Family and Social Determinants of Health-seeking Behaviour of Caregivers of Febrile Children in an Urban City of South-Eastern Nigeria

Lovelyn, Obi-Nwosu Amaka; Betr, Nwosu Obi; Godswill, Nnaji

doi:10.21767/1989-5216.1000145

“…Moreover, high family size affects mothers or caregivers health seeking and hygienic behaviors. [40][41][42][43] This study depicted that intestinal parasitic infections were associated with health supervision or health education. The prevalence of intestinal parasitic infections was higher among households who had not been frequently supervised by health professionals.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, high family size affects mothers or caregivers health seeking and hygienic behaviors. 40-43…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study

Gizaw

¹

,

Addisu

²

,

Gebrehiwot

³

2019

Environ�Health�Insights

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Background: Soil-transmitted helminths and protozoan parasitic infections are endemic throughout the world. The problem of intestinal parasitic infection is higher among developing countries where children are the most vulnerable groups. Although health information related to parasitic infections is available globally, it is often limited in rural setups in least developed countries. This study was, therefore, conducted to assess socioeconomic predictors of intestinal parasitic infections among under-five children in rural Dembiya, Northwest Ethiopia. Methods: This cross-sectional study was conducted among 224 randomly selected households with under-five children. We used questionnaire to collect data and direct stool examination to identify intestinal parasitic infections. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and P < .05 was used to identify socioeconomic predictors of parasitic infections. Results: We found that 25.4% (95% CI = [20.2, 31.1]) under-five children had intestinal parasitic infection. Ascaris lumbricoides was the leading infection, which accounted 44 of 224 (19.6%). The prevalence of childhood intestinal parasitic infections was higher among households with no members whose education level is secondary and above (AOR = 3.36, 95% CI = [1.23, 9.17]). Similarly, intestinal parasitic infections were statistically associated with presence of 2 under-five children in a household (AOR = 3.56, 95% CI = [1.29, 9.82]), absence of frequent health supervision (AOR = 3.49, 95% CI = [1.72, 7.09]), larger family size (AOR = 2.30, 95% CI = [1.09, 4.85]), and poor household economic status (AOR = 2.58, 95% CI = [1.23, 5.41]). Conclusions: Significant proportion of children was infected with intestinal parasitic infection in rural Dembiya. Educational status of family members, number of under-five children in a household, health supervision, family size, and wealth index were statistically associated with parasitic infections. Provision of anthelmintic drugs, health supervision, and health education targeted with transmission and prevention of infections are recommended.

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“…In Nigeria, like in other tropical countries, fever serves as a useful marker for recognition of infectious in under-ve children including malaria [6,7]. The prevalence of fever in U5 children in Kaduna State, Nigeria in 2018 was 26% [3].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of fever in U5 children in Kaduna State, Nigeria in 2018 was 26% [3]. Fever is a primary complaint for a third of all paediatric consultations in general practice [6,8], and an entry point for parents or mothers to seek medical attention for U5 children including malaria diagnosis and case management [7,9,10]. Though fever is not a pathognomonic sign of malaria, it usually trigger mothers to take further actions in seeking appropriate care which may be diagnosed as malaria eventually [1].…”

Section: Introductionmentioning

confidence: 99%

Rural-urban disparities and factors associated with delayed care seeking for fever by mothers of under-five children, Igabi LGA, Kaduna Nigeria.

