Factors affecting health seeking behavior for common childhood illnesses in Yemen

• Published in: Patient preference and adherence Vol. 7; no. default; pp. 1129 - 1138
• Main Authors: Webair, Hana Hasan, Bin-Gouth, Abdulla Salim
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2013; Taylor & Francis Ltd; Dove Press; Dove Medical Press
• Subjects: childhood survival; Children; cross sectional; Diseases; Health behavior; Information-seeking behavior; medical care; Medical research; Medicine, Experimental; Original Research; Shehair Health Center; Yemen; childhood survival; cross sectional; Shehair Health Center; medical care
• ISSN: 1177-889X; 1177-889X
• DOI: 10.2147/PPA.S51124

Appropriate medical care seeking could prevent a significant number of child deaths and complications due to ill health. This study aims to determine factors affecting health seeking behavior (HSB) for childhood illnesses, thereby improving child survival. A cross sectional study was carried out from January 11 to April 2, 2012. A total of 212 caretakers of children under the age of 5 years participated. Caretakers who visited the vaccination unit in the Shehair Health Center during the study period and had a child with a history of diarrhea, fever, cough, and/or difficulty of breathing during the last 14 days were included. The data were collected by interviewing caretakers and the answers were reported in pretested structured questionnaires. Medical care was sought for about half of the sick children (n=109, 51.42%). Seeking medical care was frequently initiated for illnesses that did not improve or worsened. The major reasons for not seeking medical care were "illness was mild" (n=40, 38.83%) and "illness is not for medical treatment" (n=32, 31.07%). The caretakers sought medical care significantly more when they had a higher level of school education (POR [prevalence odds ratio] 5.85, 95% CI [confidence interval]: 2.34-14.61), when the illness was perceived as severe (POR 5.39, 95% CI: 2.81-10.33), and when the child had difficulty of breathing (POR 2.93, 95% CI: 1.10-7.80). For the preventable childhood illnesses with existing interventions, appropriate HSB prevalence is low. Symptom type, caretakers' education, and perception of illness severity are the predictors of HSB. Educational improvement of the mothers, introduction of community based integrated management of childhood illness, and in-depth research are imperative to improve mothers' HSB.