Determinants of Delay in Healthcare Seeking for Common Childhood Illnesses among Caregivers with Under-Five Children in Touboro Health District, Near Cameroon’ s Northeastern Border with Chad

Main Article Content

H. Ngouakam
E. Nekehforba
B. Tientche

Abstract

Aims: The study sought to determine the determinants of delay in health-seeking among caregivers with under-five children.

Study Design: This was a mixed-method, cross-sectional study.

Place and Duration of Study: The study took place in Touboro Health District involving 386 caregivers of under-five children from May to July 30, 2020.

Methodology: A structured questionnaire and two focused group discussions were used to gather information on caregiver knowledge of healthcare-seeking behavior. Data were analyzed using SPSS version 25.0. Bivariable logistic regression was employed to
identify factors associated with of healthcare seeking behavior.

Results: Results of the 386 sick children, fever 39.9% (154/386), diarrhea 30.3% (117/386) and cough 24.9% (96/386) were the common symptoms. The majority of the caregivers of the under-five children had poor knowledge of 63% (243/386) about common infant illnesses. Caregivers of female children under-five(OR= 2.26, 95% CI: 1.29-3.96, P = 0.004), caregivers aged between 21 and 30 years (OR=5.53, 95% CI: 1.32-23.11, P = 0.019), caregivers whose occupation is housewife (OR=2.64 95% CI 1.23-5.68, P =10.013),) ,caregivers who host > 6children in a household (OR= 3.56 95% CI  1.42-8.92 , P =0.007) were key determinants of delay in health-seeking.

Conclusion: Caregivers of female children under-five, caregivers aged between 21 and 30 years, caregivers whose occupation is housewife, caregivers under-five children residing in a rural area, caregivers who host more than 6 children in a household, households with an average monthly income of  <10.000 FRS Cfa were predictors of delay appropriate health-seeking. There is a need to intensify health education focusing on childhood illnesses, and timely care-seeking to effectively respond to caregiver's expectations among others.

Keywords:
Health-seeking behavior, delay, caregivers, under-five children, appropriate care, childhood illnesses, Touboro Health District

Article Details

How to Cite
Ngouakam, H., Nekehforba, E., & Tientche, B. (2021). Determinants of Delay in Healthcare Seeking for Common Childhood Illnesses among Caregivers with Under-Five Children in Touboro Health District, Near Cameroon’ s Northeastern Border with Chad. International Journal of TROPICAL DISEASE & Health, 42(5), 1-14. https://doi.org/10.9734/ijtdh/2021/v42i530453
Section
Original Research Article

References

World Health Organization. World health statistics. World Health Organization. 2011;170.

Under-five Mortality; 2020. Accessed: 124 October, 2020. Available:https://data.unicef.org/topic/child-survival/under-fivemortality/

United Nations Population Division. World population prospects: The Revision (ST/ESA/SER.A/336); 2012. Childhood Diseases; 2019. Accessed: 2 May 2019 Available:https://www.unicef.org/health/childhood-diseases

Wambui WM, Kimani S, Odhiambo E. Determinants of health seeking behavior among caregivers of infants admitted with acute childhood illnesses at Kenyatta National Hospital, Nairobi, Kenya. Int J Pediatr. 2018;1–11.

World Health Organization. Health status statistics: Mortality; 2013. Available:http://www.who.int/healthinfo/ statistics/indunder5mortality/en/ Accessed: 29 August 2013

Kagabo DM, Kirk CM, Bakundukize B, Hedt-Gauthier BL, Gupta N, Hirschhorn LR, et al. Care-seeking patterns among families that experienced under-five child mortality in rural Rwanda. PLoS One. 2018;13(1).

Oberoi S, Chaudhary N, Patnaik S, Singh A. Understanding health seeking behavior. J Fam Med Prim Care. 2016; 5(2):463,

Syed U, Khadka N, Khan A, Wall S. Care-seeking practices in South Asia: Using formative research to design program interventions to save newborn lives. J Perinatol. 2008;28:S9–13.

World Health Organization/United Nations Human Rights. Mortality among children under five years of age as a human rights concern; 2013. WHO, Under-five Mortality; 2018.

