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. 2022 Jan 31:66:1604451.
doi: 10.3389/ijph.2021.1604451. eCollection 2021.

Determinants of Modern Paediatric Healthcare Seeking in Rural Côte d'Ivoire

Siaka Koné  1   2   3 , Günther Fink  2   3 , Nicole Probst-Hensch  2   3 , Clémence Essé  1   4 , Jürg Utzinger  2   3 , Eliézer K N'Goran  1   5 , Marcel Tanner  2   3 , Fabienne N Jaeger  2   3
Affiliations

Determinants of Modern Paediatric Healthcare Seeking in Rural Côte d'Ivoire

Siaka Koné et al. Int J Public Health. .

Abstract

Objectives: To determine factors that influence healthcare seeking among children with fatal and non-fatal health problems. Methods: Last disease episodes of surviving children and fatal outcomes of children under 5 years of age were investigated by means of an adapted social autopsy questionnaire administered to main caregivers. Descriptive analysis and logistic models were employed to identify key determinants of modern healthcare use. Results: Overall, 736 non-fatal and 82 fatal cases were assessed. Modern healthcare was sought for 63.9% of non-fatal and 76.8% of fatal cases, respectively. In non-fatal cases, young age, caregiver being a parent, secondary or higher education, living <5 km from a health facility, and certain clinical signs (i.e., fever, severe vomiting, inability to drink, convulsion, and inability to play) were positively associated with modern healthcare seeking. In fatal cases, only signs of lower respiratory disease were positively associated with modern healthcare seeking. A lack of awareness regarding clinical danger signs was identified in both groups. Conclusion: Interventions promoting prompt healthcare seeking and the recognition of danger signs may help improve treatment seeking in rural settings of Côte d'Ivoire and can potentially help further reduce under-five mortality.

Keywords: Côte d’Ivoire; Taabo; child health; determinants; health and demographic surveillance system; modern healthcare; mortality.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

FIGURE 1
FIGURE 1
Reasons for not seeking modern healthcare, stratified by cases. Social Autopsy Project, Côte d’Ivoire, 2017.
See this image and copyright information in PMC

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