Childhood morbidity, household practices and health care seeking for sick children in a tribal district of Maharashtra, India

Dongre, AR; Deshmukh, Pradeep; Bs, Garg

doi:10.4103/0019-5359.92482

Cited by 16 publications

(13 citation statements)

References 8 publications

(9 reference statements)

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“…While pregnancy and childbirth are natural health transitions; biophysical, psychosocial, cultural, and social factors are integral to the perinatal experience and impact on outcomes. There is robust evidence from diverse settings that health care seeking [ 12 , 13 ], maternal [ 14 ], and child survival [ 15 ] can be influenced by socio-cultural factors.…”

Section: Introductionmentioning

confidence: 99%

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Raman

Nicholls

Ritchie

et al. 2016

BMC Pregnancy Childbirth

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BackgroundThe perinatal period, i.e. pregnancy, childbirth and early infancy, is a significant transition period where the biological and the social strongly intersect. In low and middle-income countries the disease burden arising from the perinatal period, is still substantial. The perinatal period is also a crucial window of opportunity for reducing undernutrition and its long term adverse effects.MethodsWe explored qualitative research conducted in low resource settings around the perinatal continuum over the past two decades, with a particular focus on the ‘cultural’ realm, to identify common themes influencing maternal and infant nutrition. We systematically searched electronic databases from 1990 to 2014, including MEDLINE, EMBASE, PsycINFO, Scopus and Cumulative Index to Nursing and Allied Health Literature, using relevant search terms including traditional beliefs, practices, pregnancy, childbirth, developing countries etc. Adapted Consolidated Criteria for Reporting Qualitative Health Research and Critical Appraisal Skills Programme criteria were used to determine quality of studies. We synthesised the literature thematically, enabled by NVivo 10 software.ResultsMost studies showed cultural support for breastfeeding, although most traditional societies delayed breastfeeding due to colostrum being considered ‘dirty’. A range of restrictive practices through pregnancy and the post- partum period were revealed in Asia, Latin America and Africa. There was a strong cultural understanding of the healing power of everyday foods. A wide range of good foods and bad foods continued to have currency through the perinatal continuum, with little consensus between groups of what was beneficial versus harmful. Cross-cutting themes that emerged were 1) the role of the woman/mother/wife as strong and good; 2) poverty restricting women’s nutrition choices; 3) change being constant, but the direction of change unpredictable.ConclusionsA rich and diverse repertoire of cultural practices and beliefs influenced perinatal nutrition. Results from this synthesis should influence public health policymakers and practitioners, to tailor contextually specific, culturally responsive perinatal nutrition interventions to optimise health and wellbeing of mother-infant dyads. Ideally these interventions should build on culturally sanctioned life affirming behaviours such as breastfeeding, promoting post-partum rest and recovery, while modifying the potentially harmful aspects of other cultural practices in the perinatal period.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-016-0991-z) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Raman

Nicholls

Ritchie

et al. 2016

BMC Pregnancy Childbirth

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show abstract

“…[ 8 9 10 11 12 ] There is also enough evidence to show the inclination toward private practitioners for acute/minor illnesses. [ 13 14 15 16 ] This may be attributed to the fact that majority of the patients have started seeking immediate treatment on falling ill and these are more accessible.…”

Section: Discussionmentioning

confidence: 99%

Faith or Rationality – what dominates the health scenario? – Reflections from a non-governmental organization based health center in a tribal area of rural Maharashtra

Mohapatra

2019

J Edu Health Promot

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“…In Maharashtra, private health care has historically been seen to be “far superior” to government provided care, with women seeking care feeling that the benefits outweigh the cost [ 17 ]. Despite efforts over the last decade by the Indian government to increase use of public health care systems, private sector is still the preferred provider of health care [ 18 ]. This highlights that promotion of ineffective services is unlikely to increase utilisation of public health care by people unable to afford private care.…”

Section: Discussionmentioning

confidence: 99%

Assessing the reactivity to mobile phones and repeated surveys on reported care-seeking for common childhood illnesses in rural India

Nair

Williams

Marsh

et al. 2018

Journal of Global Health

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BackgroundTraditionally, health care-seeking for child illness is assessed through population-based and nationally representative demographic and health surveys (DHS) that are conducted once every five to seven years and are based on maternal recall. These maternal reports are subject to recall bias. Mobile phones (with the use of GPS technology) have the potential to constantly track movements of phone owners and provide high quality and more accurate data at a population level in low and middle income countries (LMICs) to assess the validity of maternal recall. We provided a group of mothers with smartphones installed with a location-aware application and visited them monthly to administer a survey questionnaire on care-seeking for diarrhoea, fever and cough with fever. This paper assesses for any reactivity to smartphones or repeated study contacts for measuring care-seeking and if this resulted in change in health care provider preference.MethodsWe enrolled 749 mothers from rural areas of Pune district in Maharashtra, India and randomly allocated them to one of three groups – a longitudinal phone group, a longitudinal control group and a cross-sectional control group. We collected baseline information from mothers, including individual and household demographic and socio-economic characteristics and care-seeking preferences for child illness. We followed up both longitudinal groups monthly and each cross-sectional sub-group once over a period of 6 months. At each follow up, we administered questions identical to those in the National Family Health Survey (NFHS) questionnaire to determine an episode of diarrhoea, fever or cough within the last 15 days, care seeking for the same, and the type of provider. The data were analysed using the χ2 test or Fisher Exact Test for categorical variables, or with the Kruskall-Wallis non-parametric test for continuous variables (due to the non-normal nature of the data). Multivariable joint models of group and visit time were analysed with logistic regression methods.ResultsAll three groups were similar in their socio-demographic characteristics at baseline. We did not observe any significant difference in care seeking for diarrhoea, fever or cough with fever between groups. Also, we did not observe any significant difference in proportion of children seeking care from the private sector.ConclusionsWe did not observe any reactivity in this study due to the presence of the phone (Hawthorne effect) or repeated study visits. The study also shows the potential of using GPS enabled smartphones to enrich DHS surveys in LMICs like India. However, further studies need to be conducted in other population groups before the findings can be generalised.

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Childhood morbidity, household practices and health care seeking for sick children in a tribal district of Maharashtra, India

Cited by 16 publications

References 8 publications

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Eating soup with nails of pig: thematic synthesis of the qualitative literature on cultural practices and beliefs influencing perinatal nutrition in low and middle income countries

Faith or Rationality – what dominates the health scenario? – Reflections from a non-governmental organization based health center in a tribal area of rural Maharashtra

Assessing the reactivity to mobile phones and repeated surveys on reported care-seeking for common childhood illnesses in rural India

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