Potential Barriers to Healthcare in Malawi for Under-five Children with Cough and Fever: A National Household Survey
| Autor: | Ustrup Dr, M., Ngwira, B., Stockman, L. J., Deming, M., Nyasulu, P., Bowie, C., Msyamboza, K., Meyrowitsch, D. W., Nigel Cunliffe, Bresee, J., Fischer, T. K. |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
Rural Population Malawi Health Knowledge Attitudes Practice Fever Urban Population Health services accessibility Health Behavior Infant Pneumonia Original Papers Health expenditure Malaria Interviews as Topic Healthcare surveys Cough Socioeconomic Factors Child Preschool Health Care Surveys Cluster Analysis Humans Female Poverty |
| Zdroj: | Journal of Health, Population, and Nutrition Scopus-Elsevier |
| ISSN: | 2072-1315 1606-0997 |
| Popis: | Failure to access healthcare is an important contributor to child mortality in many developing countries. In a national household survey in Malawi, we explored demographic and socioeconomic barriers to healthcare for childhood illnesses and assessed the direct and indirect costs of seeking care. Using a cluster-sample design, we selected 2,697 households and interviewed 1,669 caretakers. The main reason for households not being surveyed was the absence of a primary caretaker in the household. Among 2,077 children aged less than five years, 504 episodes of cough and fever during the previous two weeks were reported. A trained healthcare provider was visited for 48.0% of illness episodes. A multivariate regression model showed that children from the poorest households (p=0.02) and children aged >12 months (p=0.02) were less likely to seek care when ill compared to those living in wealthier households and children of higher age-group respectively. Families from rural households spent more time travelling compared to urban households (68.9 vs 14.1 minutes; p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|