BMC Research Notes | |
Effect of residence on mothers’ health care seeking behavior for common childhood illness in Northwest Ethiopia: a community based comparative cross – sectional study | |
Kefyalew Addis Alene1  Gashaw Andargie Biks1  Yalemzewod Assefa Gelaw1  | |
[1] Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia | |
关键词: Northwest Ethiopia; Urban and rural communities; Mothers; Health care seeking behavior; | |
Others : 1127330 DOI : 10.1186/1756-0500-7-705 |
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received in 2013-10-30, accepted in 2014-10-02, 发布年份 2014 | |
【 摘 要 】
Background
Children are at higher risk of acquiring infections and developing severe disease. This study assessed the health care seeking behavior and associated factors of urban and rural mothers for common childhood illness in Northwest Ethiopia.
Methods
A comparative community based cross-sectional study was conducted among urban and rural mothers living in the district. A multistage sampling technique was used to select the study participants. A pre-tested and structured questioner via interview was used to collect the data. Binary logistic regression analysis was used to identify associated factors. Odds ratio with 95% CI was computed to assess the strength of the associations.
Result
A total of 827 (274 urban and 553 rural) mothers were interviewed. Among these, 79.3% (95% CI: (76.5%, 82.06%)) of the mothers were sought health care in the district. Health care seeking behavior was higher among urban mothers (84.6%) than rural mothers (76.7%). Marital status, completion health extension package, and sex of child were significantly associated with health care seeking behavior of urban mothers. Whereas age of child, age and occupation of mothers, educational level of fathers, wealth quintile, and type of reported illness were significantly associated with rural mothers. Perceived severity of illness was significantly associated with both urban and rural mothers for health care seeking behavior.
Conclusion
The overall health seeking behaviors of mothers for common childhood illness was high. However, urban mothers seek health care more than rural. Socio Economic position and types of reported illness has an effect for health seeking behavior of rural mothers. Whereas child sex preference and graduation status for health extension package has an effect for health care seeking behavior of urban mothers. Work on strengthen accessibility of health care services in the rural mothers and increase awareness of mothers about the disadvantage of sex preferences will improve the health care seek behavior of families regardless of the severity of illness and types of illnesses.
【 授权许可】
2014 Gelaw et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150220104754104.pdf | 184KB | download |
【 参考文献 】
- [1]WHO: World Health Organization statistics. France: WHO; 2009.
- [2]UNICEF: Committing to Child Survival Progress Report 2012. United Nations Plaza, New York, USA: UNICEF; 2012.
- [3]Molyneux S, Muga’ala V, Harpham T, Snow W: Maternal responses to childhood fevers: a comparison of rural and urban residents in coastal Kenya. Trop Med Int Health 1999, 4(12):836-45.
- [4]UNICEF: The State of World’s children. New York, USA: UNICEF; 2008.
- [5]Assefa T, Tegegn T, Deribew A: Mothers’ Health care seeking behavior for childhood illness in Derra district, North Shoa zone, Oromia Regional State, Ethiopia. Addis Ababa, Ethiopia: Ethiop J Health Science; 2008:87.
- [6]Mohamed E, Hanafi K, Hussein S, Salim E, Awad K: Treatment-seeking behavior for malaria in children under five years of age: implication for home management in rural areas with high seasonal transmission in Sudan. Malar J 2006, 5:60. BioMed Central Full Text
- [7]Mbagaya GM, Odhiambo MO, Oniang’o RK: Mother’s health seeking behavior during child illness in a rural western Kenya community. Afr Health Sci 2005, 5(4):322-7.
- [8]UNICEF: Pneumonia and diarrhea tackling the deadliest diseases for the world’s poorest children. New York, USA: UNICEF; 2012.
- [9]Comission FPC: Summary and Statistical Report o f the 2007 population and housing census of Ethiopia. Addis Ababa: CSA; 2008:57-60.
- [10]CSA: Ethiopia Demographic and Health Survey 2011. Addis Ababa, Ethiopia: Entral Statistical Agency [Ethiopia] and ICF International; 2012.
- [11]FMOH: Ethiopia health sector development programme IV annual performance report. Addis Ababa, Ethiopia: FMOH; 2011/2012.
- [12]Worku A: Prevalence of childhood illness and mothers’/caregivers’ care seeking behavior in Bahir Dar, Ethiopia: A descriptive community based cross sectional study. Open J Prev Med 2013, 3(2):155-9.
- [13]Mbonye AK: Prevalence of childhood illnesses and care-seeking practices in rural Uganda. Sci World J 2003, 3:721-30.
- [14]Promtussananon S, Peltzer K: Health care-seeking behavior for child illnesses among rural mothers in South Africa: a pilot study. Health SA Gesondheid 2003, 8(2):43.
- [15]Ezeoke U, Nwobi E, Ekwueme O, Tagbo B, Aronu E, Uwaezuoke S: Pattern of health seeking behavior of mothers for common childhood illness in Engumetropolis South East zone Nigeria. Niger J Clin Pract 2010, 13(1):37-40.
- [16]Benjamin S, Onwujeke O, Onoka A, Ughasoro D: Rural-urban differences in maternal responses to childhood fever in South East Nigeria. PLoS One 2008, 3(3):1788.
- [17]Sreeramaredy T, Shankar P, Sreekumaran B, Subba S, Joshi H, Ramachandran U: Care seeking behavior for childhood illness-a questionnaire survey in western Nepal. BMC Int Health Human Rights 2006, 6(7):1472-698.
- [18]Taffa N, Chepngeno G: Determinants of health care seeking for childhood illnesses in Nairobi slums. J Trop Med Int Health 2005, 10(3):240-5.
- [19]Sreeramareddy T, Sathyanarayana N, Harsha K: Utilization of health care services for childhood morbidity and associated factors in India. PLoS One 2012, 7(12):51904.
- [20]Abdulraheem S, Parakoyi D: Factors Affecting Mothers' Healthcare-Seeking Behavior for Childhood Illnesses in a Rural Nigerian Setting. Early Child Dev Care 2009, 179(5):671-83.