DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20194515

Study of health care seeking behaviour for illnesses among malnourished children of age 06-59 months in rural and urban areas of Jabalpur district, Madhya Pradesh

Nandini Shukla, Neelam Anupama Toppo, Aditya Thakur, Pradeep Kumar Kasar, Brajesh Sharma

Abstract


Background: Even though appropriate medical care seeking could prevent a significant number of child deaths, significant numbers of children die without ever reaching a health facility or due to delays in seeking care.1 This study aimed to compare health seeking behaviour among malnourished children in rural and urban areas.

Methods: Cross sectional study carried out in rural and urban areas of Jabalpur district among 1237 children of age group 06-59 months in randomly selected in eight wards and two blocks of Jabalpur District. Where 720 children were from urban wards and 517 from rural villages. Multistage random sampling technique was used for the selection of study subjects. Predesigned questionnaire used to collect data.

Results: Out of 720 children of urban area, percentage of acute malnutrition (low weight-for-height) was 136 (18.8%) while in rural area, out of 517 children percentage of acute malnutrition (low weight-for-height) was 102 (19.7%). Out of 136 malnourished children in urban, 32 (23.5%) were having illness while in rural out of 102, 43 (42.1%) were having illness. In rural areas, the mother or primary care giver of the study subjects preferred nearby government hospital (21.9%) the most during illness. While in urban, registered private practitioner (47%) were mostly preferred for consulting during sickness. Still 16.3% of the caregiver in rural area preferred quacks.

Conclusions: This shows that the approach of health seeking behaviour is better in urban areas as compared to rural as people still prefer quacks in rural areas. 


Keywords


Health seeking behaviour, Illnesses, Malnutrition, Rural, Urban

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References


Kolola T, Gezahegn T, Addisie M. Health Care Seeking Behaviour for Common Childhood Illnesses in Jeldu District, Oromia Regional State, Ethiopia. PloS One. 2016;11(10):e0164534.

Park K. Park’s textbook of preventive and social medicine. 23rd edition. Jabalpur: Banarsidas Bhanot Publishers; 2015.

United Nations Children’s Fund, World Health Organization, World Bank, United Nations Population Division. Levels and Trends in Child Mortality. New York; 2015.

United Nations. The Millennium Development Goals Report. New York; 2015.

World Health Organization. World Health Statistics: monitoring health for the SDGs, sustainable development goals. Geneva, Switzerland; 2015.

Bustreo F, Okwo-Bele JM, Kamara L. World Health Organization perspectives on the contribution of the Global Alliance for Vaccines and Immunization on reducing child mortality. Geneva, Switzerlan: 2015.

Bryce J, Black RE, Boschi-Pinto C, Shibuya K. WHO Child Health Epidemiology Reference Group. WHO estimates of the causes of death in children. Lancet. 2005;3652(9465):1147–52.

UNICEF. Progress for children achieving the MDGs with equity. New York: 2010.

Wagstaff A, Bustreo F, Bryce J, Claeson M. WHO-World Bank, Child Health Poverty Working Group. Child Health: Reaching the Poor. Am J Public Health. 2004;94(5):726–36.

Wardlaw T, Salama P, Brocklehurst C, Chopra M, Mason E. Diarrhoea: why children are still dying and what can be done. Lancet. 2010;375:870–1.

Geldsetzer P, Williams TC, Kirolos A, Mitchell S, Ratcliffe LA, Kohli-Lynch MK, et al. The Recognition of and Care Seeking Behaviour for Childhood Illness in Developing Countries: A Systematic Review. Plos One. 2014;9(4):e93427.

Wiens MO, Gan H, Barigye C, Zhou G, Kumbakumba E, Kabakyenga J, et al. A Cohort Study of Morbidity, Mortality and Health Seeking Behaviour following Rural Health Center Visits by Children under 12 in South Western Uganda. Plos One. 2015;10(1):e0118055.

Mumbai: International Institute of Population Science; 2015-16. National Family Health Survey-4.

Management of childhood illness in developing countries rationale for an integrated strategy, WHO. WHO and UNICEF; 1998.

Willis JR, Kumar V, Mohanty S, Singh P, Singh V, Baqui AH, et al. Gender differences in perception and care-seeking for illness of newborns in rural Uttar Pradesh, India. J Health PopulNutr. 2009;27(1):62–71.

WHO multicentre growth reference study group. “WHO child growth standards based on length/height,weight and age”. Actapaediatrica (Oslo, Norway:1992). Supplememt 450 (2006):76

Majumdar A, Premarajan KC, Ganesh KS, Veerakumar AM, Ramaswamy G. Rural Urban Differentials of Treatment Seeking Behaviour for Acute Respiratory Infection among Children in Puducherry. Nat J Community Med. 2014;5(3):325-8.

Rotti S, Sudharsanam M. Factors determining health seeking behaviour for sick children in a fishermen community in Pondicherry. Indian J Community Med. 2007;32(1):71.

Dongre AR, Deshmukh PR, Garg BS. Childhood morbidity, household practices and health care seeking for sick children in a tribal district of Maharashtra, India. Indian J Med Sci. 2010;64(1):7–16.

Deshmukh PR, Dongre AR, Sinha N, Garg BS. Acute childhood morbidities in rural Wardha: some epidemiological correlates and health care seeking. Indian J Med Sci. 2009; 63(8):345–54.

Srivastava NM, Awasthi S, Agarwal GG. Care-seeking behaviour and out-of-pocket expenditure for sick newborns among urban poor in Lucknow, northern India: a prospective follow-up study. BMC Health Serv Res. 2009;9(1):61.

Shaikh BT, Haran D. Treating common illnesses among children under five years: a portrayal of health-seeking behaviours and practices in the northern areas of Pakistan. World Heal Popul. 2011;12(4):24–34.

Adane M, Mengistie B, Mulat W, Kloos H, Medhin, G. Utilization of health facilities and predictors of health-seeking behaviour for under-five children with acute diarrhea in slums of Addis Ababa, Ethiopia: a community-based cross-sectional study. J Health Population Nutr. 2017;36(1).

Mohapatra I, Mishra K, Kumar A. A study on the health seeking behaviour among caregivers of under-five children in an urban slum of Bhubaneswar, Odisha. J Family Med Primary Care. 2019;8(2):498.

Borah H, Gourangie G, Hiranye S. Health-seeking behaviour of the mothers for illness of their under-five children in slums of Dilbugarh town, Assam, India. Indian J Community Med Public Health. 2016;3:145-8.

Ghosh N, Chakrabarti I, Chakraborty M, Biswas R. Factors affecting the healthcare-seeking behaviour of mothers re-garding their children in a rural community of Darjeeling district, West Bengal. Int J Med Public Health. 2013;3:12-6.

Kalita D, Borah M, Kakati R, Borah H. Primary Caregivers Health Seeking Behaviour for Under-Five Children: A Study in a Rural Block of Assam, India. National J Community Med. 2016;7(11):868-72.

Adedokun ST, Adekanmbi VT, Uthman OA, Lilford RJ. Contextual factors associated with health care service utilization for children with acute childhood illnesses in Nigeria. PLoS One. 2017;12(3):e0173578.

Rehman A, Shaikh B, Ronis K. Health care seeking patterns and out of pocket payments for children under five years of age living in Katchi Abadis (slums), in Islamabad, Pakistan. Int J Equity Health. 2014;13(1):30.