Acute respiratory illnesses in children under five years in Indramayu, West Java, Indonesia: A rapid ethnographic assessment

Kresno, Siti Boedina; Harrison, Gail G.; Sutrisna, Bambang; Reingold, Arthur

doi:10.1080/01459740.1994.9966103

Cited by 27 publications

(30 citation statements)

References 6 publications

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“…If so, it will enhance adherence to medical treatment. This example, which has also been reported in studies from Indonesia (Kresno et al. 1994), illustrates that to be able to bridge the knowledge‐practice gap between HCW and mothers it is advantageous to understand local vocabulary and traditional beliefs about illnesses.…”

Section: Discussionsupporting

confidence: 61%

Maternal perceptions of acute respiratory infections in children under 5 in rural South Africa

Kauchali¹,

Rollins

Bland³

et al. 2004

Tropical Med Int Health

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Summaryobjectives To assess maternal ability to recognize respiratory distress and to identify local beliefs and practices around respiratory infections in rural KwaZulu/Natal, South Africa.methods A descriptive study: 15 knowledgeable mothers were shown a video of 10 children with respiratory distress and four normal children. Mothers were asked to describe perceived types, signs, symptoms, causes of and actions taken for each child. Sensitivity and specificity were calculated for maternal recognition of respiratory distress (chest indrawing, fast breathing) shown on the video. A focus group discussion with six mothers was held to corroborate and refine individually reported local concepts.findings Maternal recognition of respiratory distress was good (sensitivity 91.3%, 95% CI: 86.8-95.8%; specificity 95%, 95%CI: 89.5-100%), with little variation between mothers (kappa ¼ 0.704).Mothers described 12 'local types of respiratory illness', each with its own name and its own welldefined set of signs and symptoms. They were classifiable into five causative categories: supernatural, natural, tuberculosis, cold weather and unknown, indicating that perceptions of causation differed greatly from biomedical concepts. For illnesses of perceived supernatural causation, mothers were reluctant to seek medical care and antibiotics were deemed inappropriate. Traditional remedies were preferred instead.conclusion Knowledge of local vocabulary and concepts about respiratory infections is essential to design strategies for health care workers to communicate with mothers about respiratory disease, so that mothers will seek timely medical care, provide continued safe, supportive home care and comply with antibiotic treatment.

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Section: Discussionsupporting

confidence: 61%

Maternal perceptions of acute respiratory infections in children under 5 in rural South Africa

Kauchali¹,

Rollins

Bland³

et al. 2004

Tropical Med Int Health

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“…Previous research in Indonesia examining health services utilization for respiratory infection in similar age-group children in West Java (Kresno et al, 1994), and for diarrhoea and respiratory infection in Nusa Tenggara Barat (Grace, 1998), indicated that infants were more likely to be taken to an indigenous healer. The present study did not find this relationship at the national level: it was found that older children are more likely to be taken to a non-formal provider.…”

Section: Discussionmentioning

confidence: 96%

Analysis of Health Services Use for Respiratory Illness in Indonesian Children: Implications for Policy

Thind¹

2004

J. Biosoc. Sci.

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Respiratory illness continues to be a leading cause of paediatric morbidity and mortality in Indonesia. The Indonesian government is moving towards a more managed care-based approach as it reforms its health care system following the 1997 financial crisis. In order to better design contractual relationships between the payor and different providers, there needs to be a better understanding of the patterns and predictors of health services utilization for respiratory illness. This study uses the Indonesia Demographic and Health Survey to study the determinants of private, public and non-formal provider utilization for respiratory illness. Multinomial logistic regression models for predicting use were constructed using the Andersen Behavioural Model as the conceptual framework. The findings indicate that age, household size, maternal education, religion, the asset index, location and illness severity play a role in determining use of private, public or non-formal providers. The results indicate that from a policy perspective, the Indonesian government needs be inclusive rather than exclusive in the choice of providers that are contracted by the managed care plans, in order to safeguard the health of the under-five population.

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“…Surprisingly, age of child was not found to influence health facility consultation in this study. On the contrary, studies carried out in Sub-Saharan Africa, Pakistan and Indonesia all found age of the child to be associated with prompt care seeking for ARI/presumed pneumonia, [16,19,20]. In Kenya, according to KDHS, mothers level of education did not influence care seeking for childhood illness [4].…”

Section: Discussionmentioning

confidence: 99%

Cross Sectional Survey of Care Seeking For Acute Respiratory Illness in Children Under 5 Years in Rural Kenya

Ndungu¹

2018

AJP

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Acute respiratory infection (ARI) is a leading cause of childhood morbidity and mortality in developing countries. In Kenya, diagnosis and treatment of ARI remains predominantly health facility based. This presumes that caretakers can recognize ARI symptoms promptly and make a decision to take the child to an appropriate health facility for treatment. Unfortunately, these presumptions have not been assessed. This study sought to establish determinants of health care seeking among caretakers of children under five years (CU5) of age with ARI. An analytic cross sectional survey was carried out in Githunguri Sub-County of Kiambu County. Households with CU5 who had recently suffered an episode of ARI were enrolled. Structured questionnaires, focused group discussions and key informant guides were used to gather information. Structured questionnaires were administered to caretakers to obtain information on socio-demographics, knowledge and health seeking practices. Bivariate and multivariate analysis was carried out with a p value of < 0.05. From 438 households sampled, 323 (73.7%) had CU5 in their households. Out of these, 240 (74.3%) of the children had an episode of ARI in the preceding 2 weeks. The mean age of the children was 29.2 months, with male to female ratio of 1:1. The mean mothers' age was 29.4 years, 71.2% were married, 54.8% had secondary education and 66.6% were of Christian-protestants faith and (90.0%) were in informal employment. Poor knowledge of pneumonia was documented in 92.5% of caretakers. One hundred and forty nine (62.1%) caretakers had delayed health facility consultation for ARI. The main factors associated with delayed facility consultation were poor knowledge of symptoms (p = 0.007) long distance to the nearest health facility (p = 0.002), means of transport used to access the nearest health facility (p = 0.001) and previous high expenditure at health facility (p = 0.011). On logistic regression, the main factors that independently determined delayed facility consultation were long waiting time (>1hour) before service provision (p = 0.001), use of a motorbike to access the nearest health facility (p = 0.001) and traveling for 4-4.9 kilo meters to the nearest health facility (p = 0.002). Travelling for long distance and long waiting time before service provision during the previous facility visit were the main determinants of delayed facility consultations. The study recommends increased sensitization on symptom recognition among caretakers, and intensified efforts to reduce turnaround time during health facility consultations in order to minimize delays in health facility consultation.

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Acute respiratory illnesses in children under five years in Indramayu, West Java, Indonesia: A rapid ethnographic assessment

Cited by 27 publications

References 6 publications

Maternal perceptions of acute respiratory infections in children under 5 in rural South Africa

Maternal perceptions of acute respiratory infections in children under 5 in rural South Africa

Analysis of Health Services Use for Respiratory Illness in Indonesian Children: Implications for Policy

Cross Sectional Survey of Care Seeking For Acute Respiratory Illness in Children Under 5 Years in Rural Kenya

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