Optimizing Care-Seeking for Childhood Pneumonia: A Public Health Perspective

The Impact of 3S2E Nursing Management on the Psychological Status of Respiratory Function and Quality of Life of Patients with Severe Pneumonia in the ICU

“…In addition, severe pneumonia is in a negative nitrogen balance, which leads to a decline in the patient's immune status. e increased permeability of the intestinal mucosa and the impaired barrier function will aggravate the systemic inflammatory response, thus forming a vicious circle and leading to the occurrence of multiple organ dysfunction syndromes [9][10][11]. Prompt and effective treatment and nursing are of great signi cance to severe pneumonia.…”

Exploring the challenges in the management of childhood pneumonia-qualitative findings from health care providers from two high prevalence states in India

“…The absence of all or any of the above could result in delays in care seeking-more so among the economically deprived. Our quantitative and qualitative findings with mothers found that UCPs were the preferred choice among a majority of mothers who chose them for reasons of affordability, ease of access and previous negative experiences of poor services at the government facilities [9,10] findings, which are similar to earlier studies in UP [17,18] and other LMICs [19]. While majority of the doctors in our study felt that mothers had to be made aware to seek care from appropriate providers at government health facilities, their own admissions of poor health facilities impacting appropriate care seeking is a point of concern which is in line with a study conducted by Colaco and Mishra in UP and Bihar [20].…”

“…We were however, unable to ascertain if these private allopathic care providers were qualified medical doctors or not [9]. Difficulties in accessing government care facilities, non-availability of doctors and medicines and long waiting time were some of the reasons reported by mothers in qualitative interviews, for poor utilization of government care facilities [10]. Given the enormous responsibility borne by the public health systems in these two states to bring down both the incidence of childhood pneumonia and the IMR, this paper, examined the perceptions of government health care providers on challenges they faced in the effective delivery of pneumonia care and their perceptions on community practices that exacerbated the risk for childhood pneumonia.…”

“…According to this framework, health care access and utilization can be assessed based on three characteristics, namely predisposing factors, enabling factors and perceived and evaluated need [11]. The components of predisposing, enabling and perceived need were explored with the mothers of children who were less than 5 years of age and have been described elsewhere [10]. This paper which explored the perceptions of health care providers was guided by the health systems and the evaluated need component of the framework which refers to how health care professionals judge people's health status and need for medical care.…”

“…A list of all the HSCs functioning in the selected districts was obtained and 30 HSCs per district were selected using the population proportionate to size method for the purpose of the household survey. The government HCPs were selected from among the district level hospitals and CHCs functioning in these selected sites to which these HSC were attached and included both the MOs and the CHWs [10].…”