Mother’s health care-seeking behavior for children with acute respiratory infections in a post-earthquake setting
Keywords:
health care-seeking behavior, acute respiratory tract infection, children, socioeconomic status.
Abstract
Background Delayed health care-seeking behavior is a causeof high mortality in children due to acute respiratory infections
(ARis). Factors that may affect health care-seeking behavior are
socioeconomic status, maternal age, maternal education, parents'
perception of illness, child's age, number of children under five
years of age in the family, and occurrence of natural disasters. The
2006 Central Java earthquake damaged homes and health care
facilities, and led to increased poverty among the residents.
Objective To assess the relationship between socioeconomic
status and mother's health care-seeking behavior for children
under five years of age with ARis in a post-earthquake setting.
Methods This cross-sectional study used secondary data obtained
from the Child Health Need Assessment (CHNA) survey. Logistic
regression test was used to analyze variables that may affect
mother's health care-seeking behavior for children under five
years of age with ARis.
Results Of the 665 infants surveyed, 442 infants (66.5%)
had ARis. Health care-seeking behavior was good (81.7%)
in the majority of mothers. We observed that socioeconomic
status did not affect maternal health care-seeking behavior for
children under five with ARis (OR 1.33; 95%CI 0.79 to 2.24;
P= 0.26). Maternal age, maternal education, child's age and
gender, number of children under five in the family, parents'
perceptions of illness and severity of house damage caused by the
earthquake also had no effect on maternal health care-seeking
behavior for children with ARis.
Conclusion After the 2006 earthquake, we find that socioeconomic
status, maternal age, maternal education, child age, child gender,
number of children under five in the family, parents' perceptions
of illness, and severity of house damage have no effect on mother's
health care-seeking behavior for their children with ARis.
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Paediatr
children dying every year? Lancet. 2003;361:2226-34.
2. WHO. World Health Statistic 2008. Geneva: WHO Press;
2008. p. 46-55.
3. Depkes RI. Profit Kesehatan Indonesia 2006. Masyarakat
Mandiri Untuk Hidup Sehat. Jakarta: Depkes RI; 2007. p.
19-56.
4. Stallings RY. DHS comparative reports No. 8. Child morbidity
and treatment patterns. Calverton, Maryland: ORC Macro;
2004. p. 67-87.
5. Graham SM, English M, Hazir T, Enarson P, Duke T.
Challenges to improving case management of childhood
pneumonia at health facilities in resource-limited settings.
Bull World Health Organ. 2008;86:349-55.
6. UNICEF. Pneumonia: the forgotten killer of children.
UNICEF/\XlHO; 2006. p. 15-20.
7. Andersen RM. National health surveys and the behavioral
model of health services use. Med Care. 2008;46:64 7-53.
8. Thind A, Andersen R. Respiratory illness in the Dominican
Republic: what are the predictors for health services utilization
of young children? Soc Sci Med. 2003;56: 1173-82.
9. Taffa N, Chepngeno G. Determinants ofhealth care seeking
for childhood illnesses in Nairobi slums. Trop Med Intern
Health. 2005;10:240-5.
10. Andersen RM. Revisiting the behavioral model and access to
medical care: does it matter? J Health Soc Behav. 1995;36:l-
10.
11. Luque JS, Whiteford LM, Tobin GA. Maternal recognition
and h ealth care-seeking behavior for acute respiratory
infection in children in a rural Ecuadorian county. Matern
Child Health]. 2008;12:287-97.
12. De Jong BM, Van Der Ent CK, Van Putte Katier N, Van Der
Zalm MM, Verheij TJM, Kimpen JL, et al. Determinants of
health care utilization for respiratory symptoms in the first year of life. Med Care. 2007;45:746-52.
13. Saunders NR, Tennis 0, Jacobson S, Gans M, Dick PT.
Parents' responses to symptoms of respiratory tract infection
in their children. CMAJ. 2003;168:25-30.
14. Djaja S. Determinan perilaku pencarian pengobatan infeksi
saluran pemafasan atas (ISPA) pada balita. Buletin Penelitian
Kesehatan. 2001. [cited 2008 August 18]. Available from:
http ://digilib .litbang.depkes .go .id/go. php ?id= j kpkbppk-gdl -
grey-2001-sarimawar -148-ispa
15. Ghosh S. Gender differences in treatment-seeking behaviour
during common childhood illnesses in India: does maternal
education matter? Proceedings of the 18th European
Conference on Modem South Asian Studies; University of
Lund, Sweden. 2004. [cited 2008 August 18].
16. Sudharsanam MB, Rotti SB. Factors determining health
seeking behaviour for sick children in a fishermen community
in Pondicherry. Indian] Comm Med. 2007;32: 71-2.
17. Janicke DM, Finney JW. Determinants of children's primary
health care use. J Clin Psych Med Set. 2000;7:29-39.
18. Pokhrel S, Sauerbom R. Household decision-making on child
health care in developing countries: the case ofN epal. Health
Policy Plan. 2004;19:218-33.
19. BKKBN. Informasi Gerakan KB Nasional, Sasaran Pembangunan
Jangka Panjang I.Jakarta: BKKBN; 1994. p. 23.
20. Allen, PLJ. Children with special health care needs: national
survey of prevalence and health care needs. (Primary Care
Approaches). Pediatr Nurs. 2004;30:307-14
Paediatr
Published
2013-06-30
How to Cite
1.
Wusanani Y, Ismail D, Triasih R. Mother’s health care-seeking behavior for children with acute respiratory infections in a post-earthquake setting. PI [Internet]. 30Jun.2013 [cited 20Apr.2024];53(3):144-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/271
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Received 2016-08-21
Accepted 2016-08-21
Published 2013-06-30
Accepted 2016-08-21
Published 2013-06-30
