Journal of Epidemiology and Global Health

Volume 6, Issue 4, December 2016, Pages 303 - 313

Careseeking for childhood diarrhoea at the primary level of care in communities in Cross River State, Nigeria

Authors
Oluranti Ekpoekpooy@yahoo.co.uk
University of Leicester, Leicester, United Kingdom
Received 29 September 2015, Revised 3 June 2016, Accepted 9 August 2016, Available Online 14 September 2016.
DOI
10.1016/j.jegh.2016.08.002How to use a DOI?
Keywords
Care seeking; Child health; Childhood diarrhea; Nigeria; Preschool children
Abstract

Risk factors for care-seeking choices for childhood diarrhea in Nigeria are poorly understood. They are essential to the control of childhood illnesses because diarrhea is an important cause of childhood mortality. This study explored the contributors to care-seeking choices in Cross River State, Nigeria. Caregivers of children aged 0–59 months in 1240 randomly selected households in Cross River State were involved in this cross-sectional study. Questionnaires were used to collect information on demographics, knowledge of illness, and care-seeking patterns, and observed associations were explored using logistic regression. Care was given at home (50.4%, n = 142; as recommended), at the health center (27%, n = 76), and at the local drug store (19.1%, n = 54). Main reasons for care sought were health education (31.9%, n = 94), treatment cost (18%, n = 53), and experiences (16.6%, n = 49). Caregivers living in the mainly urban area of Calabar Municipality [Adjusted Odds Ratio (AOR) = 2.81 (1.26–6.26)] and the mainly rural area of Obanliku [AOR = 3.59 (1.94–6.64)], were more likely to give home treatment. Choice of treatment was only associated with area of residence. Influencers of care-seeking behavior, especially for childhood diarrhea, are complex and need to be better understood to encourage enhanced care for young children with diarrhea.

Copyright
© 2016 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
6 - 4
Pages
303 - 313
Publication Date
2016/09/14
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2016.08.002How to use a DOI?
Copyright
© 2016 Published by Elsevier Ltd. on behalf of Ministry of Health, Saudi Arabia.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

TY  - JOUR
AU  - Oluranti Ekpo
PY  - 2016
DA  - 2016/09/14
TI  - Careseeking for childhood diarrhoea at the primary level of care in communities in Cross River State, Nigeria
JO  - Journal of Epidemiology and Global Health
SP  - 303
EP  - 313
VL  - 6
IS  - 4
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2016.08.002
DO  - 10.1016/j.jegh.2016.08.002
ID  - Ekpo2016
ER  -