Correlates of social behavior change communication on care-seeking behaviors for children with fever: an analysis of malaria household survey data from Liberia
| Autor: | Kathleen A. Fox, Michael Toso, Nan Lewicky, Stella Babalola, Grace Awantang, Daniel Somah, Hannah Koenker, Victor Koko |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Lactones 0302 clinical medicine Health facility Behavior Therapy Medicine 030212 general & internal medicine Child Care seeking Social and behavior change communication Aged 80 and over Receipt Family Characteristics Under-five Multilevel model Middle Aged Artemisinins Infectious Diseases Child Preschool Female Health Services Research Adult medicine.medical_specialty lcsh:Arctic medicine. Tropical medicine Adolescent Behavior change communication lcsh:RC955-962 030231 tropical medicine Campaign Odds lcsh:Infectious and parasitic diseases Antimalarials Young Adult 03 medical and health sciences Humans lcsh:RC109-216 Social Behavior Aged business.industry Research Public health Infant Newborn Infant Patient Acceptance of Health Care Liberia medicine.disease Malaria Treatment Cross-Sectional Studies Health Communication Family medicine Parasitology business |
| Zdroj: | Malaria Journal, Vol 17, Iss 1, Pp 1-10 (2018) Malaria Journal |
| ISSN: | 1475-2875 |
| Popis: | Background In 2010, malaria was responsible for an estimated 41% of deaths among children under the age of five years in Liberia. The same year, the Rebuilding Basic Health Services Project launched “Healthy Baby, Happy Mother,” a social and behavior change communication campaign. The campaign encouraged caregivers to take children under the age of five years to a health facility as soon as children developed fever. This study investigated correlates of two case management outcomes: care-seeking for children under five with fever during the past two weeks and administration of an artemisinin-based combination therapy (ACT) the same or next day as fever onset. Methods Data from a 2014 cross-sectional household survey from four counties was used to investigate correlates of two case management outcomes. Using multilevel analysis, the association between these outcomes and a caregiver’s recall of the campaign, her sociodemographic characteristics, and unmeasured characteristics of the community she lived in was investigated. Results Caregivers living in Grand Kru County were less likely (OR = 0.21, 95% CI 0.073, 0.632) to take a child to a health facility than those in Bong County. Caregiver recall of the campaign was positively associated with the odds that a child received an ACT promptly (OR 3.62, 95% CI 1.398–9.372), but not with the odds of a caregiver taking a child in their care to a health facility. While unmeasured community-level factors accounted for 19.0% of the variation in the odds that a caregiver’s child was brought to a health facility, they did not play a role in the odds of prompt ACT treatment. Conclusions Recalling the “Healthy Mother, Happy Baby” campaign was positively associated with the odds that children received ACT promptly, even in the absence of other malaria prevention and treatment messaging. While caregiver exposure was not associated with care-seeking during the two weeks before interview, prompt care-seeking likely preceded prompt receipt of ACT since most ACT came from health facilities. Unmeasured community-level factors, such as distance from the health facility, may play a role in determining the odds that a caregiver takes a child to a health facility. |
| Databáze: | OpenAIRE |
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