Local barriers and solutions to improve care-seeking for childhood pneumonia, diarrhoea and malaria in Kenya, Nigeria and Niger: A qualitative study

PLoS ONE

Volumn 9, Issue 6, 2014, Pages

  Bedford, K Juliet A ^a,b   Sharkey, Alyssa B ^c  

^a Anthrologica   (United Kingdom)

^b UNIVERSITY OF OXFORD   (United Kingdom)

^c UNITED NATIONS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCESS TO INFORMATION; ARTICLE; CAREGIVER; CHILD; CHILD HEALTH CARE; CHILDHOOD DISEASE; CHILDHOOD MORTALITY; DIARRHEA; DOCTOR PATIENT RELATION; EMPOWERMENT; EXPERIENCE; FINANCIAL DEFICIT; FUNDING; GENDER; GEOGRAPHY; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH EDUCATION; HEALTH PROGRAM; HELP SEEKING BEHAVIOR; HUMAN; INFANT; INTERNATIONAL COOPERATION; KENYA; KNOWLEDGE; MALARIA; MORBIDITY; NIGER; NIGERIA; PNEUMONIA; PUBLIC HEALTH SERVICE; QUALITATIVE RESEARCH; SOCIAL PROBLEM; SOCIAL STATUS; TRAFFIC AND TRANSPORT; ATTITUDE TO HEALTH; COST OF ILLNESS; CULTURAL ANTHROPOLOGY; ECONOMICS; FEMALE; MALE; PRESCHOOL CHILD; RISK FACTOR; SEX DIFFERENCE; STATISTICS AND NUMERICAL DATA;

CAREGIVERS; CHILD; CHILD, PRESCHOOL; COST OF ILLNESS; CULTURE; DELIVERY OF HEALTH CARE; DIARRHEA; FEMALE; GEOGRAPHY; HEALTH FACILITIES; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES ACCESSIBILITY; HUMANS; KENYA; MALARIA; MALE; NIGER; NIGERIA; PNEUMONIA; QUALITATIVE RESEARCH; RISK FACTORS; SEX FACTORS;

EID: 84903514659     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0100038     Document Type: Article

References (44)

