Healthcare-seeking behavior for infectious diseases in a community in Bangladesh

Khan, Shafiqul Islam; Ani, Jannatul Ferdous; Rani, Bithika; Apon, Shafaet Jamil; Rashid, Fahmida; Yead, Tanjil Islam; Begum, Musammet Rasheda; Chowdhury, Sukanta

doi:10.4103/ijamr.ijamr_38_18

Cited by 4 publications

(4 citation statements)

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“…In agreement with previous studies (Khan et al, 2018; Mbagaya and Odhiambo, 2005), proximity of health facilities to participants home-dwelling was a significant factor that determined health care seeking for childhood diseases. Specifically, respondents who lived nearer to a health care facility were more likely to take medical care at the time of illness than those who lived far ( ≥ 30 min walking distance).…”

Section: Discussionsupporting

confidence: 91%

“…This study demonstrated that health care facilities were the most frequented sources where care was sought for childhood infectious diseases which coincides with previous studies conducted in rural areas of Ethiopia and Bangladesh (Khan et al, 2018;Kolola et al, 2016). A proportion of the participants sought health care through alternative sources such as pharmacy, home remedies and traditional healing which is similar to a previous Bangladeshi study (Khan et al, 2018). Greater costs of care from health facilities and inadequate mother/caregiver knowledge about medical care might be a potential reason for choosing these alternative health care options.…”

Section: Discussionsupporting

confidence: 90%

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Determinants of health care seeking behavior for childhood infectious diseases and malnutrition: A slum-based survey from Bangladesh

Akter

Banna

Brazendale

et al. 2022

J Child Health Care

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This study aimed to explore the magnitude and determinants of health care seeking behaviors for common infectious disease and malnutrition among Bangladeshi under-five children living in slum areas. A cross-sectional study of 300 children-caregiver dyads was conducted in an urban slum of Bangladesh. Data were collected via a structured questionnaire with accompanying anthropometric assessments of children administered by research staff. Multiple logistic regression was employed to identify associated factors of health care seeking behaviors. Only 44.7% and 13.0% of respondents sought care for childhood infectious diseases and malnutrition, respectively. Being a male child, 2–5 years old, having ≤5 family members, monthly family income >125$, and living in close proximity to a health facility were found to be potential determinants of health care seeking behavior for childhood infectious diseases. Mother/caregivers with poor nutritional information knowledge and who had a child 2–5 years old reported engaging in less care seeking behaviors regarding their child’s malnutrition compared to their counterparts. Caregivers of children under the age of 5 years old reported low participation in health care seeking behaviors in relation to childhood infectious disease and malnutrition. Families living in slums require additional support targeting health and nutritional educational programs.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 90%

Determinants of health care seeking behavior for childhood infectious diseases and malnutrition: A slum-based survey from Bangladesh

Akter

Banna

Brazendale

et al. 2022

J Child Health Care

View full text Add to dashboard Cite

show abstract

“…20 Moreover, the proximity of health care facility should be considered by policymakers to improve utilization of health care services as the cost of care is not only associated with medical care at health facilities, but also out-of-pocket transportation cost that should be disbursed by the family to reach these facilities. 21 Although a study in Indonesia reported that the number of health resources has increased over the years, it is still unequally distributed across all areas of Indonesia. 22 Additionally, associated opportunity cost (lost wages) as the results of visiting health facilities could be a challenge and might hinder mothers or other family members working in informal sectors to visit health facilities.…”

Section: Discussionmentioning

confidence: 99%

“…As the study used data from cross–sectional surveys, the analysis could not generate a cause-and-effect relationship between variables. There were variables that might be potentially related to the care-seeking behavior not examined in this study as they are not available in the dataset, such as the quality of health care service and competence of medical staff, 12,30 accessibility to the local health care center, 21 or knowledge of caregiver about childhood illnesses. 12,30 Information provided by respondents was based on women’s recall ability.…”

Section: Discussionmentioning

confidence: 99%

Health Care–Seeking Behavior of Children With Acute Respiratory Infections Symptoms: Analysis of the 2012 and 2017 Indonesia Demographic and Health Surveys

Titaley

Que

Lima

et al. 2020

Asia Pac J Public Health

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Our study examined factors associated with the utilization of health services in children younger than 5 years with acute respiratory infections (ARIs) symptoms in Indonesia. Data were derived from the 2012 and 2017 Indonesia Demographic and Health Survey. Information from 1408 children younger than 5 years showing ARI symptoms in the past 2 weeks before the survey was analyzed using logistic regression analyses. Around 25% of children younger than 5 years with ARI symptoms did not receive medical care. The odds of receiving care increased in mothers from rich households. The odds reduced in children aged 2 or more years; children of mothers not assisted by trained delivery attendants; mothers attending none or <4 antenatal visits; mothers delivering at home, and mothers reporting that permission to visit health services was a problem. Efforts to improve care-seeking behavior are required. Health promotion strategies and interventions to improve access to reach community not regularly exposed to health services are important.

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The winding road to health: A systematic scoping review on the effect of geographical accessibility to health care on infectious diseases in low- and middle-income countries

et al. 2021

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Background Geographical accessibility to healthcare is an important component of infectious disease dynamics. Timely access to health facilities can prevent disease progression and enables disease notification through surveillance systems. The importance of accounting for physical accessibility in response to infectious diseases is increasingly recognized. Yet, there is no comprehensive review of the literature available on infectious diseases in relation to geographical accessibility to care. Therefore, we aimed at evaluating the current state of knowledge on the effect of geographical accessibility to health care on infectious diseases in low- and middle-income countries. Methods and findings A search strategy was developed and conducted on Web of Science and PubMed on 4 March 2019. New publications were checked until May 28, 2020. All publication dates were eligible. Data was charted into a tabular format and descriptive data analyses were carried out to identify geographical regions, infectious diseases, and measures of physical accessibility among other factors. Search queries in PubMed and Web of Science yielded 560 unique publications. After title and abstract screening 99 articles were read in full detail, from which 64 articles were selected, including 10 manually. Results of the included publications could be broadly categorized into three groups: (1) decreased spatial accessibility to health care was associated with a higher infectious disease burden, (2) decreased accessibility was associated to lower disease reporting, minimizing true understanding of disease distribution, and (3) the occurrence of an infectious disease outbreak negatively impacted health care accessibility in affected regions. In the majority of studies, poor geographical accessibility to health care was associated with higher disease incidence, more severe health outcomes, higher mortality, and lower disease reporting. No difference was seen between countries or infectious diseases. Conclusions Currently, policy-makers and scientists rely on data collected through passive surveillance systems, introducing uncertainty on disease estimates for remote communities. Our results highlight the need for increasing integration of geographical accessibility measures in disease risk modelling, allowing more realistic disease estimates and enhancing our understanding of true disease burden. Additionally, disease risk estimates could be used in turn to optimize the allocation of health services in the prevention and detection of infectious diseases.

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Healthcare-seeking behavior for infectious diseases in a community in Bangladesh

Cited by 4 publications

References 0 publications

Determinants of health care seeking behavior for childhood infectious diseases and malnutrition: A slum-based survey from Bangladesh

Determinants of health care seeking behavior for childhood infectious diseases and malnutrition: A slum-based survey from Bangladesh

Health Care–Seeking Behavior of Children With Acute Respiratory Infections Symptoms: Analysis of the 2012 and 2017 Indonesia Demographic and Health Surveys

The winding road to health: A systematic scoping review on the effect of geographical accessibility to health care on infectious diseases in low- and middle-income countries

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