Associations between malaria-related ideational factors and care-seeking behavior for fever among children under five in Mali, Nigeria, and Madagascar
Malaria remains one of the leading causes of morbidity and mortality among children under five years old in many low- and middle-income countries. In this study, we examined how malaria-related ideational factors may influence care-seeking behavior among female caregivers of children under five with...
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Published in | PloS one Vol. 13; no. 1; p. e0191079 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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01.01.2018
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Abstract | Malaria remains one of the leading causes of morbidity and mortality among children under five years old in many low- and middle-income countries. In this study, we examined how malaria-related ideational factors may influence care-seeking behavior among female caregivers of children under five with fever. Data came from population-based surveys conducted in 2014-2015 by U.S. Agency for International Development-funded surveys in Madagascar, Mali, and Nigeria. The outcome of interest was whether a child under five with fever within two weeks prior to the survey was brought to a formal health facility for care. Results show a wide variation in care-seeking practices for children under five with fever across countries. Seeking care for febrile children under five in the formal health sector is far from a norm in the study countries. Important ideational factors associated with care-seeking behavior included caregivers' perceived social norms regarding treatment of fever among children under five in Nigeria and Madagascar, and caregiver's knowledge of the cause of malaria in Mali. Findings indicate that messages aimed to increase malaria-related knowledge should be tailored to the specific country, and that interventions designed to influence social norms about care-seeking are likely to result in increased care-seeking behavior for fever in children under five. |
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AbstractList | Malaria remains one of the leading causes of morbidity and mortality among children under five years old in many low- and middle-income countries. In this study, we examined how malaria-related ideational factors may influence care-seeking behavior among female caregivers of children under five with fever. Data came from population-based surveys conducted in 2014–2015 by U.S. Agency for International Development-funded surveys in Madagascar, Mali, and Nigeria. The outcome of interest was whether a child under five with fever within two weeks prior to the survey was brought to a formal health facility for care. Results show a wide variation in care-seeking practices for children under five with fever across countries. Seeking care for febrile children under five in the formal health sector is far from a norm in the study countries. Important ideational factors associated with care-seeking behavior included caregivers’ perceived social norms regarding treatment of fever among children under five in Nigeria and Madagascar, and caregiver’s knowledge of the cause of malaria in Mali. Findings indicate that messages aimed to increase malaria-related knowledge should be tailored to the specific country, and that interventions designed to influence social norms about care-seeking are likely to result in increased care-seeking behavior for fever in children under five. |
Author | Babalola, Stella Awantang, Grace Lewicky, Nan Do, Mai Toso, Michael Tompsett, Andrew |
AuthorAffiliation | 2 Johns Hopkins Center for Communication Programs/Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, United States of America Centro de Pesquisas Rene Rachou, BRAZIL 1 Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, United States of America 3 USAID/President’s Malaria Initiative, Washington, District of Columbia, United States of America |
AuthorAffiliation_xml | – name: 1 Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, United States of America – name: 3 USAID/President’s Malaria Initiative, Washington, District of Columbia, United States of America – name: 2 Johns Hopkins Center for Communication Programs/Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, United States of America – name: Centro de Pesquisas Rene Rachou, BRAZIL |
Author_xml | – sequence: 1 givenname: Mai orcidid: 0000-0002-2965-4812 surname: Do fullname: Do, Mai organization: Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, Louisiana, United States of America – sequence: 2 givenname: Stella surname: Babalola fullname: Babalola, Stella organization: Johns Hopkins Center for Communication Programs/Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, United States of America – sequence: 3 givenname: Grace surname: Awantang fullname: Awantang, Grace organization: Johns Hopkins Center for Communication Programs/Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, United States of America – sequence: 4 givenname: Michael surname: Toso fullname: Toso, Michael organization: Johns Hopkins Center for Communication Programs/Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, United States of America – sequence: 5 givenname: Nan surname: Lewicky fullname: Lewicky, Nan organization: Johns Hopkins Center for Communication Programs/Department of Health, Behavior and Society, Johns Hopkins University, Baltimore, Maryland, United States of America – sequence: 6 givenname: Andrew surname: Tompsett fullname: Tompsett, Andrew organization: USAID/President's Malaria Initiative, Washington, District of Columbia, United States of America |
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SubjectTerms | Behavior Biology and Life Sciences Caregivers Children Children & youth Collectors Communication Fever Health care facilities Health services Households Interviews Malaria Medicine and Health Sciences Morbidity Norms People and Places Polls & surveys Social behavior Society Surveys Vector-borne diseases |
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Title | Associations between malaria-related ideational factors and care-seeking behavior for fever among children under five in Mali, Nigeria, and Madagascar |
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