Determinants of delay in care seeking for diarrheal diseases among mothers/caregivers with under-five children in public health facilities of Arba Minch town, southern Ethiopia; 2019

Abstract

Background Timely and appropriate health care seeking for diarrhea of under-five children is important to reduce severe and life-threatening complications. However, different findings indicate that mothers of under-five children often delay in seeking care which in turn contributes to the death of large number of children without ever reaching a health facility. Therefore, a proper pinpointing of determinants of delay in seeking care informs intervention strategies for health service planners. Objectives Of this study was to identify the determinants of delay in care seeking for diarrheal disease among mothers/caregivers of under-five children in public health facilities of Arba Minch town, South Ethiopia, 2019. Methods Facility based case control study was conducted from March 4 to April 30, 2019. Total sample size was 400. Cases were selected by systematic random sampling technique while controls were mothers of under-five children with signs and symptoms of diarrhea who came to the same health facility within 24 hours following cases. Data was collected by using pretested structured questionnaire by three data collectors and entered into EpiData V4 and exported to SPSS V23 for further analysis. Bivariable logistic regression was done to identify variables candidate for Multivariable LR at p-value<0.25. Multivariable logistic regression was done and p-value <0.05 and 95%CI of AOR was used to declare statistical significance.

Determinants of Delay in Healthcare Seeking for Common Childhood Illnesses among Caregivers with Under-Five Children in Touboro Health District, Near Cameroon’ s Northeastern Border with Chad

“…More importantly, our study indicated that caregivers with zero monthly income up to 20000 frs CFA were significantly associated with inappropriate health-seeking behavior. This is in accordance with the previous studies in Ethiopia [28,21,29]. Therefore, the present data indicate that poverty might be is an important hurdle on a family's decision about how to treat children's illnesses.…”

“…Our data are similar to that of [30]. However, this finding is contrary to study conducted in different parts of Ethiopia [27][28][29][30] where gender was not statistically significant to prompt health-seeking behavior. This might have been due to sociodemographic and cultural differences.…”

Mind the gap: what explains the rural-nonrural inequality in diarrhoea among under-five children in low and medium-income countries? A decomposition analysis

“…Educated mothers are more likely to have adequate knowledge on the importance of good hygiene as compared to uneducated mothers. This position is supported by Fikire et al in their study on understanding the determinants of delay in care-seeking for diarrhoea diseases among mothers/caregivers with U5C in public health facilities in Southern Ethiopia [ 47 ].…”

Understanding the context of healthcare utilisation for children under-five with diarrhoea in the DRC: based on Andersen behavioural model

“…It has been reported that fever is the most frequent reason for caretakers seeking treatment for their under-five children [52]. Diarrhoea is not fatal itself, the delay and inappropriately healthcare utilisation leads to a high degree of mismanagement and resultant severe and life-threatening complications [53]. The low-cost and highly effective solution to reduce child mortality from diarrhoea is ORS therapy.…”

“…These low levels highlight the urgent need to educate caregivers on appropriate treatment [9]. In Africa, healthcare utilisation for diarrhoea in children is still low and considerable efforts are required to educate parents about diarrhoea and its prevention and proper treatment [53].…”