Health care seeking behavior for common childhood illnesses in Ethiopia: a systematic review and meta-analysis

Handebo, Simegnew; Adugna, Asmamaw; Kassie, Ayenew; Wolde, Maereg; Shitu, Kegnie

doi:10.1007/s10389-022-01692-5

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…The strategy focuses on improving health workers’ skills through training and supportive supervision, the availability of equipment and supplies, and referral systems at facility, community, and household levels. As a result, the proportion of sick children for whom care is sought has increased over the past decade from <10% in 2000 to 35% in 2016 4 10–15. Although the use and coverage of child health services have improved in recent decades, a significant proportion of (sick) children still do not receive (curative) child health services 16–18.…”

Section: Introductionmentioning

confidence: 99%

Effective coverage of curative child health services in Ethiopia: analysis of the Demographic and Health Survey and Service Provision Assessment survey

Haile,

Benova,

Mirkuzie

et al. 2024

BMJ Open

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ObjectivesDespite a remarkable decline, childhood morbidity and mortality in Ethiopia remain high and inequitable. Thus, we estimated the effective coverage of curative child health services in Ethiopia.DesignWe conducted a cross-sectional analysis of data from the 2016 Ethiopia Demographic and Health Survey (DHS) and the 2014 Ethiopia Service Provision Assessment Plus (SPA+) survey.SettingNationally representative household and facility surveys.Participants and outcomesWe included a sample of 2096 children under 5 years old (from DHS) who had symptoms of one or more common childhood illnesses (diarrhoea, fever and acute respiratory infection) and estimated the percentage of sick children who were taken to a health facility (crude coverage). To construct a quality index of child health services, we used the SPA+ survey, which was conducted in 1076 health facilities and included observations of care for 1980 sick children and surveys of 1908 mothers/caregivers and 5328 health providers. We applied the Donabedian quality of care framework to identify 58 quality parameters (structure, 31; process, 16; and outcome, 11) and used the weighted additive method to estimate the overall quality of care index. Finally, we multiplied the crude coverage by the quality of care index to estimate the effective coverage of curative child health services, nationally and by region.ResultsAmong the 2096 sick children, only 38.4% (95% CI: 36.5 to 40.4) of them were taken to a health facility. The overall quality of care was 54.4%, weighted from structure (30.0%), process (9.2%) and outcome (15.2%). The effective coverage of curative child health services was estimated at 20.9% (95%CI: 19.9 to 22.0) nationally, ranging from 16.9% in Somali to 34.6% in Dire Dawa regions.ConclusionsSystem-wide interventions are required to address both demand-side and supply-side bottlenecks in the provision of child health services if child health-related targets are to be achieved in Ethiopia.

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Section: Introductionmentioning

confidence: 99%

Effective coverage of curative child health services in Ethiopia: analysis of the Demographic and Health Survey and Service Provision Assessment survey

Haile,

Benova,

Mirkuzie

et al. 2024

BMJ Open

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Integrated Management of Childhood Illness Programme and Sustainable Development Goals

Tshivhase

2023

SDGs in Africa and the Middle East Region

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Healthcare Seeking Behavior and Disease Perception Toward Cholera and Acute Diarrhea Among Populations Living in Cholera High-Priority Hotspots in Shashemene, Ethiopia

Getahun,

Hailu,

Mogeni

et al. 2024

Clinical Infectious Diseases

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Background Healthcare seeking behavior (HSB) and community perception on cholera can influence its management. We conducted a cross-sectional survey to generate evidence on cholera associated HSB and disease perception in populations living in cholera hotspots in Ethiopia. Methods A total of 870 randomly selected households (HHs) in Shashemene Town (ST) and Shashemene Woreda (SW) participated in our survey in January 2022. Results Predominant HHs (91.0%; 792/870) responded “primary health center” as the nearest healthcare facility (HCF). Around 57.4% (247/430) of ST HHs traveled <30 minutes to the nearest HCF. In SW, 60.2% (265/440) of HHs travelled over 30 minutes and 25.9% (114/440) over 4 km. Two-thirds of all HHs paid <USD1 travel cost; SW residents had slightly higher cost burden. When cholera symptoms occur, 68.0% (83/122), 75.5% (114/151), 100.0% (52/52), and 100.0% (426/426) of 0–4, 5–14, 15–17, and ≥18 years, respectively, in ST sought healthcare at our sentinel-HCFs. In SW, younger children visited our sentinel-HCFs slightly more (82.6%, 86.7% in 1–4, 5–14 years, respectively) than older age groups (74.4%, 75.6% in 15–17, ≥ 18 years, respectively). Relatively more adults in ST (12.0%; 51/426) sought over-the-counter drugs at pharmacies than those in SW (2.5%; 11/435). Around 73.8% (642/870) of HHs were aware of cholera disease and 66.7% (428/642) of HHs considered eating unclean food as main causes of cholera. Conclusions Variations in cholera prevention practices between rural and urban residents were shown. Addressing differences in HSB per age groups is needed for community engagement for early case detection and case management; critical in reducing cholera deaths and transmission.

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Health care seeking behavior for common childhood illnesses in Ethiopia: a systematic review and meta-analysis

Cited by 3 publications

References 25 publications

Effective coverage of curative child health services in Ethiopia: analysis of the Demographic and Health Survey and Service Provision Assessment survey

Effective coverage of curative child health services in Ethiopia: analysis of the Demographic and Health Survey and Service Provision Assessment survey

Integrated Management of Childhood Illness Programme and Sustainable Development Goals

Healthcare Seeking Behavior and Disease Perception Toward Cholera and Acute Diarrhea Among Populations Living in Cholera High-Priority Hotspots in Shashemene, Ethiopia

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