Acute childhood morbidities in rural Wardha : Some epidemiological correlates and health care seeking

Deshmukh, Pradeep; Dongre, AR; Sinha, Nirmalya Kumar; Bs, Garg

doi:10.4103/0019-5359.55886

Cited by 29 publications

(35 citation statements)

References 7 publications

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“…Many parents treated their children at home and sought health care later on if the symptoms did not alleviate. [5,6] It has been found that 22.8% of urban dwellers still seek health care from faith healers. [7] The WHO estimated that seeking appropriate and prompt health care would decrease child mortality due to acute respiratory infection by 20%.…”

Section: Introductionmentioning

confidence: 99%

Study of health-care seeking behavior of parents for child health problems in an urban slum area of Solapur

Mandlik¹,

Haralkar²,

Mulaje³

et al. 2017

Int J Med Sci Public Health

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Section: Introductionmentioning

confidence: 99%

Study of health-care seeking behavior of parents for child health problems in an urban slum area of Solapur

Mandlik¹,

Haralkar²,

Mulaje³

et al. 2017

Int J Med Sci Public Health

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“…To formulate an effective and pertinent health policy, prior in-depth knowledge of diseases of public health importance is needed, and understanding the caretakers' perceptions about the disease itself. The attitudes and practices of parents and caretakers toward a disease vary with their perception about its seriousness (especially for young children)4; this work focuses on diarrheal diseases and health care-seeking practices of the primary caretakers of children < 5 years of age.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Health Care Seeking for Diarrheal Illness in Young Children in Urban Slums of Kolkata, India

Manna¹,

Nasrin²,

Kanungo³

et al. 2013

The American Journal of Tropical Medicine and Hygiene

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Maternal practices regarding children's health care have been recognized as an important factor associated with mortality rates among children < 5 years of age. We focused on health care-seeking practices of primary caretakers of children < 5 years of age with diarrheal disease in Kolkata. We interviewed caretakers of 1,058 children in a baseline survey and 6,077 children on six subsequent surveys. The prevalence of diarrhea during the preceding 2 weeks was 7.9% in the baseline survey and 5.7% (lowest 3.5% to highest 7.8%) in subsequent surveys. Multivariate logistic regression showed that formal education of primary caretakers was associated with seeking care outside the home (odds ratio [OR] = 15.5; 95% confidence interval [CI] [2.5–85.7]; P = 0.002). Multinomial logistic regression showed that formal education of the primary caretaker (OR = 21.4; 95% CI [3.2–139.0]; P = 0.002) and presence of dry mouth during diarrhea (OR = 17.3; 95% CI [2.7–110.9]; P = 0.003) were associated with seeking care from licensed providers compared with the children for whom care was not sought outside of the home. This health care utilization and attitudes survey (HUAS) can serve as a tool to identify the factors that influence a better health care-seeking pattern in urban slums of Kolkata.

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“…Evidence suggests that rural people seek outpatient primary care from private providers for many conditions, including newborn/child illnesses1516, malaria/febrile illnesses17, TB18 and women's health19. People's choice of provider may reflect provider proximity, cost, reputation, perceived ‘recovery’, lack of faith in the public sector, and lay notions of aetiology132021.…”

mentioning

confidence: 99%

′First we go to the small doctor′: First contact for curative health care sought by rural communities in Andhra Pradesh & Orissa, India

Gautham¹,

Binnendijk²,

Koren³

et al. 2011

Indian J Med Res

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Background & objectives:Against the backdrop of insufficient public supply of primary care and reports of informal providers, the present study sought to collect descriptive evidence on 1st contact curative health care seeking choices among rural communities in two States of India - Andhra Pradesh (AP) and Orissa.Methods:The cross-sectional study design combined a Household Survey (1,810 households in AP; 5,342 in Orissa), 48 Focus Group Discussions (19 in AP; 29 in Orissa), and 61 Key Informant Interviews with healthcare providers (22 in AP; 39 in Orissa).Results:In AP, 69.5 per cent of respondents accessed non-degree allopathic practitioners (NDAPs) practicing in or near their village; in Orissa, 40.2 per cent chose first curative contact with NDAPs and 36.2 per cent with traditional healers. In AP, all NDAPs were private practitioners, in Orissa some pharmacists and nurses employed in health facilities, also practiced privately. Respondents explained their choice by proximity and providers’ readiness to make house-calls when needed. Less than a quarter of respondents chose qualified doctors as their first point of call: mostly private practitioners in AP, and public practitioners in Orissa. Amongst those who chose a qualified practitioner, the most frequent reason was doctors’ quality rather than proximity.Interpretation & conclusions:The results of this study show that most rural persons seek first level of curative healthcare close to home, and pay for a composite convenient service of consulting-cum-dispensing of medicines. NDAPs fill a huge demand for primary curative care which the public system does not satisfy, and are the de facto first level access in most cases.

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Acute childhood morbidities in rural Wardha : Some epidemiological correlates and health care seeking

Cited by 29 publications

References 7 publications

Study of health-care seeking behavior of parents for child health problems in an urban slum area of Solapur

Study of health-care seeking behavior of parents for child health problems in an urban slum area of Solapur

Determinants of Health Care Seeking for Diarrheal Illness in Young Children in Urban Slums of Kolkata, India

′First we go to the small doctor′: First contact for curative health care sought by rural communities in Andhra Pradesh & Orissa, India

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