent a significant number of child deaths and complications due to ill health. This study aims to determine factors affecting health seeking behavior (HSB) for childhood illnesses, thereby improving child survival.
Methods: A cross sectional study was carried out from January 11 to April 2, 2012. A total of 212 caretakers of children under the age of 5 years participated. Caretakers who visited the vaccination unit in the Shehair Health Center during the study period and had a child with a history of diarrhea, fever, cough, and/or difficulty of breathing during the last 14 days were included. The data were collected by interviewing caretakers and the answers were reported in pretested structured questionnaires.
Results: Medical care was sought for about half of the sick children (n=109, 51.42%). Seeking medical care was frequently initiated for illnesses that did not improve or worsened. The major reasons for not seeking medical care were "illness was mild" (n=40, 38.83%) and "illness is not for medical treatment" (n=32, 31.07%). The caretakers sought medical care significantly more when they had a higher level of school education (POR [prevalence odds ratio] 5.85, 95% CI [confidence interval]: 2.34-14.61), when the illness was perceived as severe (POR 5.39, 95% CI: 2.81-10.33), and when the child had difficulty of breathing (POR 2.93, 95% CI: 1.10-7.80).
Conclusion: For the preventable childhood illnesses with existing interventions, appropriate HSB prevalence is low. Symptom type, caretakers' education, and perception of illness severity are the predictors of HSB. Educational improvement of the mothers, introduction of community based integrated management of childhood illness, and in-depth research are imperative to improve mothers' HSB.
Keywords: Shehair Health Center; childhood survival; cross sectional; medical care.
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References
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- Ashorn U. Child health-seeking in Lungwena, Malawi [academic dissertation] Tampere: University of Tampere; 2003.
-
- Children: reducing mortality [webpage on the internet] Geneva: World Health Organization; 2012Available from: http://www.who.int/mediacentre/factsheets/fs178/en/index.htmlAccessed October 12, 2012
-
- Johansson EW, Carvajal L, Newby H, Young M.Pneumonia and Diarrhoea: Tackling the Deadliest Diseases for the World’s Poorest Children New York: UNICEF; 2012Available from: http://www.unicef.org/media/files/UNICEF_P_D_complete_0604.pdfAccessed December 27, 2012
-
- Child health in the community – “Community IMCI”: briefing package for facilitators [webpage on the internet] Geneva: World Health Organization; 2004Available from: http://www.who.int/maternal_child_adolescent/documents/9241591951/en/ind...Accessed June 29, 2012
-
- Goldman N, Heuveline P. Health-seeking behaviour for child illness in Guatemala. Trop Med Int Health. 2001;5(2):145–155. - PubMed
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