1. UN Inter-agency Group for Child Mortality Estimation (2013) Levels & trends in child mortality. Report 2013. New York: United Nations Childrens Fund. 30 p.
2. Chopra M, Sharkey A, Dalmiya N, Anthony D, Binkin N (2012) Strategies to improve health coverage and narrow the equity gap in child survival, health and nutrition. Lancet 380: 1331-1340.
3. Colvin CJ, Smith HJ, Swartz A, Ahs JW, de Heer J, et al. (2013) Understanding careseeking for child illness in sub-Saharan Africa: A systematic review and conceptual framework based on qualitative research of household recognition and response to child diarrhoea, pneumonia and malaria. Social Science & Medicine 86: 66e78.
4. Ellis AA, Doumbia S, Traoré S, Dalglish SL, Winch PJ (2013) Household roles and care-seeking behaviours in response to severe childhood illness in Mali. Journal of Biosocial Science 45:743-759.
5. Ferdous F, Das SK, Ahmed S, Farzana FD, Kaur G, et al. (2013) The impact of socio-economic conditions and clinical characteristics on improving childhood care seeking behaviours for families for families living far from the health facility. Science Journal of Public Health 1:69-76.
6. Scott K, McMahon S, Yumkella F, Diaz T, George A (2013) Navigating multiple options and social relationships in plural health systems: a qualitative study exploring healthcare seeking for sick children in Sierra Leone. Health Policy and Planning. doi: 10.1093/heapol/czt016.
7. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, et al. (2005) Evidence-based, cost-effective interventions: How many newborn babies can we save? Lancet 365: 977-988. (Pubitemid 41071433)
8. Ekman B, Pathmanathan I, Liljestrand J (2008) Integrating health interventions for women, newborn babies, and children: A framework for action. Lancet 372: 990-1000.
9. Ministry of Medical Services and Ministry of Public Health & Sanitation, Government of Kenya. Accelerating attainment of Health Goals: The Kenya health sector strategic and investment plan - KHSSP July 2012-June 2017. Nairobi: Afya House. 109 p. Available: http://www.health.go.ke. Accessed 20 March 2014).
10. Federal Ministry of Health, Government of Nigeria (November 2010) National strategic health development plan (NSHDP) 2010-2015. Available: http://www.health.gov.ng/doc/NSHDP.pdf. Accessed 20 March 2014).
11. Ministere de la Sante Publique, Secretariat General, Republique du Niger (January 2011) Plan de developpement sanitaire (PDS) 2011-2015. Available: http://www.unfpa.org/sowmy/resources/docs/library/R343-2011-Niger-PDS-15-FINAL- ADOPTE.pdf. Accessed 20 March 2014.
12. Kenya National Bureau of Statistics (KNBS) and ICF Macro (2010) Kenya Demographic and Health Survey 2008-09. Calverton, Maryland: KNBS and ICF Macro. 455 p.
13. Garg R, Omwomo W, Witte JM, Lee LA, Deming MS (2001) Care seeking during fatal childhood illnesses: Siaya District, Kenya, 1998. American Journal of Public Health 91:1611-1613. (Pubitemid 32900186)
14. Mbagaya GM, Odhiambo MP, Oniang'o RK (2005) Mothers' health seeking behaviour during child illness in a rural western Kenya community. African Health Sciences 5: 322-327.
15. Burton DC, Flannery B, Onyango B, Larson C, Alaii J, et al. (2011) Healthcare-seeking behaviour for common infectious disease-related illnesses in rural Kenya: a community-based house-to-house survey. Journal of Health, Population and Nutrition 29:61-70.
16. National Population Commission of Nigeria and ICF Macro (2009) Nigeria Demographic and Health Survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro. 661 p.
17. Charles JO, Udonwa NE, Ikoh MU, Ikpeme BI (2008) The role of mothers in household health-seeking behavior and decision-making in childhood febrile illness in Okurikang/Ikot Effiong Otop Community, Cross River State, Nigeria. Health Care for Women International 29:906-925.
18. Enato EFO & Okhamafe AO (2006) A survey of anti-malarial activity during pregnancy, and children's malaria care-seeking behaviour in two Nigerian rural communities. Scandinavian Journal of Infectious Diseases 38:474-478.
19. Iwelunmor J, Idris O, Adelakun A, Airhihenbuwa CO (2010) Child malaria treatment decisions by mothers of children less than five years of age attending an outpatient clinic in south-west Nigeria: an application of the PEN-3 cultural model. Malaria Journal 9:354.
20. Falade CO, Ogundiran MO, Bolaji MP, Ajaki IO, Akinboye DO, et al. (2006) The influence of cultural perception of causation, complications, and severity of childhood malaria on determinants of treatment and preventive pathways. International Quarterly of Community Health Education 24: 347-363.
21. Tinuade O, Iyabo R-A, Durotoye O (2010) Health-care-seeking behaviour for childhood illnesses in a resource-poor setting. Journal of Paediatrics and Child Health 46: 238-242.
22. Adimorah GN, Ubesie AC, Chinawa JM (2011) Mothers' beliefs about infant teething in Enugu, South-east Nigeria: a cross sectional study. BMC Research Notes 4: 228.
