Care seeking behaviour and aspects of quality of care by caregivers for children under five with and without pneumonia in Ibadan, Nigeria

Abstract

BackgroundThis study aimed to investigate the differences in reported care seeking behaviour and treatment between children with pneumonia and children without pneumonia with cough and/or difficult breathing.MethodsThree hundred and two children aged 0-59 months with fast breathing pneumonia were matched with 302 children seeking care for cough and/or difficult breathing at four outpatient clinics in Ibadan, Nigeria. After follow up at home, Demographic and Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) questionnaires were administered in the community by trained field workers to gather information around care seeking delay, patterns of care seeking, appropriateness of care seeking and treatment provided once care was sought. Multivariable analysis was carried out to determine significant factors associated with care seeking delay.ResultsChildren with pneumonia had a significantly longer delay (median = 3d) before seeking care than those without pneumonia (median = 2d; P = 0.001). The length of the delay was 21% (95% confidence interval (CI) = 1%-42%) greater in those aged 0-1 month and 11% (95% CI = 5%-42%) greater in those aged 2-11 months compared to those aged 12-59 months. The length of delay was 17% (95% CI = 5%-30%) greater in rural locations than urban ones, and 33% (95% CI = 7%-51%) shorter in fathers with only primary education compared to higher education, adjusted for covariates. The range of places where care was sought showed the same distribution in those with and without pneumonia. Twenty two per cent of those with pneumonia sought care first from inappropriate providers. The number of children for whom caregivers reported having received antibiotic treatment was 92% for those with pneumonia and 84% for those without pneumonia.ConclusionsGiven that children with pneumonia and cough/cold had similar patterns of reported care seeking information gathered on care seeking (type of provider visited) from DHS and MICS surveys on those with ‘symptoms of acute respiratory infection’ in this setting provide a reasonably valid indication of care seeking behaviours in children with pneumonia. There are high levels of antibiotic overuse for children with cough/cold in this setting which risks worsening antibiotic resistance.

Pathogens Causing Respiratory Tract Infections in Children Less Than 5 Years of Age in Senegal

“…Literature confirms that practices are similar in other low-income countries. [44][45][46] The main strength of this study is the inclusion of all ARTIs within a primary care clinic. This gives insight into the pathogens causing the infections.…”

Effect of continuous nursing on nursing quality and patient quality of life and satisfaction among children with pneumonia

“…17,18 Continuous nursing can serve to meet the needs of patients, improve the overall level of nursing, improve patient satisfaction, promote more effective nursing work, and promote improvement of the doctor-patient relationship. Kirolos et al 19 found that continuous nursing can improve nursing satisfaction among children with pneumonia as well as avoid medical disputes. The continuous nursing process is ongoing once the child leaves the hospital, urging children and families to adhere to nursing guidance and to carry out rehabilitation training, which has a good effect on patients' growth and development and improvement in their immune function while reducing the occurrence of complications; this is similar to research conducted by Huang et al 20 There are some limitations in this paper.…”

“…Kirolos et al. 19 found that continuous nursing can improve nursing satisfaction among children with pneumonia as well as avoid medical disputes. The continuous nursing process is ongoing once the child leaves the hospital, urging children and families to adhere to nursing guidance and to carry out rehabilitation training, which has a good effect on patients’ growth and development and improvement in their immune function while reducing the occurrence of complications; this is similar to research conducted by Huang et al.…”

Determinants of Pneumonia in Toddlers in Jambi City

“…The level of education, motivation, and good behavior of mothers in giving special attention to their children about health care (immunization) can make an impact to prevent the onset of an infectious disease. This is evident from a study conducted, where the population that was observed had good immunization coverage (the universal child immunization status of the village was >95%), which meant that this population could prevent an infectious diseases (Kirolos et al, 2018).…”