Science Journal of Public Health
Volume 2, Issue 4, July 2014, Pages: 293-296
Received: Jun. 4, 2014;
Accepted: Jun. 24, 2014;
Published: Jul. 10, 2014
Views 2643 Downloads 102
Ekong Udoh, Department of Paediatrics, University of Uyo Teaching Hospital,Uyo, Nigeria
Komomo Eyong, Department of Paediatrics, University of Calabar Teaching Hospital, PMB 1278, Calabar, Nigeria
Joseph Okebe, Medical Research Council (UK) Fajara, P.O.Box 273, Banjul, The Gambia
Uduak Okomo, Medical Research Council (UK) Fajara, P.O.Box 273, Banjul, The Gambia
Martin Meremikwu, Department of Paediatrics, University of Calabar Teaching Hospital, PMB 1278, Calabar, Nigeria
Introduction: Convulsions are the commonest neurological emergencies in preschool children. The outcome of convulsions in this age group is determined by the cause and the treatment-seeking behavior of their caregivers. Objective: To determine the treatment-seeking behavior of caregivers of preschool children with a history of convulsion. Method: A descriptive cross-sectional study was conducted among caregivers of preschool children to identify those with a history of convulsion in the previous 12 months and the immediate treatment response by their caregivers. Results: Caregivers of 632 children were surveyed. Thirty five (5.5%) children had a history of convulsion. Nine caregivers (25.7%) took no action to stop the convulsion, 10 (28.6%) gave herbal concoctions, 12 (34.3%) used medicine available at home from previous illness, 3 (8.6%) tepid sponged the children while 1 (2.8%) gave local enema. Subsequent treatment was sought by 23 (65.7%) caregivers. Of this number, 13 (55.6%) sought care from traditional healers, 5 (21.7%) from primary health centers and the remaining 5 (21.7%)from hospitals. Cost, proximity and perceived quality of care were the main determinants of the choice of facility for subsequent care. Conclusion: Caregivers of preschool children were either passive or took potentially harmful actions in managing childhood convulsions at home. There is need for mass enlightenment programme on appropriate actions regarding childhood convulsion in rural communities.
Treatment-Seeking for Convulsions in Preschool Children in Calabar, Nigeria, Science Journal of Public Health.
Vol. 2, No. 4,
2014, pp. 293-296.
Robert HA. The nervous system. In: Nelson’s Textbook of Paediatrics. 15thedn. Edited by Behrman RE, Kliegman RM, Avin AM. Philadelphia: W.B. Sauder; 1996, 1667 – 1738.
Sandeep BB, Raphul G, Sandhya J. Healthcare-seeking behavior after seizures in children.Indian J Med Sci2008; 62:331-335.
Ezenwa NE, Aanuolowayomi OA. Factors influencing mother’s role in convulsion treatment among underfive children in Ibadan, Nigeria.World Health &Population 2009; 11.
Kimati V. Cultural aspects of common childhood diseases. In: Diseases of Children in the Subtropics and Tropics.4thedn. Edited by Stanfield P, Brueton M, Chan M, Parkin M, Waterson T. London: Edward Arnold; 1991, 15-25.
McCombie SC. Treatment seeking for malaria: a review and suggestions for future research.WHO 1994; 1-27.
Wattanagoon Y, Srivilairit S, LooareesuwanS. Convulsion in childhood malaria.Trans Roy Soc Trop Med Hyg1994; 88:426 – 428.
Meremikwu MM, Asindi AA, Ezedinachi ENU.The pattern of neurological sequelae of childhood cerebral malaria among survivors in Calabar, Nigeria.Cen Afr Med J 1997; 43: 231-234.
Joseph GO, Simon OE, Felix UA. The population situation in Cross River State Nigeria and its implication for socio-economic development: Observations from the 1991 and 2006 censuses.Journal of Emerging Trends in Educational Research and Policy Studies. 2010:1(1): 36-42.
Offringa, M, Alice A, Hazebroek-Kampschreur, Gerarda D. Prevalence of febrile seizures in Dutch school children.Paediatric and Perinatal Epidemiology.1991:5(2); 181-8.
Robert HA. Febrile Seizures. In: Nelson Textbook of Pediatrics15thedn. Edited by Richard EB, Robert MK, Ann MA. Philadelphia:W.B.Saunders; 1996: 1691-29.
Mboera LEG, Kamugisha ML, Barongo V. Community knowledge, perception and practice of malaria in Mpwapwa district, Central Tanzania. Tanzania Health Research Bulletin 2004, 6(2): 37 -39.
World Bank 1998. World Development Indicators. Washington, DC: World Bank.
Ofovwe GE, Ibadin OM, Ofovwe EC, Okolo AA.Home management of febrile convulsion in an African population: A comparison of urban and rural mother’s knowledge, attitude and practice. Journal of the Neurological Sciences. 2002; 20(1): 49-52.
Meremikwu M, Oyo-ItaA. Physical methods for treating fever in children. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD004264. DOI: 10.1002/14651858.CD004264.
Brieger WR, Sesay HR, Adesina H. Urban malaria treatment behaviour in the context of low levels of transmission in Lagos, Nigeria.Afr J Med 2001; 30:7-1.
Agu PA, Nwojiji O. Childhood malaria: Mothers’ perception and treatment-seeking behavior in a community in Ebonyi State, South East Nigeria.Journal of Community Medicine and Primary Health Care. 2005; 17(1): 45-50.
Yadav SP. A study of treatment seeking behavior of malaria and its management in febrile children in rural part of desert, Rajasthan, India. J Vector Borne 2010: 235-42.
Uche MC, Benjamin ON, Agwu NA, Onyenonachi CS, Dozie IN, Aloy EI et al. Treatment seeking behaviour of mothers of febrile children in some rural parts of Imo State, Nigeria: Implications for home management of malaria in endemic areas.International Journal of Tropical Medicine 2009; 4(3): 132-5.
Nwokocha EE, Awomoyi OA.Factors influencing mothers’ role in convulsion treatment among under-fives in Ibadan, Nigeria. World Health Popul 2009; 11(2): 15-29.