An analysis of national data on care-seeking behaviour by parents of children with suspected pneumonia in Nigeria

Abdulkadir, Mohammed Baba; Abdulkadir, Zainab; Johnson, Wahab Babatunde Rotimi

doi:10.7196/sajch.2016.v10i1.1076

Cited by 15 publications

(22 citation statements)

References 17 publications

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“…Many factors influence if, when and where families seek sick-child care. Poorer families around the world [7,8] including Nigeria [9][10][11][12] are less likely to seek and receive appropriate care and treatment for their sick children. Similarly, mothers who have not attended school have lower rates of appropriate care seeking when compared to those that have attended school [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

“…Women in Nigeria who are the sole providers of household income or those who have access to their own money are more likely to access maternal and child health services [13,17,18]. Secondary analysis of the Nigeria Demographic and Health Survey 2013 data shows that seeking appropriate care for a child with suspected pneumonia increases almost threefold when the decision is made jointly by both parents as opposed to the mother alone [9]. Fathers are responsible for family resources and pay for care and often take decisions related to when and where care is sought [19].…”

Section: Introductionmentioning

confidence: 99%

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Understanding factors influencing care seeking for sick children in Ebonyi and Kogi States, Nigeria

et al. 2020

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Background: Nigeria has one of the highest child mortality rates in the world, with an estimated 750,000 deaths annually among children under age five. The majority of these deaths are due to pneumonia, malaria, or diarrhea. Many parents do not seek sick-child care from trained, biomedical providers, contributing to this high rate of mortality. Methods: This qualitative study explores factors enabling or preventing parents from seeking care for sick underfive children in Nigeria's Kogi and Ebonyi states, including gender-related roles and social norms. Interviews were conducted with parents of sick under-five children and service providers, and focus group discussions were held with community leaders to assess how care-seeking behavior was influenced by four modes from the Colvin et al. conceptual framework for household decision-making and pathways to care. These include (1) caregivers' recognition and response to illness, (2) seeking advice and negotiating access within the family, (3) making use of community-based treatment options, and (4) accessing biomedical services. Results: Parents were found to have a general understanding of illness symptoms but did not always attribute illness to biomedical causes. Intra-household decision-making processes were shaped by gender dynamics between men and women, and were found to have great effects on decisions to seek care. Use of traditional medicine and self-treatment were found to be common first steps in treatment before turning to the biomedical care system. Once the decision to seek biomedical care was taken, the route of seeking care varied between seeking care at chemists and then continuing to health facilities or starting with a health facility and then accessing prescriptions from a chemist. Conclusion: We conclude that care-seeking decisions do not follow a linear process; that intra-household decisionmaking processes particularly among parents should not be underestimated in addressing sick-child care seeking; and that, given the role of mothers as primary caregivers, their knowledge in illness recognition and agency in careseeking decision-making, and seeking biomedical care, is deserving of future study.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi States, Nigeria

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Many factors influence if, when and where families seek sick-child care. Poorer families around the world (7,8) including Nigeria (9)(10)(11)(12) are less likely to seek and receive appropriate care and treatment for their sick children. Similarly, mothers who have not attended school have lower rates of appropriate care seeking when compared to those that have attended school (12)(13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

“…Secondary analysis of the Nigeria Demographic and Health Survey 2013 data shows that seeking appropriate care for a child with suspected pneumonia increases almost threefold when the decision 5 is made jointly by both parents as opposed to the mother alone (9). Fathers are responsible for family resources and pay for care and often take decisions related to when and where care is sought (19).…”

Section: Introductionmentioning

confidence: 99%

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi states, Nigeria

Dougherty

Gilroy

Olayemi

et al. 2020

Preprint

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Background : Nigeria has one of the highest child mortality rates in the world, with an estimated 750,000 deaths annually among children under age five. The majority of these deaths are due to pneumonia, malaria, or diarrhea. Many parents do not seek sick-child care from trained, biomedical providers, contributing to this high rate of mortality. Methods : This qualitative study explores factors enabling or preventing parents from seeking care for sick under-five children in Nigeria’s Kogi and Ebonyi states, including gender-related roles and social norms. Interviews were conducted with parents of sick under-five children and service providers, and focus group discussions were held with community leaders to assess how care-seeking behavior was influenced by four modes from the Colvin et al conceptual framework for household decision-making and pathways to care. These include (1) caregivers’ recognition and response to illness, (2) seeking advice and negotiating access within the family, (3) making use of community-based treatment options, and (4) accessing biomedical services. Results: Parents were found to have a general understanding of illness symptoms but did not always attribute illness to biomedical causes. Intra-household decision-making processes were shaped by gender dynamics between men and women, and were found to have great effects on decisions to seek care. Use of traditional medicine and self-treatment were found to be common first steps in treatment before turning to the biomedical care system. Once the decision to seek biomedical care was taken, the route of seeking care varied between seeking care at chemists and then continuing to health facilities or starting with a health facility and then accessing prescriptions from a chemist. Conclusion: We conclude that care-seeking decisions do not follow a linear process; that intra-household decision-making processes particularly among parents should not be underestimated in addressing sick-child care seeking; and that, given the role of mothers as primary caregivers, their knowledge in illness recognition and agency in care-seeking decision-making, and seeking biomedical care, is deserving of future study.

show abstract

“…Secondary analysis of the Nigeria Demographic and Health Survey 2013 data shows that seeking appropriate care for a child with suspected pneumonia increases almost threefold when the decision is made jointly by both parents as opposed to the mother alone (9). Fathers are responsible for family resources and pay for care and often take decisions related to when and where care is sought (19).…”

Section: Introductionmentioning

confidence: 99%

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi states, Nigeria

Dougherty

Gilroy

Olayemi

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Nigeria has one of the highest child mortality rates in the world, with an estimated 750,000 deaths annually among children under age five. The majority of these deaths are due to pneumonia, malaria, or diarrhea. Many parents do not seek sick-child care from trained, biomedical providers, contributing to this high rate of mortality. Methods This qualitative study explores factors enabling or preventing parents from seeking care for sick under-five children in Nigeria’s Kogi and Ebonyi states, including gender-related roles and social norms. Interviews were conducted with parents of sick under-five children and service providers, and focus group discussions were held with community leaders to assess how care-seeking behavior was influenced by four modes from the Colvin et al conceptual framework for household decision-making and pathways to care. These include (1) caregivers’ recognition and response to illness, (2) seeking advice and negotiating access within the family, (3) making use of community-based treatment options, and (4) accessing biomedical services. Results Parents were found to have a general understanding of illness symptoms but did not always attribute illness to biomedical causes. Intra-household decision-making processes were shaped by gender dynamics between men and women, and were found to have great effects on decisions to seek care. Use of traditional medicine and self-treatment were found to be common first steps in treatment before turning to the biomedical care system. Once the decision to seek biomedical care was taken, the route of seeking care varied between seeking care at chemists and then continuing to health facilities or starting with a health facility and then accessing prescriptions from a chemist. Conclusion We conclude that care-seeking decisions do not follow a linear process; that intra-household decision-making processes particularly among parents should not be underestimated in addressing sick-child care seeking; and that, given the role of mothers as primary caregivers, their knowledge in illness recognition and agency in care-seeking decision-making, and seeking biomedical care, is deserving of future study.

show abstract

An analysis of national data on care-seeking behaviour by parents of children with suspected pneumonia in Nigeria

Cited by 15 publications

References 17 publications

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi States, Nigeria

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi States, Nigeria

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi states, Nigeria

Understanding factors influencing care seeking for sick children in Ebonyi and Kogi states, Nigeria

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