Babalola¹,

Ajumobi

²

,

Ajayi

³

2020

Preprint

0

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Background Fever in under-five children (U5) is the commonest presenting complaint in general practice and mothers’ recognition is an entry point for fever treatment including malaria. This study describes rural - urban disparity in fever prevalence, mothers’ malaria knowledge, and care seeking for fever in U5 and the associated factors. Methods A cross-sectional survey was conducted among 630 mother-child pairs [rural (300) and urban (330)] selected randomly using a multi-stage sampling from 63 villages in Igabi LGA, Kaduna State, Nigeria. Trained female data collectors administered a pre-tested structured questionnaire to collect information on mother-child demographic profiles, malaria knowledge, fever episodes in birth order last child in two weeks prior to survey, and care - seeking for fever within 48 hours of onset. Care sought for fever > 48 hours of onset was defined as delayed care seeking. Malaria knowledge was categorized into good, average and poor if the final scores is ≥ 75 th , 50 th - 74 th , and < 50 th percentiles, respectively. Frequency, proportions, and odds ratio were calculated. Statistically significant was set at p-value < 0.05. Results The median age (interquartile range) of rural mothers was 30 (IQR, 10) years compared to 27 (IQR, 6) years in urban. Of the 70.0% (441/629) U5 children with fever, 58.5% (258/441) were in rural settlements. A third of the mothers whose child had fever sought care. Mothers in rural settlement were 2.7 (CI: 1.8 – 4.2, p < 0.01) times more likely to delay care seeking for fever, and those with no knowledge of malaria transmission were 70% less likely to seek care (OR: 0.3, CI: 0.2 – 0.7). On the other hand, poor perception of malaria as a major health problem (OR: 2.1, CI: 1.4 – 3.1), and poor knowledge of cause of malaria (OR: 1.7, CI: 1.1 – 2.5) were associated with delayed seeking for fever among urban mothers. Conclusions Disparity existed between fever prevalence in U5 children, care -seeking practices by their mothers, and factors associated with delayed care seeking for fever. Fever treatment for high impact malaria elimination needs a context specific intervention rather than ‘one-size-fits-all’ approach. Also, intensify efforts to educate mothers on malaria.

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“…In Nigeria, like in other tropical countries, fever serves as a useful marker for recognition of infectious in underfive children including malaria [6,7]. The prevalence of fever in U5 children in Kaduna State, Nigeria in 2018 was 26% [3].…”

Section: Introductionmentioning

confidence: 99%

Rural-Urban Disparities and Factors Associated with Delayed Care Seeking for Fever by Mothers of Under-Five Children, Lgabi LGA, Kaduna Nigeria.

Babalola¹,

Ajumobi

²

,

Ajayi

³

2020

Preprint

0

View full text Add to dashboard Cite

Background Fever in under-five children (U5) is the commonest presenting complaint in general practice and mothers’ recognition is an entry point for fever treatment including malaria. This study describes rural - urban disparity in fever prevalence, mothers’ malaria knowledge, and care seeking for fever in U5 and the associated factors. Methods A cross-sectional survey was conducted among 630 mother-child pairs [rural (300) and urban (330)] selected randomly using a multi-stage sampling from 63 villages in Igabi LGA, Kaduna State, Nigeria. Trained female data collectors administered a pre-tested structured questionnaire to collect information on mother-child demographic profiles, malaria knowledge, fever episodes in birth order last child in two weeks prior to survey, and care - seeking for fever within 48 hours of onset. Care sought for fever > 48 hours of onset was defined as delayed care seeking. Malaria knowledge was categorized into good, average and poor if the final scores is ≥ 75 th , 50 th - 74 th , and < 50 th percentiles, respectively. Frequency, proportions, and odds ratio were calculated. Statistically significant was set at p-value < 0.05. Results The median age (interquartile range) of rural mothers was 30 (IQR, 10) years compared to 27 (IQR, 6) years in urban. Of the 70.0% (441/629) U5 children with fever, 58.5% (258/441) were in rural settlements. A third of the mothers whose child had fever sought care. Mothers in rural settlement were 2.7 (CI: 1.8 – 4.2, p < 0.01) times more likely to delay care seeking for fever, and those with no knowledge of malaria transmission were 70% less likely to seek care (OR: 0.3, CI: 0.2 – 0.7). On the other hand, poor perception of malaria as a major health problem (OR: 2.1, CI: 1.4 – 3.1), and poor knowledge of cause of malaria (OR: 1.7, CI: 1.1 – 2.5) were associated with delayed seeking for fever among urban mothers. Conclusions Disparity existed between fever prevalence in U5 children, care -seeking practices by their mothers, and factors associated with delayed care seeking for fever. Fever treatment for high impact malaria elimination needs a context specific intervention rather than ‘one-size-fits-all’ approach. Also, intensify efforts to educate mothers on malaria.

show abstract

Family and Social Determinants of Health-seeking Behaviour of Caregivers of Febrile Children in an Urban City of South-Eastern Nigeria

Cited by 10 publications

References 11 publications

Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study

Socioeconomic Predictors of Intestinal Parasitic Infections Among Under-Five Children in Rural Dembiya, Northwest Ethiopia: A Community-Based Cross-sectional Study

Rural-urban disparities and factors associated with delayed care seeking for fever by mothers of under-five children, Igabi LGA, Kaduna Nigeria.

Rural-Urban Disparities and Factors Associated with Delayed Care Seeking for Fever by Mothers of Under-Five Children, Lgabi LGA, Kaduna Nigeria.

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