Mothers’ Care-Seeking Behavior for Common Childhood Illnesses and Its Predictors in Ethiopia: Meta-Analysis

Tekalign, Tiwabwork; Guta, Mistire Teshome; Awoke, Nefsu; Asres, Abiyot Wolie; Obsa, Mohammed Suleiman

doi:10.1155/2022/2221618

Cited by 3 publications

(3 citation statements)

References 36 publications

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“…Children living in wealthier households, from the South–South geopolitical zone and whose mother had at least secondary education were more likely to be taken for care than those in poorer households, other geopolitical zones, or less educated mothers ( 10 ). Previous studies from low- and middle-income countries globally have also identified child sex and age ( 11 , 12 ), maternal education and marital status ( 13–15 ), household dynamics and wealth index ( 11 , 15 , 16 ), perceived illness severity and trust in health care ( 12 ) as determinants of care seeking for sick under-five children. However, these relationships can differ by setting, highlighting the importance of local empirical studies on care seeking for children under-five to guide interventions design and prioritization for child health programming ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study

Bakare

King

Salako

et al. 2023

Front. Public Health

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BackgroundBetween 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. We therefore aimed to describe caregiver knowledge and care seeking behaviour for childhood pneumonia, in a high child mortality setting in Nigeria, to inform the development of effective community-based interventions for pneumonia control.MethodsWe conducted a cross-sectional household survey in Kiyawa Local Government Area, Jigawa State, Nigeria between December 2019 and March 2020. We asked caregivers about their knowledge of pneumonia symptoms, prevention, risks, and treatment. A score of 1 was assigned for each correct response. We showed them videos of pneumonia specific symptoms and asked (1) if their child had any respiratory symptoms in the 2-weeks prior; (2) their subsequent care-seeking behaviour. Multivariate regressions explored socio-demographic and clinical factors associated with care seeking.ResultsWe surveyed 1,661 eligible women, with 2,828 children under-five. Only 4.9% of women could name both cough and difficulty/fast breathing as pneumonia symptoms, and the composite knowledge scores for pneumonia prevention, risks and treatment were low. Overall, 19.0% (536/2828) of children had a report of pneumonia specific symptoms in the prior two-weeks, and of these 32.3% (176/536) were taken for care. The odds of care seeking was higher among children: with fever (AOR:2:45 [95% CI: 1.38–4.34]); from wealthiest homes (AOR: 2:13 [95% CI: 1.03–4.38]) and whose mother first married at 20–26 years compared to 15–19 years (AOR: 5.15 [95% CI: 1.38–19.26]). Notably, the caregiver’s knowledge of pneumonia was not associated with care seeking.ConclusionWhile some socio-demographic factors were associated with care seeking for children with symptoms of Acute Respiratory Infection (ARI), caregiver’s knowledge of the disease was not. Therefore, when designing public health interventions to address child mortality, information-giving alone is likely to be insufficient.

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Section: Introductionmentioning

confidence: 99%

Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study

Bakare

King

Salako

et al. 2023

Front. Public Health

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“…Unlike the body of literature which has investigated willingness to pay amongst those targeted by the SHI, information on healthcare seeking behavior (HSB) for formal sector employees is limited [25]. The existing literature tends to focus on healthcare seeking behavior for children or for specific diseases such as HIV/AIDS and Tuberculosis [26][27][28][29]. Information on the HSB of formal sector employees is needed to shed light on the potential challenges that current patterns of HSB may create for the implementation of the SHI.…”