23. Institut National de la Statistique et Macro International Inc (2007) Enquête Démographique et de Santé et à Indicateurs Multiples du Niger 2006. Calverton, Maryland, USA : INS et Macro International Inc. 465 p.
24. Page A-L, Hustache S, Luquero FJ, Djibo A, Manzo ML, et al. (2011) Health care seeking behavior for diarrhea in children under 5 in rural Niger: results of a cross-sectional survey. BMC Public Health 11: 389.
25. Edson WN, Boucar M, Koniz-Booher P, Djibrina S, Mahamane I (2004) Developing job aids to increase adherence to an antibiotic regimen in children with pneumonia in Niger. University Research Co: Bethesda, MD. Available: https://www.usaidassist.org/sites/assist/files/nigerjobaids.pdf. Accessed 28 March 2014.
26. UNDP (2010) Assessing progress in Africa toward the Millennium Development Goals. MDG report 2010. New York: Economic Commission for Africa, African Union, African Development Bank Group; United Nations Development Programme. 122 p.
27. Amouzou A, Habi O, Bensaïd K and the Niger Countdown Case Study Working Group (2012) Reduction in child mortality in Niger: a Countdown to 2015 country case study. Lancet, 380: 1169-1178. Available: http://dx.doi.org/10. 1016/S0140-6736(12)61376-2.
28. Raquejo J, Bryce J, Victoria C (2012) Countdown to 2015. Maternal, newborn and child survival. Building a future for women and children. The 2012 report. Washington DC: WHO and UNICEF. Available: http://www.countdown2015mnch. org/reports-and-articles/2012-report. Accessed 11 November 2012.
29. Guest G, MacQueen KM, Namey E (2012) Applied thematic analysis. Thousand Oaks, CA: Sage. 320 p.
30. rd edition). New York: Oxford University Press. 800 p.
31. Pope C, Ziebland S, Mays N (2000) Qualitative research in health care. British Medical Journal, 320: 114-116.
32. Lock M, Scheper-Hughes N (1990) A critical-interpretative approach in medical anthropology: rituals and routines of discipline and dissent. In Johnson TM, Sargent CF (editors) Medical anthropology: Contemporary theory and method. New York: Praeger. pp 47-72.
33. Hahn RA, Inhorn MC (2009) Anthropology and public health: Bridging differences in culture and society. Oxford: Oxford University Press. 752 p.
34. Nichter M (2008) Global health: Why cultural perceptions, social representations and biopolitics matter. Tucson: University of Arizona Press. 320 p.
35. Ritchie J, Lewis J (2008) Qualitative research practice: A guide for social science students and researchers. Thousand Oaks, CA: Sage. 336p.
36. Bedford J (2012) Qualitative study to identify solutions to local barriers to care-seeking and treatment for diarrhoea malaria and pneumonia in select high burden countries: Report on findings from Kenya. Available: http://www.unicef.org/health/files/Identify-solutions-to-local-barriers-to-care- seeking-Kenya.pdf. Accessed 28 May 2014.
37. Bedford J (2012) Qualitative study to identify solutions to local barriers to care-seeking and treatment for diarrhoea malaria and pneumonia in select high burden countries: Report on findings from Niger. Available: http://www.unicef.org/health/files/Identify-solutions-to-local-barriers-to-care- seeking-Niger.pdf. Accessed 28 May 2014.
38. Bedford J (2012) Qualitative study to identify solutions to local barriers to care-seeking and treatment for diarrhoea malaria and pneumonia in select high burden countries: Report on findings from Nigeria. Available: http://www.unicef.org/health/files/Identify-solutions-to-local-barriers-to-care- seeking-Nigeria.pdf. Accessed 28 May 2014.
39. Perry HB, Zulliger R, Rogers MM (2014) Community health workers in low-, middle-, and high-income countries: an overview of their history, recent evolution, and current effectiveness, Annual Review of Public Health 35: 399-421.
40. Carrera C, Azrack A, Begkoyian G, Pfaffmann J, Ribaira E, et al on behalf of the UNICEF Equity in Child Survival, Health and Nutrition Analysis Team (2012) The comparative cost-effectiveness of an equity-focused approach to child survival, health and nutrition: a modelling approach. Lancet 380: 1341-51.
41. Darmstadt GL, Bhutta ZA, Cousens S, Adam T, Walker N, et al for Lancet Neonatal Survival Steering Team (2005) Evidence-based, cost-effective interventions: how many newborn babies can we save? The Lancet 365: 977-988. (Pubitemid 41071433)
42. McPake B, Brikci N, Cometto G, Schmidt A, Araujo E (2011) Removing user fees: learning from international experience to support the process. Health Policy and Planning 26(Suppl. 2): ii104-ii117.
43. Wouters E, Heunis C, van Rensburg D, Meulemans H (2008) Patient satisfaction with antiretroviral services at primary health-care facilities in the Free State, South Africa - a two-year study using four waves of cross-sectional data. BMC Health Services Research 8:210.
44. Pronyk PM, Hargreaves JR, Kim JC, Morison LA, Phetla G, et al (2006) Effect of a structural intervention for the prevention of intimate-partner violence and HIV in rural South Africa: a cluster randomised trial. Lancet 368: 1973-83. (Pubitemid 44821362)