The proportion and determinants of appropriate health seeking behavior for febrile illness among caregivers of children under-five years in Butula sub-county, Busia county, Kenya.
| Autor: | Kananura JL; Environmental health and disease control, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Nairobi County, Kenya., C Rono B; environmental health and disease control, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Nairobi County, Kenya., S Phiri K; School of Global and Public Health, Kamuzu University of Health Sciences, Kamuzu University of Health Sciences, Blantyre, Malawi. |
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| Jazyk: | angličtina |
| Zdroj: | Open research Europe [Open Res Eur] 2024 Jul 10; Vol. 4, pp. 143. Date of Electronic Publication: 2024 Jul 10 (Print Publication: 2024). |
| DOI: | 10.12688/openreseurope.18028.1 |
| Abstrakt: | Background: Almost 10 million children under the age of five in Kenya, die due to fever-related diseases. In Busia, a county in Kenya, malaria accounts for 13% of all child fatalities under the age of five, a number higher than any other county. This study aimed to determine (a) proportion of appropriate health-seeking behavior and (b) determinants of health-seeking behaviors (HSBs) among their caregivers in Butula Sub-County, Busia County, as reported by the caregivers. Methods: This cross-sectional mixed-method study included 271 caregivers, 11 community health volunteers, and health facility workers in Butula Sub-County. Systematic random sampling for participants and purposive sampling for key informants were used. A questionnaire collected the data that was analysed using frequency and percentages and logistic regression. Results: 70.1% of caregivers reported seeking care for a child's fever within 24 hours. Individual factors that caregivers reported to influence appropriate health-seeking HSB were unemployment (adjusted odds ratio (aOR) = 0.49, 95% CI: 0.217 - 0.593, p = 0.018), self-medication preference (aOR = 0.14, 95% CI: 0.054 - 0.363, p < 0.001), had atleast two children (aOR = 0.63, 95% CI: 0.425 - 0.937, p = 0.042), and confidence in identifying fever (aOR = 7.0, 95% CI: 2.200 - 22.439, p = 0.001). Health-system factors reported to influence HSBs were facility too far (aOR = 0.86, 95% CI: 0.526 - 0.914, p = 0.027), getting health education (aOR = 1.8, 95% CI: 1.201-4.122, p=0.015), and facility level (aOR = 4.4, 95% CI: 2.015 - 9.750, p < 0.001). Qualitative findings found health system factors related to HSB as stockouts, facility distance, and staff workload. Conclusions: Policy and practice efforts should focus on significant individual and health system determinants for HSBs among caregivers of children under five with febrile illness. Competing Interests: No competing interests were disclosed. (Copyright: © 2024 Kananura JL et al.) |
| Databáze: | MEDLINE |
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