Section: Introductionmentioning

confidence: 99%

Social Health Insurance and Healthcare Seeking Behavior in Urban Ethiopia

Zarepour,

Mebratie,

Shamebo

et al. 2023

agh

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Background: After years of planning, in 2024 the government of Ethiopia proposes to introduce a compulsory Social Health Insurance (SHI) program for formal sector employees. The proposed scheme will provide access to contracted healthcare facilities at a premium of 3% of the gross monthly income of employees with another 3% coming from the employer. Objectives: Several studies have examined the willingness to pay (WTP) this premium, however, little is known about the healthcare seeking behavior (HSB) of formal sector employees. This paper investigates both – the determinants of healthcare seeking behavior and among other aspects, WTP the premium. Through these explorations, the paper sheds light on the potential challenges for implementation of SHI. Methods: Descriptive statistics, logit, and multinomial logit (MNL) models are used to analyze retrospective survey data (2,749 formal sector employees) which covers the major regions of the country. Findings: Regarding outpatient care, a majority of the visits (55.9%) were to private healthcare providers. In the case of inpatient care, it was the opposite with a majority of healthcare seekers visiting public sector hospitals (62.5%). A majority of the sample (67%) supported the introduction of SHI but only 24% were willing to pay the proposed SHI premium. The average WTP was 1.6% of gross monthly income. Respondents in the two richest income quintiles were more likely to oppose SHI and consider it unfair. Conclusion: The prominent role of the private sector and the resistance to SHI amongst the two richest income quintiles, suggests that the SHI program needs to actively include private healthcare facilities within its ambit. Additionally, concerted efforts at enhancing the quality of care available at public health facilities, both, in terms of perception and patient-centered care and addressing drug and equipment availability bottlenecks, are needed, if SHI is to garner wider support.

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“…Unlike the body of literature which has investigated willingness to pay amongst those targeted by the SHI, information on health-seeking behaviour (HSB) for formal sector employees is limited [22]. The existing literature tends to focus on healthcare seeking behavior for children or for specific diseases such as HIV/AIDS and Tuberculosis [23][24][25][26]. Information on the HSB of formal sector employees is needed to shed light on the potential challenges that current patterns of HSB may create for the implementation of the SHI.…”

Section: Introductionmentioning

confidence: 99%

The Introduction of Social Health Insurance and Health Care Seeking Behavior in Urban Ethiopia

Zarepour,

Mebratie,

Shamebo

et al. 2023

Preprint

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Objectives: In recent years, to enhance access to and use of health care the government of Ethiopia has introduced voluntary Community Based Health Insurance (CBHI) schemes for the rural and informal sectors of the economy. After years of planning and the ratification of a legal framework the government proposes to introduce a compulsory Social Health Insurance (SHI) program for formal sector employees. The proposed scheme will provide access to contracted health care facilities at a premium of 3% of the gross monthly income of employees with another 3% coming from the employer. While several studies have examined the willingness to pay this premium, little is known about the health care seeking behaviour (HSB) of formal sector employees. In part, the implementation of the SHI has been delayed due to the unwillingness of public servants to pay the proposed premium. Scheme coverage which will be restricted to contracted facilities, may also be contentious if this is dominated by publicly provided health care services. This paper investigates both, the determinants of health care seeking behaviour of formal sector employees and their families and attitudes related to the introduction of SHI such as fairness, affordability, and willingness to pay the SHI premium. Through these explorations, the paper sheds light on the potential challenges for the implementation of SHI. Setting: The study is based on a survey of formal sector employees and their families in urban Ethiopia. It covers the major administrative regions of the country and contains information on 2,749 formal sector employees and their families or a total of 6,894 individuals. Results: Regarding outpatient care, conditional on falling ill, 85.5% sought some form of care within a couple of days (2.4 days) of falling ill. The bulk (94%) of those who did seek care, opted for formal treatment. A majority of the visits (55.9%) were to private health clinics or hospitals. In the case of inpatient care, the picture was reversed with a majority of health care seekers visiting public sector hospitals (62.5%). There is a strong positive link between income and the use of private health services. A majority of the sample (67%) supported the introduction of SHI but only about 24% were willing to pay a premium of 3% of their gross monthly income. The average WTP was 1.6%. Respondents in the two richest income quintiles were far more likely to oppose SHI and consider it unfair. Conclusion: The prominent role of the private sector especially in terms of outpatient care and the stronger resistance to SHI amongst the two richest income quintiles, that is, those who are most likely to use private health care providers, suggests that the SHI program needs to actively include private health care facilities within its ambit. Additionally, as was done prior to the introduction of the CBHI, concerted efforts at enhancing the quality of care available at public health facilities, both, in terms of perception and patient-centred care and in terms of addressing drug and equipment availability bottlenecks, are needed. A combination of these two measures is likely to enhance support for the introduction of SHI.

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Mothers’ Care-Seeking Behavior for Common Childhood Illnesses and Its Predictors in Ethiopia: Meta-Analysis

Cited by 3 publications

References 36 publications

Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study

Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study

Social Health Insurance and Healthcare Seeking Behavior in Urban Ethiopia

The Introduction of Social Health Insurance and Health Care Seeking Behavior in Urban Ethiopia

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