Health-seeking behavior and associated factors during the first episode of childhood diarrhea and pneumonia in a coastal area of Bangladesh
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20220214Keywords:
Health-seeking behavior, Diarrhea, Pneumonia, Childhood, MothersAbstract
Background: Pneumonia and diarrhea are the leading causes of under-five (U5) child mortality in Bangladesh. Seeking appropriate care in timely manner may prevent U5 child mortality due to pneumonia and diarrhea, and thus, it is important to understand perception and barriers of health-seeking behavior of parents during childhood pneumonia and diarrhea in order to develop healthcare policies, and design programs to improve health care utilization practices in disadvantaged areas. The study aimed to explore the factors affecting health-seeking behavior during the first episode of childhood diarrhea and pneumonia.
Methods: In a cross-sectional study, survey interviews with 392 mothers, and two focus group discussions (FGD) with fathers (n = 16) were conducted in two villages of Teknaf Upazila in a coastal district in Bangladesh.
Results: Logistic regression analysis indicated that during childhood diarrhea, mother’s age, household monthly income, monthly health expenditure and mother’s knowledge regarding danger signs, and during childhood pneumonia, mothers’ education level, monthly household income, monthly expenditure for treatment, household size, and knowledge regarding danger signs were the predictors of mothers’ health-seeking behavior. Results from FGDs indicate that financial problems, low education, distance to health facilities, poor transport facilities hinder the ability to seek timely care during childhood diarrhea and pneumonia.
Conclusions: Policies and programs should be in place to address barriers of health-seeking behaviors to reduce child mortality due to diarrhea and pneumonia in coastal areas.
References
National Institute of Population Research and Training (NIPORT) and ICF. Bangladesh Demographic and Health Survey 2017- 2018. Dhaka, Bangladesh, and Rockville, Maryland, USA: NIPORT and ICF; 2020.
United Nations inter-agency group for child mortality estimation (UN IGME). Levels & trends in child mortality: report 2018, estimates developed by the UN interagency Group for child mortality estimation. Available at: https://www.un.org/en/development/ desa/population/publications/mortality/child-mortality-report-2018.asp. Accessed on 16 May 2020.
Naghavi M, Abajobir AA, Abbafati C, Abbas KM, Abd-Allah F, Abera SF, et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1151-210.
Ending preventable child deaths before 2035: Bangladesh call to action. New York: UNICEF. 2013. Available at: https://www.unicef.org/bangladesh/ media_8295.htm. Accessed on 16 May, 2020.
Sustainable development goals (SDGs). Available at: https://sustainabledevelopment.un.org/topics/sustainabledevelopmentgoals. Accessed on 24 August 2021.
Ferdous F, Ahmed S, Das SK, Malek MA, Das J, Faruque AS, et al. Mothers’ perception and healthcare seeking behavior of pneumonia children in rural Bangladesh. ISRN Family Med. 2014;2014:1-9.
Gao W, Dang S, Yan H, Wang D. Care-seeking pattern for diarrhea among children under 36 months old in rural western China. PloS One. 2012;7(8): e43103.
Geldsetzer P, Williams TC, Kirolos A, Mitchell S, Ratcliffe LA, Kohli-Lynch MK, et al. The recognition of and care seeking behaviour for childhood illness in developing countries: a systematic review. PloS One. 2014;9(4):e93427.
Jordan HT, Prapasiri P, Areerat P, Anand S, Clague B, Sutthirattana S, et al. A comparison of population-based pneumonia surveillance and health-seeking behavior in two provinces in rural Thailand. Int J Infect Dis. 2009;13(3):355-61.
Olsen SJ, Laosiritaworn Y, Siasiriwattana S, Chunsuttiwat S, Dowell SF. The incidence of pneumonia in rural Thailand. Int J Infect Dis. 2006; 10(6):439-45.
Chauhan RC, Manikandan PA, Samuel A, Singh Z. Determinants of health care seeking behavior among rural population of a coastal area in South India. Int J Sci Rep. 2015;1(2):118-22.
Haque SA. Salinity problems and crop production in coastal regions of Bangladesh. Pak J Bot. 2006; 38(5):1359-65.
Ministry of Health and Family Welfare (MOHFW). Health bulletin 2016: Teknaf Upazila health complex. Dhaka: MOHFW, Govt. of Bangladesh. 2016. Available at: http://app.dghs.gov.bd/localhealth Bulletin2016/publish/publish.php?org=10000934&year=2016&lvl=1. Accessed on May 17, 2021.
