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HEALTH CARE SEEKING PATTERN FOR CHILDHOOD AILMENTS AMONG PRIMARY CARE GIVERS OF CHILDREN BETWEEN 0-5 AGE GROUP AT A COASTAL AREA IN TRIVANDRUM DISTRICT, KERALA
Background: Developing countries account for larger share of child mortalities. Desirable care seeking behaviour can bring down mortalities and result in better child health. Higher morbidity episodes are reported among marginalised groups compared to better off sections in Kerala and different regi...
| Главный автор: | |
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| Формат: | Printed Book |
| Опубликовано: |
Thiruvananthapuram,
ACHUTHA MENON CENTRE FOR HEALTH SCIENCE STUDIES SREE CHITRA TIRUNAL INSTITUTE FOR MEDICAL SCIENCES AND TECHNOLOGY
2014
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| Предметы: | |
| Online-ссылка: | http://10.26.1.76/ks/004841.pdf |
| Итог: | Background: Developing countries account for larger share of child mortalities.
Desirable care seeking behaviour can bring down mortalities and result in better child
health. Higher morbidity episodes are reported among marginalised groups compared to
better off sections in Kerala and different regions in India. Studies on wider determinants
of behaviour pertaining to treatment seeking for child illness in community settings are
limited. This study explored the health seeking behaviour of primary care givers in the
coastal area and identified associated factors.
Methods: A cross sectional survey was conducted among 238 mothers of 304 children
(0-5 years) from a coastal area in Trivandrum district, Kerala. The information about
treatment seeking pattern and healthcare seeking behaviour for childhood ailments was
collected using a structured interview schedule. The interview schedule was constructed
from variables identified from the review of literature.
Results: The proportion of subjects in the coastal region seeking early treatment (<=2
days) was 62.5% and subset analysis of fishermen showed much lower proportion of
51.2%. Factors typically associated with health seeking behaviour were occupation of the
father[OR
2.002;95%
CI
1.103-3.634,p
<0.05],
preference
of
health
facility[OR1.824;95% CI 1.030-3.230,p < 0.05], regular newspaper reading[OR 3.593
;95% CI 1.404-9.193,p <0.01], participation in health education by the caregiver [OR
3.046 ;95% CI 1.754-5.290.p < 0.01). However participation in health education by the
caregiver [OR 2.806; 95% CI 1.430-5.505, p <0.01] and regular newspaper reading [OR
5.464; 95% CI 1.171-25.496, p< 0.05] were only important for fishermen community.
XVIIConclusion: Role of health education and media coverage is evident in early healthcare
seeking in coastal areas. Timely healthcare seeking was lesser in fishing community and
earlier in those preferring private healthcare facility. Fishing community will require
special attention in child healthcare in the coastal area. |
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| Примечание: | Dissertation submitted in partial fulfillment of the Requirement for the award of the degree of Master of Public Health |