Effects of mothers' socio-economic status on the management of febrile conditions in their under five children in a resource limited setting

Olaogun, Adenike Ayobola; Adebayo, AA; Ayandiran, Olufemi; Olasode, Olayinka

doi:10.1186/1472-698x-6-1

Cited by 26 publications

(26 citation statements)

References 7 publications

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“…This finding agrees with some other studies in the country [21]. The effect of occupation on health seeking behaviour could be linked to its ability to increase women's access to resources as well as their economic power within the household, [22] which invariably increases their power to make decisions.…”

Section: Archives Of Medicine Issn 1989-5216supporting

confidence: 92%

Family and Social Determinants of Health-seeking Behaviour of Caregivers of Febrile Children in an Urban City of South-Eastern Nigeria

Lovelyn¹,

Betr²,

Godswill³

2016

Arch Med

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Context: The highest rates of child mortality are still in sub-Saharan Africa. The leading causes of morbidity and mortality in sub-Saharan Africa are infectious diseases of which fever is a common feature of. Early diagnosis and prompt treatment of fever is necessary if mortality of children under the age of five years is to be substantially reduced in this part of the world. Aim:To determine the family and social factors associated with the health seeking behaviour of mothers of febrile children. Subjects and methods:This was a hospital based cross-sectional study involving mothers/caregivers. Relevant data on socioeconomic and family characteristics were obtained using pre-tested, interviewer-administered questionnaires. Statistical analysis used:The data was coded and analyzed using SPSS version 16.0. The results were expressed as rates and proportions. Fisher's exact test was computed and association considered significant if P value is equal to or less than 0.05. Results:A total of 400 mothers/caregivers were finally studied. 51.5% of the caregivers were aged between 30 and 39 years. Majority (91.5%) of them had at least secondary education.Three hundred and thirteen (78.3%) mothers gave drugs as initial action while only 8 (2%) took their children to a health facility to access care. One hundred and ninety eight (49.6%) mothers sought appropriate care while 121 (30.2%) mothers sought care promptly. Conclusions:The major factors determining the health-seeking behaviour of caregivers of febrile children are age of the child, educational and occupational status of the caregivers, household heads as well as income.

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Section: Archives Of Medicine Issn 1989-5216supporting

confidence: 92%

Family and Social Determinants of Health-seeking Behaviour of Caregivers of Febrile Children in an Urban City of South-Eastern Nigeria

Lovelyn¹,

Betr²,

Godswill³

2016

Arch Med

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“…Although the education of a Nigerian mother is known to have a strong link to her healthseeking behaviour (Olaogun et al, 2006), in the present study, after controlling for spatial and non-linear effects, it was the education of the mother's partner (often the father of the young child who was studied) that was found more likely, than the education of the mother, to reduce the risk of cough in the young child. One possible explanation for this is that the role of men in African households remains dominant.…”

Section: Discussioncontrasting

confidence: 56%

Morbidity from diarrhoea, cough and fever among young children in Nigeria

Kandala

Stallard

et al. 2008

Annals of Tropical Medicine & Parasitology

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Diarrhoea, cough and fever are the leading causes of childhood morbidity and mortality in sub-Saharan Africa. Despite it being a determinant of mortality in many developing countries, geographical location has seldom been considered as an explanatory factor for the large regional variations seen in the childhood morbidity attributed to these causes in this area. The relevant data collected in two Nigerian Demographic and Health Surveys, one in 1999 and the other in 2003, have now therefore been analysed and compared. The aim was to reveal and explore inequalities in the health of Nigerian children by mapping the spatial distribution of childhood morbidity associated with recent diarrhoea, cough and fever and accounting for important risk factors, using a Bayesian geo-additive model based on Markov-chain-Monte-Carlo techniques.Although the overall prevalences of recent diarrhoea, cough and fever recorded in 1999 (among children aged ,3 years) were similar to those seen in 2003 (among children aged ,5 years), the mapping of residual spatial effects indicated that, in each survey, the morbidity attributable to each of these causes varied, differently, at state level. Place of birth (hospital v. other), type of feeding (breastfed only v. other), parental education, maternal visits to antenatal clinics, household economic status, marital status of mother and place of residence were each significantly associated with the childhood morbidity investigated. In both surveys, children from urban areas were found to have a significantly lower risk of fever than their rural counterparts. Most other factors affecting diarrhoea, cough and fever differed in the two surveys. The risk of developing each of these three conditions increased in the first 6-8 months after birth but then gradually declined. The analysis explained a significant share of the pronounced residual spatial effects. Maps showing the prevalences of diarrhoea, cough and fever in young children across Nigeria were generated during this study. Such maps should facilitate the development of policies to fulfil the Millennium Development Goals in Nigeria and throughout sub-Saharan Africa.

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“…Studies from Kenya (Taffa et al. 2005) and Nigeria (Olaogun et al. 2006) link accessibility to antimalarials with household finances and the mother’s occupation.…”

Section: Discussionmentioning

confidence: 99%

Determinants of delay in care‐seeking for febrile children in eastern Uganda

Rutebemberwa

Källander

Tomson³

et al. 2009

Tropical Med Int Health

121

104

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Summaryobjective To explore factors associated with delay in seeking treatment outside the home for febrile children under five.methods Using a pre-tested structured questionnaire, all 9176 children below 5 years in IgangaMayuge Demographic Surveillance Site were enumerated. Caretakers of children who had been ill within the previous 2 weeks were asked about presenting symptoms, type of home treatment used, timing of seeking treatment and distance to provider. Children who sought care latest after one night were compared with those who sought care later.results Those likely to delay came from the lowest socio-economic quintile (OR 1.45; 95% CI 1.06-1.97) or had presented with pallor (OR 1.58; 95% CI 1.10-2.25). Children less likely to delay had gone to drug shops (OR 0.70; 95% CI 0.59-0.84) or community medicine distributors (CMDs) (OR 0.33; 95% CI 0.15-0.74), had presented with fast breathing (OR 0.75; 95% CI 0.60-0.87), used tepid sponging at home (OR 0.43; 95% CI 0.27-0.68), or perceived the distance to the provider to be short (OR 0.72; 95% CI 0.60-0.87).conclusion Even in the presence of 'free services', poverty is associated with delay to seek care. Drug shops and CMDs may complement government efforts to deliver timely treatment. Health workers need to sensitize caretakers to take children for care promptly. Methods to elucidate time in populationsurveys in African settings need to be evaluated.keywords fever, health care seeking behaviour, child, Uganda

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Effects of mothers' socio-economic status on the management of febrile conditions in their under five children in a resource limited setting

Cited by 26 publications

References 7 publications

Family and Social Determinants of Health-seeking Behaviour of Caregivers of Febrile Children in an Urban City of South-Eastern Nigeria

Family and Social Determinants of Health-seeking Behaviour of Caregivers of Febrile Children in an Urban City of South-Eastern Nigeria

Morbidity from diarrhoea, cough and fever among young children in Nigeria

Determinants of delay in care‐seeking for febrile children in eastern Uganda

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