Ahmed SM. Medical pluralism: the case of Bangladesh. J Prev Soc Med.1993;2(1): 26-9.
Rahman M, Islam MM, Islam MR, Sadhya G, Latif MA. Disease pattern and health seeking behavior in rural Bangladesh. Faridpur Med Coll J. 2011;6(1):32-7.
Charan J, Biswas T. How to calculate sample size for different study designs in medical research?. Indian J Psychol Med. 2013;35(2):121.
Haque MA, Saha S. Determinants of mother’s health seeking behaviour during common childhood illness in a coastal area of Bangladesh. Int J Percept Public Health. 2018;2(2):76-87.
Purwati NH, Rustina Y, Supriyatno B. Knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia: A qualitative study in an urban community in Indonesia. Belitung Nurs J. 2021;7(2):107-12.
Burton DC, Flannery B, Onyango B, Larson C, Alaii J, Zhang X, et al. Healthcare-seeking behaviour for common infectious disease-related illnesses in rural Kenya: a community-based house-to-house survey. J Health Popul Nutr. 2011;29(1):61.
Das SK, Nasrin D, Ahmed S, Wu Y, Ferdous F, Farzana FD, et al. Health care-seeking behavior for childhood diarrhea in Mirzapur, rural Bangladesh. Am J Trop Med Hyg. 2013;89(1_Suppl):62-8.
Diaz T, George AS, Rao SR, Bangura PS, Baimba JB, McMahon SA, et al. Healthcare seeking for diarrhoea, malaria and pneumonia among children in four poor rural districts in Sierra Leone in the context of free health care: results of a cross-sectional survey. BMC Public Health. 2013;13(1):157.
Aftab W, Shipton L, Rabbani F, Sangrasi K, Perveen S, Zahidie A, et al. Exploring health care seeking knowledge, perceptions and practices for childhood diarrhea and pneumonia and their context in a rural Pakistani community. BMC Health Serv Res. 2018; 18(1):1-10.
Mohanraj R, Kumar S, Jayakumar S, Agarwal M, Dhingra B, Jeyaseelan V, et al. Where do mothers take their children for pneumonia care? Findings from three Indian states. PloS One. 2019;14(4):e0214331.
Abbas, B. Health for the rural masses-insights from chakaria. dhaka: international centre for diarrhoeal disease research, Bangladesh. Available at: http://dspace.icddrb.org/jspui/bitstream/123456789/6421/1/FHS_book_Health_for_Rural_Masses.pdf. Accessed on 28 May, 2020.
Arifeen SE, Bryce J, Gouws E, Baqui AH, Black RE, Hoque DM, et al. Quality of care for under-fives in first-level health facilities in one district of Bangladesh. Bull World Health Organ. 2005;83:260-7.
Apuleni G, Jacobs C, Musonda P. Predictors of health seeking behaviours for common childhood illnesses in poor resource settings in Zambia, a community cross sectional study. Front Public Health. 2021;9:1-9.
Lwin KS, Nomura S, Yoneoka D, Ueda P, Abe SK, Shibuya K. Associations between parental socioeconomic position and health-seeking behaviour for diarrhoea and acute respiratory infection among under-5 children in Myanmar: a cross-sectional study. BMJ Open. 2020;10(3):e032039.
Kanté AM, Gutierrez HR, Larsen AM, Jackson EF, Helleringer S, Exavery A, et al. Childhood illness prevalence and health seeking behavior patterns in rural Tanzania. BMC Public Health. 2015;15(1):951.
Sakisaka K, Jimba M, Hanada K. Changing poor mothers' care-seeking behaviors in response to childhood illness: findings from a cross-sectional study in Granada, Nicaragua. BMC Int Health Hum Rights. 2010;10(1):10.
Sarker AR, Sultana M, Mahumud RA, Sheikh N, Van Der Meer R, Morton A. Prevalence and health care–seeking behavior for childhood diarrheal disease in Bangladesh. Glob Pediatr Health. 2016;3:233.
Sreeramareddy CT, Shankar RP, Sreekumaran BV, Subba SH, Joshi HS, Ramachandran U. Care seeking behaviour for childhood illness-a questionnaire survey in western Nepal. BMC Int Health Hum Rights. 2006;6(1):7.
