The proportion and determinants of appropriate health seeking behavior for febrile illness among caregivers of children under-five years in Butula sub-county, Busia county, Kenya

Open research Europe Pub Date : 2024-07-10 DOI:10.12688/openreseurope.18028.1

Jean Louis Kananura, Betsy C.Rono, Kamija S.Phiri

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Abstract

Background Almost 10 million children under the age of five in Kenya, die due to fever-related diseases. In Busia, a county in Kenya, malaria accounts for 13% of all child fatalities under the age of five, a number higher than any other county. This study aimed to determine (a) proportion of appropriate health-seeking behavior and (b) determinants of health-seeking behaviors (HSBs) among their caregivers in Butula Sub-County, Busia County, as reported by the caregivers. Methods This cross-sectional mixed-method study included 271 caregivers, 11 community health volunteers, and health facility workers in Butula Sub-County. Systematic random sampling for participants and purposive sampling for key informants were used. A questionnaire collected the data that was analysed using frequency and percentages and logistic regression. Results 70.1% of caregivers reported seeking care for a child's fever within 24 hours. Individual factors that caregivers reported to influence appropriate health-seeking HSB were unemployment (adjusted odds ratio (aOR) = 0.49, 95% CI: 0.217 – 0.593, p = 0.018), self-medication preference (aOR = 0.14, 95% CI: 0.054 – 0.363, p < 0.001), had atleast two children (aOR = 0.63, 95% CI: 0.425 – 0.937, p = 0.042), and confidence in identifying fever (aOR = 7.0, 95% CI: 2.200 – 22.439, p = 0.001). Health-system factors reported to influence HSBs were facility too far (aOR = 0.86, 95% CI: 0.526 – 0.914, p = 0.027), getting health education (aOR = 1.8, 95% CI: 1.201-4.122, p=0.015), and facility level (aOR = 4.4, 95% CI: 2.015 – 9.750, p < 0.001). Qualitative findings found health system factors related to HSB as stockouts, facility distance, and staff workload. Conclusions Policy and practice efforts should focus on significant individual and health system determinants for HSBs among caregivers of children under five with febrile illness.

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肯尼亚布西亚县布图拉分县五岁以下儿童照顾者发热疾病适当就医行为的比例和决定因素

背景肯尼亚有近 1,000 万五岁以下儿童死于与发烧有关的疾病。在肯尼亚的布西亚（Busia）县，疟疾占所有五岁以下儿童死亡人数的 13%，这一数字高于其他任何县。本研究旨在根据布西亚县布图拉分县儿童看护者的报告，确定（a）适当寻求健康行为的比例和（b）儿童看护者寻求健康行为（HSB）的决定因素。方法这项横断面混合方法研究包括布图拉分县的 271 名护理人员、11 名社区卫生志愿者和卫生机构工作人员。对参与者采用了系统随机抽样，对关键信息提供者采用了目的性抽样。调查问卷收集了数据，并使用频率、百分比和逻辑回归对数据进行了分析。结果 70.1%的看护人表示在儿童发烧 24 小时内寻求治疗。据护理人员报告，影响适当寻求保健服务的个人因素包括失业（调整后的几率比（aOR）= 0.49，95% CI：0.217 - 0.593，p = 0.018）、自我用药偏好（aOR = 0.14, 95% CI: 0.054 - 0.363, p < 0.001）、至少有两个孩子（aOR = 0.63, 95% CI: 0.425 - 0.937, p = 0.042）和识别发烧的信心（aOR = 7.0, 95% CI: 2.200 - 22.439, p = 0.001）。据报告，影响 HSBs 的卫生系统因素包括设施距离太远（aOR = 0.86，95% CI：0.526 - 0.914，p = 0.027）、获得健康教育（aOR = 1.8，95% CI：1.201 - 4.122，p=0.015）和设施水平（aOR = 4.4，95% CI：2.015 - 9.750，p <0.001）。定性研究结果发现，与 HSB 相关的卫生系统因素包括缺货、设施距离和员工工作量。结论政策和实践工作应重点关注五岁以下发热儿童看护者个人和医疗系统中造成 HSB 的重要决定因素。

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Open research Europe

CiteScore

1.50

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0.00%

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