Health Care-Seeking Behavior for Childhood Diarrhea in Mirzapur, Rural Bangladesh

Das, Sumon Kumar; Nasrin, Dilruba; Ahmed, Shahnawaz; Wu, Yukun; Ferdous, Farzana; Farzana, Fahmida Dil; Khan, Soroar Hossain; Malek, Mohammad Abdul; Arifeen, Shams El; Levine, Myron M.; Kotloff, Karen L.; Faruque, Abu Syed Golam

doi:10.4269/ajtmh.13-0107

Cited by 53 publications

(68 citation statements)

References 17 publications

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“…The inequity displayed in care seeking could be explained by a multitude of factors, one being the cost of seeking care, as has been shown in studies from around the world [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Care seeking for children with fever/cough or diarrhoea in Nepal: equity trends over the last 15 years

Singh¹,

2017

Scand J Public Health

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Aims: Childhood illnesses such as diarrhoea and pneumonia remain major contributors to child mortality globally and need to be continually targeted in pursuit of universal health coverage. This study analyses time trends in the prevalence of fever/ cough and diarrhoea in Nepal and applies an equity lens in order to identify disadvantaged groups. Methods: Data from the Nepal Demographic Health Surveys of 2001, 2006, and 2011, together with data from the most recent Multiple Indicator Cluster Survey of 2014 performed in Nepal, were utilized for analysis. Results: Analyses revealed improvements (lower prevalence) of diarrhoea and fever/cough in children under five in Nepal over the last 15 years, with an equitable distribution of symptoms over socio-economic determinants. There was, however, a marked and maintained inequity in care seeking for these symptoms, with less educated mothers and those from poor households being only approximately half as likely to seek care for their children. Conclusions: Results highlight the persisting need for targeting care-seeking and societal barriers to treatment in order to achieve universal health access.

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“…The inequity displayed in care seeking could be explained by a multitude of factors, one being the cost of seeking care, as has been shown in studies from around the world [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

Care seeking for children with fever/cough or diarrhoea in Nepal: equity trends over the last 15 years

Singh¹,

2017

Scand J Public Health

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“…This implies longer distance as barrier for seeking appropriate treatment for illnesses. Previous studies reported that approximately 50% of the diarrhea patients consult a village health care provider which reflected their belief that they received quality health care from them in rural Bangladesh [30,31]. They were easily available and commonly utilized source of health care at the community level.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Socio-Economic Conditions and Clinical Characteristics on Improving Childhood Care Seeking Behaviors for Families Living far from the Health Facility

Ferdous¹

2013

SJPH

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Abstract:Background: Lack of proper transportation and poor road infrastructure to the health facility act as a strong barrier for the adequate accessibility to healthcare services. There is lack of evidence based information particularly in Bangladesh examining the relationship between health care seeking behavior of mothers for their children with diarrhea and barriers such as distance to be travelled in reaching health facility. Objective: This study explored the factors that determine improving care seeking behaviors by the caregivers of under-5 children with diarrhea and also measured its impact due to living too far from a tertiary health facility in rural Bangladesh. Methodology: From January 2010 to December 2011, a total of 2,324 under-five children with diarrhea received treatment at Kumudini Womens' Medical College and Hospital, Mirzapur, Tangail. Among them, 1,919 (83%) received treatment at home before coming to the health facility. Based on median value of 4 miles needed to travel, we divided distance into two groups: (i) >4 miles, (ii)≤4 miles. Results: Forty nine percent (n=1,144) of the diarrheal children presented to the facility from a distance of >4 miles and 86% of them received treatment at home before reporting to the hospital. Conclusions: Longer distance of health facility delays seeking appropriate medical care from the facility rather parent seeks care from facilities to the next door of the locality. Clinical features such as fever, vomiting, and more stool frequency influence parents to get prior treatment before reporting to health facility, whether, presence of blood in stool influence parents in reporting directly to the health facility.

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“…In Bangladesh, healthcare services are sought from a mix of sources including public and private providers in both the formal and informal sector, as well as traditional medicine [19][20][21]. Rural and disadvantaged populations in Bangladesh commonly first seek care from a wide array of informal providers including village doctors, traditional healers, drug sellers, and homeopathic doctors [18,19,22,23]. Village doctors are prominent providers in rural communities-approximately 12.5 per 10,000 population.…”

Section: Introductionmentioning

confidence: 99%

Caregiver acceptability of the guidelines for managing young infants with possible serious bacterial infections (PSBI) in primary care facilities in rural Bangladesh

Applegate

Ahmed²,

Harrison

et al. 2020

PLoS ONE

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IntroductionMany infants with possible serious bacterial infections (PSBI) do not receive inpatient treatment because hospital care may not be affordable, accessible, or acceptable for families. In 2015, WHO issued guidelines for managing PSBI in young infants (0-59 days) with simpler antibiotic regimens when hospital care is not feasible. Bangladesh adopted WHO's guidelines for implementation in outpatient primary health centers. We report results of an implementation research study that assessed caregiver acceptability of the guidelines in three rural sub-districts of Bangladesh during early implementation (October 2015-August 2016). MethodsWe included 19 outpatient primary health centers involved in the initial rollout of the infection management guidelines. We extracted data for all PSBI cases (N = 192) from facility registers to identify gaps in referral feasibility, simplified antibiotic treatment, and follow-up. Focus group discussions (FGD) and in-depth interviews (IDI) were conducted with both caregivers (6 FGDs; 23 IDIs) and providers (2 FGDs; 28 IDIs) to assess caregiver acceptability of the guidelines.

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Health Care-Seeking Behavior for Childhood Diarrhea in Mirzapur, Rural Bangladesh

Cited by 53 publications

References 17 publications

Care seeking for children with fever/cough or diarrhoea in Nepal: equity trends over the last 15 years

Care seeking for children with fever/cough or diarrhoea in Nepal: equity trends over the last 15 years

The Impact of Socio-Economic Conditions and Clinical Characteristics on Improving Childhood Care Seeking Behaviors for Families Living far from the Health Facility

Caregiver acceptability of the guidelines for managing young infants with possible serious bacterial infections (PSBI) in primary care facilities in rural Bangladesh

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