Azizur Rahman S. Utilization of primary health care services in rural Bangladesh: The Population and Provider Perspectives; 2000.

Sreeramareddy CT, Shankar RP, Sreekumaran BV, Subba SH, Joshi HS, Ramachandran U. Care seeking behaviour for childhood illness—a questionnaire survey in western Nepal. BMC Int Health Hum Rights. 2006;6:7. DOI: 10.1186/1472-698X

WHO/UNHR. Mortality among children under five years of age as a Human Rights Concern; 2013.

Ministry of Public Health, National Health Observatory. Tracking 100 core health indicators in Cameroon and Sustainable Development Goals Focus; 2019.

Plan Communal de Development de Touboro. Réalisé avec l’appui financier et technique du PNDP ; 2014.

Touboro Health District. Population statistic for; 2018. Accessed: December 2019

Fisher Andrew A, John Laing E, John E Stoeckel, John Townsend. Handbook for family planning operations research design. New York: Population Council 2nd ed.; 1998.

Lovelyn OA, Betrand NO, Godswill N. Family and social determinants of health seeking behavior of caregivers of febrile children in an urban city of South-Eastern Nigeria. Arch Med. 2016;(8):3.

Abdulkadir MB, Abdulkadir ZA. A cross-sectional survey of parental care-seeking behavior for febrile illness among under-five children in Nigeria. Alexandria J Med. 2017;(53):85–91.

Weldesamuel GT, Alemayoh TT, Atalay HT, Zemichael TM. Modern health-seeking

behaviour and associated factors among mothers having under 5-years old children in Shire town, Tigray, Ethiopia: A cross-sectional study 2018. Afr J Prm Health Care Fam Med. 2019;11(1):a1913.

Lungu EA, Darker C and Biesma R. Determinants of healthcare seeking for childhood illnesses among caregivers of under-five children in urban slums in Malawi: a population-based cross-sectional study. BMC Pediatrics. 2020;20(1).

Abubakar A, Van Baar A, Fischer R, Bomu G, Gona JK, et al. Socio-cultural determinants of health-seeking behavior on the Kenyan Coast: A Qualitative Study. PLoS ONE. 2013;8(11):e71998. DOI: 10.1371/journal.pone.0071998

Abegaz NT, Berhe H, Gebretekle GB. Mothers/caregivers healthcare seeking behavior towards childhood illness in selected health centers in Addis Ababa, Ethiopia: A facility-based cross-sectional study. BMC Pediatr. 2019;19(1).

Assefa T, Belachew T, Tegegn A, Deribew A. Mothers health care seeking behavior for childhood illnesses in Derra District, Northshoa Zone, Oromia Regional State, Ethiopia. Ethiopia J Health Sci 2008; 18(3):87.

Karki M, Mathew L, Jayasree S, Mahara G. A Study to assess the knowledge, and practice on health seeking behaviour of mothers during child illness in Rural Areas of Bangalore, India. Int J Heal Sci Res. 2019;(9):143.

Simieneh MM, Mengistu MY, Gelagay AA, Gebeyehu MT. Mothers health care seeking behavior and associated factors for common childhood illnesses, Northwest Ethiopia: Community based cross-sectional study. BMC Health Serv Res. 2019;(19):59.

Sisay S, Endalew G, Hadgu G. Assessment of mothers/care givers health care seeking behavior for Childhood illness in rural Ensaro District, North Shoa Zone, Amhara Region, Ethiopia 2014. GJLSBR. 2015;1(1):20–34.

Fikire A, Ayele G, Haftu D. Determinants of delay in care seeking for diarrheal diseases among mothers/caregivers with underfive children in public health facilities of Arba Minch town, Southern Ethiopia; 2019. PLoS ONE. 2020;15(2):e0228558.

Kolola T, Gezahegn T, Addisie M. Health care seeking behavior for common childhood illnesses in Jeldu District, Oromia Regional State, Ethiopia. PloS one. 2016;11(10):e0164534.

Cameroon Government responses strategy to the coronavirus pandemic (COVID-19). Special statement. The Prime Minister, Head of Government; 2020.