Caregiver delay in seeking healthcare during the acute phase of pediatric illness, Kigali, Rwanda

Umuhoza, Christian; Karambizi, Angelique Charlie; Tuyisenge, Lisine; Cartledge, Peter

doi:10.11604/pamj.2018.30.160.15286

Cited by 31 publications

(40 citation statements)

References 32 publications

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“…There could be several explanations for the differences in treatment seeking behavior of the mothers/caregivers for common child hood illness. For instance, visiting traditional healer first, financial constraint, perception that illness was not serious and the expectation that illness would recover soon were some of the possible reasons (25,40,44). However, treatment seeking behavior of the mothers/caregivers in our study was higher compared to similar studies conducted in other parts of the country elsewhere (7,35,45,46).…”

Section: Discussioncontrasting

confidence: 65%

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High common childhood illnesses while treatment seeking behavior of mothers’/care givers’ was low at rural northwest Ethiopia

Kebede

Gelaye

Merid

et al. 2019

Preprint

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Background: In most developing countries, childhood illness and deaths are among the most challenging health issues. Most of these deaths were due to preventable causes including acute respiratory infections (ARI), diarrhea, and febrile illnesses. Thus, identification of determinants of these childhood disease illness would help to guide strategic planning, and prioritize interventions. Method: Community based cross-sectional study was conducted. Two stage cluster sampling technique was used to select kebeles and then households. A total of 2,158 mothers/care givers with at least one under-five child were included. Mothers/care-givers were interviewed at their homes using a pretested and structured questionnaire. Adjusted Odds Ratio (AOR) with a 95% Confidence Interval (CI) for variables with P-value <0.05 in the multivariable model were reported to show significance and direction of association<0.05 in the multivariable model were reported to show significance and direction of association. Result: The overall prevalence of childhood illnesses was 16.5% (95% CI: 15.0, 18.2). The treatment seeking behavior of the mothers/caregivers was 22.8% (95% CI: 18.7, 27.4). Of the illnesses, 6.5% (95% CI: 5.5, 6.72) were diarrhea, 7.5% (95% CI: 6.5, 8.76) were ARI, and 12.0% (95% CI: 10.66, 13.40) were fever. Mothers’ age 40 years and above (AOR=0.35; 95%CI: 0.16, 0.76), mothers’ occupation (AOR=2.28; 95%CI: 1.84, 4.39), distance from nearest health center (AOR=1.02; 95%CI: 1.01, 1.03), and presence of three or more under-five children in the house (AOR=2.59; 95%CI: 1.03, 5.76) were predictors of childhood illness. Conclusion: In this study, the common childhood illness remains high while treatment seeking behavior of the mothers’/care givers’ was so low. Mothers’ age and occupation, distance from nearest health center, and presence of three or more under-five children in the house were independent determinants of childhood illness. Thus, addressing significant determinants and enhancing mothers’/care givers health seeking behavior would help in reducing morbidity and mortality of under-five children with common childhood illness. Key word: Childhood illness, determinants, rural, health seeking behavior, Ethiopia

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Section: Discussioncontrasting

confidence: 65%

“…They mainly visited local drug shops, faith based institutions, and to some extent private clinics. And evidences showed a strong relationship between increased occurrence of childhood morbidity and health seeking behavior outside of health institutions (25)(26)(27).…”

Section: Discussionmentioning

confidence: 99%

High common childhood illnesses while treatment seeking behavior of mothers’/care givers’ was low at rural northwest Ethiopia

Kebede

Gelaye

Merid

et al. 2019

Preprint

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“…There could be several explanations for the differences in treatment seeking behavior of the mothers/caregivers for common child hood illness. For instance, visiting traditional healer rst, nancial constraint, perception that illness was not serious and the expectation that illness would recover soon were some of the possible reasons (25,40,44). However, treatment seeking behavior of the mothers/caregivers in our study was higher compared to similar studies conducted in other parts of the country elsewhere (7,35,45,46).…”

Section: Discussioncontrasting

confidence: 64%

High common childhood illnesses while treatment seeking behavior of mothers’/care givers’ was low at rural northwest Ethiopia

