PMID- 34095039
OWN - NLM
STAT- MEDLINE
DCOM- 20210616
LR  - 20210616
IS  - 2296-2565 (Electronic)
IS  - 2296-2565 (Linking)
VI  - 9
DP  - 2021
TI  - Predictors of Health Seeking Behaviours for Common Childhood Illnesses in Poor 
      Resource Settings in Zambia, A Community Cross Sectional Study.
PG  - 569569
LID - 10.3389/fpubh.2021.569569 [doi]
LID - 569569
AB  - Background: Developing countries, including Zambia, account for larger share of 
      child morbidities and mortalities due to common childhood illnesses. Studies on 
      wider determinants of behaviour pertaining to treatment seeking for childhood 
      febrile illnesses in poor resource settings are limited. This study investigated 
      health seeking behaviours of mothers in poor resource settings of Zambia and 
      identified associated factors. Methods: Secondary data from a community cross 
      sectional study design from the Health for the Poorest Population (HPP) Project 
      was analysed between March and May 2019. Data was collected between May and 
      August, 2013. It was collected by means of administering a structured 
      questionnaire from the mothers of under-five children. The survey took place in 
      Samfya and Chiengi of Luapula province while in Northern Province, Luwingu and 
      Mungwi were settled for. A total of 1 653 mothers of under 5 years who had an 
      episode of diarrhoea, malaria, pneumonia or a combination of any of them not more 
      than 14 days before the interview were included in the study. A sample size was 
      arrived at using A Lot Quality Assurance Sampling (LQAS) method. In order to 
      determine the associations between respondent's demographic characteristics and 
      health seeking behaviour, chi square test of independence was carried out. 
      Multivariable logistic regression was also done to identify predictors of health 
      seeking behaviours for common childhood illnesses in children aged <5 years old 
      in poor resource settings. Results: Among the mothers interviewed, 64.6% were 
      married while 35.4% were unmarried. Their mean age was 32 years. Mothers who took 
      their sick children to the health facilities for the purpose of seeking health 
      care for their child for either of the illnesses accounted for 75.2%, [95% CI: 
      0.62-0.96], while 24.8% did not seek health care for their sick child. Factors 
      typically associated with health seeking behaviours were mothers' marital status 
      [aOR = 0.74; 95% CI: 0.58-0.94], and mothers 'education level [aOR = 1.47; 95% 
      CI: 1.13-1.92]. Conclusion: It was established in this study that health care 
      seeking behaviours for these common childhood illnesses in poor resource settings 
      was relatively high and could be predicted by mother's education level and 
      mothers' marital status. Integrating interventions targeted at increasing 
      utilisation of maternal and child health services with basic education to women 
      and moral support counselling to families may potentially maximise health seeking 
      behaviours in marginalised communities.
CI  - Copyright (c) 2021 Apuleni, Jacobs and Musonda.
FAU - Apuleni, Golden
AU  - Apuleni G
AD  - Department of Epidemiology and Biostatistics, School of Public Health, University 
      of Zambia, Lusaka, Zambia.
FAU - Jacobs, Choolwe
AU  - Jacobs C
AD  - Department of Epidemiology and Biostatistics, School of Public Health, University 
      of Zambia, Lusaka, Zambia.
FAU - Musonda, Patrick
AU  - Musonda P
AD  - Department of Epidemiology and Biostatistics, School of Public Health, University 
      of Zambia, Lusaka, Zambia.
LA  - eng
PT  - Journal Article
DEP - 20210519
PL  - Switzerland
TA  - Front Public Health
JT  - Frontiers in public health
JID - 101616579
SB  - IM
MH  - Adult
MH  - Child
MH  - Child, Preschool
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - *Lot Quality Assurance Sampling
MH  - Mothers
MH  - *Patient Acceptance of Health Care
MH  - Zambia/epidemiology
PMC - PMC8170042
OTO - NOTNLM
OT  - common childhood illnesses
OT  - health seeking behaviours
OT  - maternal and child health care
OT  - model
OT  - poor resource settings
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2021/06/08 06:00
MHDA- 2021/06/17 06:00
PMCR- 2021/05/19
CRDT- 2021/06/07 06:04
PHST- 2020/12/02 00:00 [received]
PHST- 2021/04/12 00:00 [accepted]
PHST- 2021/06/07 06:04 [entrez]
PHST- 2021/06/08 06:00 [pubmed]
PHST- 2021/06/17 06:00 [medline]
PHST- 2021/05/19 00:00 [pmc-release]
AID - 10.3389/fpubh.2021.569569 [doi]
PST - epublish
SO  - Front Public Health. 2021 May 19;9:569569. doi: 10.3389/fpubh.2021.569569. 
      eCollection 2021.