Factors Influencing Timely Response to Health Care Seeking for Diarrheal Episodes Among Children Under Five by Caregivers in Rural Uganda
Science Journal of Public Health
Volume 5, Issue 3, May 2017, Pages: 246-253
Received: Feb. 12, 2017;
Accepted: Mar. 6, 2017;
Published: Apr. 13, 2017
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James Muhumuza, Department of Health, HIV and Nutrition, World Vision, Kampala, Uganda
Lorna Barungi Muhirwe, Department of Health, HIV and Nutrition, World Vision, Kampala, Uganda
Charles Ssentamu, Department of Health, HIV and Nutrition, World Vision, Kampala, Uganda
Magnus Mordu Conteh, Global Health Programmes Strategic Partnerships and Innovation, World Vision, Dublin, Ireland
Nicola Martina Dunne, Global Health Programmes Strategic Partnerships and Innovation, World Vision, Dublin, Ireland
Rollanda Karumuna, Department of Environment Management, College of Agriculture and Environmental Sciences, Makerere University, Kampala, Uganda
Timely response to health care seeking for diarrhoea episodes has a high potential to reduce child mortality rates. This study aimed to investigate the factors influencing timely response to health care seeking for diarrheal episode among children under five by caregivers. A cross-sectional research design that involved qualitative and quantitative research methods was conducted among 1,780 systematically selected households. Multiple logistic regressions were carried out to identify the factors associated with timely health care seeking behaviors among caregivers. Over 76% (95% CI: 72.8–78.4%) of the caregivers sought treatment in the first 24 hours after the onset of the diarrhea episode. Caregivers who were aged 30-39 were 0.63 times less likely to seek timely treatment for diarrhea episode (adjusted odds ratio (AOR) =0.83, 95%CI: 0.34–1.99) compared to caregivers who were aged 19-29 years. Female caregivers were 1.95 times more likely to seek timely treatment (adjusted odds ratio (AOR) =1.95, 95%CI: 1.05–1.11) compared to males. Those caregivers who had no education were 0.32 times less likely to seek timely treatment (adjusted odds ratio (AOR) =0.51, 95%CI: 0.69– 1.09) compared to caregivers that had secondary education. Caregivers who knew the signs of diarrhoea were 0.97 times more likely to seek timely treatment (adjusted odds ratio (AOR) =0.97, 95%CI: 0.54–3.32) compared to caregivers who did not know the signs of diarrhea. Caregivers who believed that diarrhea kills were 2.41 times more likely to seek timely treatment (adjusted odds ratio (AOR) =2.41, 95%CI: 2.03–2.94) compared to caregivers who did not believe that diarrhea kills. Caregivers who stayed near the health units (≤5km) were 0.57 times likely to seek timely health care compared to those who stayed in far places. Health care seeking within 24 hours for diarrheal episodes among children under five by caregivers was found to be high in the selected study areas. Knowledge about signs of diarrhoea, belief that diarrhoea kills, knowledge about administering ORS, fair transport cost, waiting time and distance from the health units are the factors that influence timely health seeking among children with diarrhoea. The study recommends intensification of timed and targeted counseling (ttC) of caregivers about timely health seeking in the subsequent programming and equipping VHTs with diarrhea treatment medicines.
Lorna Barungi Muhirwe,
Magnus Mordu Conteh,
Nicola Martina Dunne,
Factors Influencing Timely Response to Health Care Seeking for Diarrheal Episodes Among Children Under Five by Caregivers in Rural Uganda, Science Journal of Public Health.
Vol. 5, No. 3,
2017, pp. 246-253.
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