Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys

Abstract Background Globally, acute respiratory infection (ARI) is a leading cause of infant and childhood morbidity and mortality. Currently, it is estimated that 50 million cases of childhood ARI are untreated. In this study, we identified determinants of the type of treatment sought for symptoms...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Leslie Danquah, Prince Michael Amegbor, Dawit Getnet Ayele
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Acute respiratory infection (ARI) Ghana Demographic and Health Survey (GDHS) Care-seeking behavior Bayesian spatial analysis Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/1bb9deb14d8549c38ce1fe3987a0083a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1bb9deb14d8549c38ce1fe3987a0083a
record_format	dspace
spelling	oai:doaj.org-article:1bb9deb14d8549c38ce1fe3987a0083a2021-11-21T12:33:18ZDeterminants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys10.1186/s12887-021-02990-91471-2431https://doaj.org/article/1bb9deb14d8549c38ce1fe3987a0083a2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12887-021-02990-9https://doaj.org/toc/1471-2431Abstract Background Globally, acute respiratory infection (ARI) is a leading cause of infant and childhood morbidity and mortality. Currently, it is estimated that 50 million cases of childhood ARI are untreated. In this study, we identified determinants of the type of treatment sought for symptoms of childhood acute respiratory infection (ARI), including non-treatment, amongst a nationally representative sample of children under five years in Ghana. Methods In total, 1 544 children were studied by a secondary analysis of pooled survey data from the 1993, 1998, 2003, 2008, and 2014 Ghana Demographic and Health Surveys (GDHS). Cross-tabulations, chi-square, multinomial logistic regression, and Bayesian hierarchical spatial logistic regression analyses were used to identify relationships between the type of treatment sought and maternal socio-economic and household characteristics. Results Seeking medical care was significantly associated with child age (RRR= 1.928, 95 % CI 1.276 – 2.915), maternal employment status (RRR = 1.815, 95 % CI 1.202 – 2.740), maternal health insurance status, (RRR = 2.618, 95 % CI 1.801 – 3.989), children belonging to middle (RRR = 2.186, 95 % CI 1.473 – 3.243), richer (RRR = 1.908, 95 % CI 1.145 – 3.180) and richest households (RRR = 2.456, 95 % CI 1.363 – 4.424) and the 1998 survey period (RRR = 0.426, 95 % CI 0.240 – 7.58). Seeking self-care or visiting a traditional healer was significantly associated with maternal educational status (RRR = 0.000, 95 % CI 0.000 – 0.000), and the 1998 (RRR= 0.330, 95 % CI 0.142 – 0.765), 2003 (RRR= 0.195, 95 % CI 0.071 – 0.535), 2008 (RRR= 0.216, 95 % CI 0.068 – 0.685) and 2014 (RRR= 0.230, 95 % CI 0.081 – 0.657) GDHS periods. The probability that the odds ratio of using medical care exceeded 1 was higher for mothers/caregivers in the Western, Ashanti, Upper West, and Volta regions. Conclusions Government policies that are aimed at encouraging medical care-seeking for children with ARI may yield positive results by focusing on improving maternal incomes, maternal NHIS enrolment, and maternal household characteristics. Improving maternal education could be a positive step towards addressing challenges with self-care or traditional healing amongst children with ARI.Leslie DanquahPrince Michael AmegborDawit Getnet AyeleBMCarticleAcute respiratory infection (ARI)GhanaDemographic and Health Survey (GDHS)Care-seeking behaviorBayesian spatial analysisPediatricsRJ1-570ENBMC Pediatrics, Vol 21, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acute respiratory infection (ARI) Ghana Demographic and Health Survey (GDHS) Care-seeking behavior Bayesian spatial analysis Pediatrics RJ1-570
spellingShingle	Acute respiratory infection (ARI) Ghana Demographic and Health Survey (GDHS) Care-seeking behavior Bayesian spatial analysis Pediatrics RJ1-570 Leslie Danquah Prince Michael Amegbor Dawit Getnet Ayele Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys
description	Abstract Background Globally, acute respiratory infection (ARI) is a leading cause of infant and childhood morbidity and mortality. Currently, it is estimated that 50 million cases of childhood ARI are untreated. In this study, we identified determinants of the type of treatment sought for symptoms of childhood acute respiratory infection (ARI), including non-treatment, amongst a nationally representative sample of children under five years in Ghana. Methods In total, 1 544 children were studied by a secondary analysis of pooled survey data from the 1993, 1998, 2003, 2008, and 2014 Ghana Demographic and Health Surveys (GDHS). Cross-tabulations, chi-square, multinomial logistic regression, and Bayesian hierarchical spatial logistic regression analyses were used to identify relationships between the type of treatment sought and maternal socio-economic and household characteristics. Results Seeking medical care was significantly associated with child age (RRR= 1.928, 95 % CI 1.276 – 2.915), maternal employment status (RRR = 1.815, 95 % CI 1.202 – 2.740), maternal health insurance status, (RRR = 2.618, 95 % CI 1.801 – 3.989), children belonging to middle (RRR = 2.186, 95 % CI 1.473 – 3.243), richer (RRR = 1.908, 95 % CI 1.145 – 3.180) and richest households (RRR = 2.456, 95 % CI 1.363 – 4.424) and the 1998 survey period (RRR = 0.426, 95 % CI 0.240 – 7.58). Seeking self-care or visiting a traditional healer was significantly associated with maternal educational status (RRR = 0.000, 95 % CI 0.000 – 0.000), and the 1998 (RRR= 0.330, 95 % CI 0.142 – 0.765), 2003 (RRR= 0.195, 95 % CI 0.071 – 0.535), 2008 (RRR= 0.216, 95 % CI 0.068 – 0.685) and 2014 (RRR= 0.230, 95 % CI 0.081 – 0.657) GDHS periods. The probability that the odds ratio of using medical care exceeded 1 was higher for mothers/caregivers in the Western, Ashanti, Upper West, and Volta regions. Conclusions Government policies that are aimed at encouraging medical care-seeking for children with ARI may yield positive results by focusing on improving maternal incomes, maternal NHIS enrolment, and maternal household characteristics. Improving maternal education could be a positive step towards addressing challenges with self-care or traditional healing amongst children with ARI.
format	article
author	Leslie Danquah Prince Michael Amegbor Dawit Getnet Ayele
author_facet	Leslie Danquah Prince Michael Amegbor Dawit Getnet Ayele
author_sort	Leslie Danquah
title	Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys
title_short	Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys
title_full	Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys
title_fullStr	Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys
title_full_unstemmed	Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys
title_sort	determinants of the type of health care sought for symptoms of acute respiratory infection in children: analysis of ghana demographic and health surveys
publisher	BMC
publishDate	2021
url	https://doaj.org/article/1bb9deb14d8549c38ce1fe3987a0083a
work_keys_str_mv	AT lesliedanquah determinantsofthetypeofhealthcaresoughtforsymptomsofacuterespiratoryinfectioninchildrenanalysisofghanademographicandhealthsurveys AT princemichaelamegbor determinantsofthetypeofhealthcaresoughtforsymptomsofacuterespiratoryinfectioninchildrenanalysisofghanademographicandhealthsurveys AT dawitgetnetayele determinantsofthetypeofhealthcaresoughtforsymptomsofacuterespiratoryinfectioninchildrenanalysisofghanademographicandhealthsurveys
_version_	1718418929999675392

Determinants of the type of health care sought for symptoms of Acute respiratory infection in children: analysis of Ghana demographic and health surveys

Ejemplares similares