A study of factors which determine health seeking behavior of mothers for their under five children in rural area of Gujarat
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174822Keywords:
Health seeking behaviour, Under five childrenAbstract
Background: Childhood illnesses present a major public health challenge for developing countries like India which is aggravated by a suboptimal health seeking behaviour by the parents or guardians. Appropriate medical care seeking could prevent a significant number of child deaths and complications. The present study aims to determine the factors affecting health seeking behavior for childhood illnesses, thereby improving child survival.
Methods: This was a cross-sectional study conducted in rural area of Gujarat. Study subjects were patients aged 2 months to 5 years of age who presented to the outpatient department of Rural Health Training Centre. The health seeking behavior of mothers for their child’s illness and the factors affecting it were analyzed.
Results: Regarding utilizing the curative aspect of healthcare-seeking behavior, out of total 147 male children, treatment was not received by 31 children (21.09%), while those who received treatment, 71 males (48.30%) get treatment at the public sector and 45 males (30.61%) get treatment at private sector. It indicated the promptness, concern and utmost care for male children by their mothers. Out of 90 female children, in 30.00% of the cases, no treatment was received. 42 females (in 46.67% cases) receive treatment at public sector and 21 females (in 23.33% cases) receive treatment at private sector. The association between mass media exposure and health care seeking behavior was found to be statistically significant. The association between working status of mother and health seeking behavior was not found statistically significant.
Conclusions: For the preventable childhood illnesses, appropriate health seeking behaviour is low. Intervention programs focusing on educational improvement of the caretakers, introduction of community based integrated management of childhood illness are likely to contribute to improve the health seeking behaviour and child survival.
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References
Ryland S, Raggers A. Demographic and Health Surveys (Comparative Studies), 27: Childhood Mortality and Treatment Patterns. Caverton MD: Macro International; 1998:10.
Thomas CN. A household study of illness prevalence and healthcare preference in a rural district Cameroon. Int J Epidemiol. 1997;6(3):235-41.
Stuyft VP, Sorensen SC, Delgado E, Bocaleii C. Health seeking behaviour for child illness in rural Guetemala. Trop Med Int Health. 1996;1:161-70.
Alba A, Mshana C, Hetzel MW, Lengeler C. Acceptability – a neglected dimension of access to health care : findings from a study on childhood convulsions in rural Tanzania. BMC Health Serv Res. 2012;10(6):67-9.
Walia I, Kumar V. Utilization of neonatal health care in a community. Indian J Pediatr. 1984;21(4):925-31.
Chen L, Huq E, D’Souza S. Sex bias in the family: Allocation of food and health care in rural Bangladesh. Population Dev Rev. 1981;7(2):54-70.
Ganatra B, Hirve S. Male bias in health care utilization for under-fives in a rural community in western India. Bull World Health Organ. 1994;72:101-4.
Hossain MM, Glass RI. Parental son preference in seeking medical care for children less than five years of age in a rural community in Bangladesh. Am J Public Health. 1988;78(3):1349-50.
Basu AM. Is discrimination in food really necessary for explaining sex differentials in childhood mortality? Population Stud. 1989;43:193-210.
Rao KV, Mishra VK, Retherford RD. Knowledge and use of Oral Rehydration Therapy for childhood diarrhoea in India: Effects of exposure to mass media. NFHS Subject Report No.10. IIPS, India and East-West Centre, Program on Population, Honolulu, USA. 1998: 8.
Government of India. National Family Health Survey (NFHS) III (2005-06), India Report Bombay: International Institute for Population Sciences; 2007:7.
Haas J. The cost of being a woman. N Engl J Med. 1998;338(2):1694-5.
WHO. Not Enough Here.Too Many Health Workforce in India. World Health Organization. Country Office for India 2007: 1. Available at: http://www.whoindia.org/LinkFiles/Human Resources Health Workforce in India, Apr07.pdf. Accessed on 12 April 2017.
Rural healthcare system in India. Available from: http://www.mohfw.nic.in/ rural health care system in India.pdf. Accessed on 14 April 2017.
Community health workers: What do we know about them? WHO publication 2007. Available from: http://www.who.int/hrh/documents/comm-unity_health_workers_brief.pdf. Accessed on 12 April 2017.
WHO. Primary health care. WHO Document 2011. Available from: http://www.who.int/topics/primary healthcare/en. Accessed on 14 April 2017.
Sudman S, Bradburn NM. Effects of time and memory factors on response in surveys. J Am Statist Assoc. 1973;68:805-15.