Caregivers' lived experiences of childhood probable pneumonia through a gendered lens in western Kenya.

IF 1.7 Q4 PRIMARY HEALTH CARE
Sarah Hawi Ngere, Charles Olang'o, Kennedy Ochola, Patience Oduor, Caleb K Sagam, Benard Ochieng, Dickens Omondi, Norbert Peshu, Erick Nyambedha
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Abstract

Background:  Gender intersects with multiple forms of socio-cultural, economic and health system factors to influence the overall care-seeking experiences of caregivers.

Aim:  This study aimed to understand the multiple gendered intersecting factors that shape women caregivers care-seeking experiences for children with probable pneumonia.

Setting:  The study was conducted in Karemo, Siaya County in western Kenya.

Methods:  In-depth interviews (IDI), participant observation and informal interviews were utilised. The IDI was conducted among purposively selected 12 caregivers out of which 11 were enrolled in participant observation. Data were managed and analysed using Dedoose and hermeneutic phenomenology, respectively.

Results:  Women juggle household chores, caregiving and income-generating activities, which sometimes led them to decline child's hospitalisation because of competing household responsibilities. At the hospital, women experienced long waiting times, poor communication, unfavourable conditions, unfriendly staff and lack of drugs. Some women reported challenges in accessing money from their husbands for their child's healthcare. They were often required to make difficult choices, such as prioritising work because of financial constraints, prioritising other children because of lack of external support, or opting for over-the-counter medication because of convenience, drug shortages or long waiting times at the hospital.

Conclusion:  Lived experiences are shaped by women's daily realities and constraints. To improve women's caregiving experiences, a holistic approach that considers the multiple dimensions of caregivers' lives and gendered dynamics is recommended.Contribution: This study's findings emphasise the necessity of a holistic approach when developing intervention geared towards improving healthcare-seeking behaviour by considering the subtler factors beyond structural, social and economic influences.

通过性别视角观察肯尼亚西部护理人员对儿童可能肺炎的生活经历。
背景:性别与多种形式的社会文化、经济和卫生系统因素交叉,影响照顾者的整体求医经历。目的:本研究旨在了解影响女性护理人员对疑似肺炎患儿求诊经历的多性别交叉因素。环境:本研究在肯尼亚西部Siaya县的Karemo进行。方法:采用深度访谈法(IDI)、参与式观察法和非正式访谈法。IDI是在有目的地选择的12名护理人员中进行的,其中11人参加了参与者观察。数据分别使用Dedoose和解释学现象学进行管理和分析。结果:妇女要兼顾家务、照料和创收活动,这有时会导致她们因为相互竞争的家庭责任而减少孩子的住院治疗。在医院,妇女经历了漫长的等待时间、不良的沟通、不利的条件、不友好的工作人员和缺乏药物。一些妇女报告说,她们很难从丈夫那里获得用于子女保健的钱。他们往往需要做出艰难的选择,例如,由于财政限制而优先考虑工作,由于缺乏外部支持而优先考虑其他儿童,或者由于方便、药品短缺或在医院等待时间长而选择非处方药。结论:生活经历是由女性的日常现实和制约因素塑造的。为了改善妇女的护理经验,建议采用一种考虑照顾者生活的多个维度和性别动态的整体方法。贡献:本研究的发现强调了在制定旨在改善求医行为的干预措施时,考虑到结构、社会和经济影响之外的微妙因素时,采用整体方法的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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