Kebede

Gelaye

Merid

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: In most developing countries, childhood illness and deaths are among the most challenging health issues. Most of these deaths were due to preventable causes including acute respiratory infections (ARI), diarrhea, and febrile illnesses. Thus, identification of determinants of childhood illness would help to guide strategic planning and prioritize interventions.Method: Community based cross-sectional study was conducted. A two-stage cluster sampling technique was used to select households and mothers/caregivers. A total of 2,158 mothers with at least one under-five child were included. Mothers were interviewed at their homes using structured questionnaire. Adjusted Odds Ratio with a 95% Confidence Interval and P-value <0.05 in the multivariable model were reported to show the significance and direction of association.Result: The overall prevalence of childhood illnesses was 16.5% (95% CI: 15.0, 18.2). Of all, 6.5% (95% CI: 5.5, 6.72), 7.5% (95% CI: 6.5, 8.76), and 12.0% (95% CI: 10.66, 13.40) had diarrhea, ARI, and fever, respectively. The treatment-seeking behavior of mothers/care-givers for any of the childhood illness was 22.7% (18.72, 27.42). The odds of childhood illness was higher among mothers’ age 15-19 years (AOR=2.87-; 95% CI: 1.33, 6.13), employed mothers’ (AOR=2.28; 95%CI: 1.84, 4.39), living far away from nearest health center (AOR=1.02; 95%CI: 1.01, 1.03), two under-five children (AOR=1.33;95%CI: 1.029,1.74) and three or more children in the house (AOR=2.70; 95%CI: 1.12, 6.53). About 22.8% (95% CI: 18.7, 27.4) of mothers/caregivers sought health care. Mothers’ occupation (AOR= 4.08 (95% CI: 1.35, 12.39) was the only independent predictor of treatment-seeking behavior.Conclusion: In this study, common childhood illnesses remain high while the treatment-seeking behavior of the mothers’/caregivers’ was low. Mothers’ age, occupation, distance from the nearest health center, and two or more children in the house were independent factors of childhood illness. Being a skilled/semi-skilled mothers was significantly associated with health-seeking behavior of mothers/caregivers. Thus, involving women in skilled/semi-skilled occupations would help in decreasing childhood illness and enhance health-seeking behaviors for their under-five children. Besides, providing access to health care facilities in their nearby area would be essential in reducing childhood illness.

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“…Patients may seek care from traditional healers, for example. 15,16,17 These barriers to care have been noted across a variety of settings, in both HICs and LMICs. 18,19 The infrastructure of the health care system may also be a barrier.…”

Section: Discussionmentioning

confidence: 99%

Non-Communicable Disease and the Need to Strengthen Prehospital Care: Experience from Kigali, Rwanda

Rosenberg¹,

Mukagasasira²,

Turikumana³

et al. 2020

Preprint

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Background Non-communicable diseases (NCDs) are increasing in incidence in low-and middle-income countries (LMICs). Many NCDs present as emergencies which require emergency response. We aimed to review NCDs transported by Service d’Aide Medicale Urgente (SAMU), the public ambulance service in Rwanda.Methods Descriptive analysis of a REDCap database was performed for medical cases between December 2012 to May 2016 and compared to non-medical cases. Student’s t-test, ANOVA, and chi square test were run with p < 0.05 considered significant.Results A total of 832 patients were seen. 51% were female, and the average age was 57 years old + 22. Cardiac indications were most common (52%) followed by diabetic complications (22%), cancer (16%) and stroke (10%). Patients with NCDs were more likely to be tachycardic, HR>100 bpm (OR 2.61 [P<0.001]), hypoxic with SPO2 <90% (OR 3.28 [P<0.0001]), hypotensive with blood pressure <100 mmHg (OR 2.65 [P<0.0001]), and tachypneic with respiratory rate >20 breaths per minute (OR 2.06 [P<0.0001]).Conclusions Access to emergency services is essential for NCD management. Compared to other emergencies treated by SAMU in Kigali, Rwanda, the NCD cohort had a higher acuity despite being a smaller proportion. As NCDs increase, investment in robust prehospital care will have substantial value in LMICs.

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Caregiver delay in seeking healthcare during the acute phase of pediatric illness, Kigali, Rwanda

Cited by 31 publications

References 32 publications

High common childhood illnesses while treatment seeking behavior of mothers’/care givers’ was low at rural northwest Ethiopia

High common childhood illnesses while treatment seeking behavior of mothers’/care givers’ was low at rural northwest Ethiopia

High common childhood illnesses while treatment seeking behavior of mothers’/care givers’ was low at rural northwest Ethiopia

Non-Communicable Disease and the Need to Strengthen Prehospital Care: Experience from Kigali, Rwanda

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