Effect of community integrated management of childhood illness on mothers’ healthcare-seeking behaviour and home management of childhood illness in Ile Ife, South-West Nigeria: A household survey
Background. Care-seeking interventions, as part of community integrated management of childhood illness (CIMCI), have the potential to substantially reduce child mortality in countries where common childhood illnesses are a major problem. Prompt and appropriate care-seeking practices are important t...
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creator | Ogundele, Olorunfemi Akinbode Ogundele, Tolulope Olajide, Olalere Samuel Agunbiade, Olalekan Isaiah |
description | Background. Care-seeking interventions, as part of community integrated management of childhood illness (CIMCI), have the potential to substantially reduce child mortality in countries where common childhood illnesses are a major problem. Prompt and appropriate care-seeking practices are important to avoid many deaths attributed to delays in or not seeking care, particularly in developing countries such as Nigeria. Objective. To assess the effect of community-level intervention on mothers' care-seeking behaviour for common childhood illnesses and related influencing factors. Methods. The study had a comparative cross-sectional design and was conducted in two local government areas (LGAs) of Osun State, South-West Nigeria. A total of 722 mothers of index children aged |
doi_str_mv | 10.7196/SAJCH.2016.v10i1.912 |
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Care-seeking interventions, as part of community integrated management of childhood illness (CIMCI), have the potential to substantially reduce child mortality in countries where common childhood illnesses are a major problem. Prompt and appropriate care-seeking practices are important to avoid many deaths attributed to delays in or not seeking care, particularly in developing countries such as Nigeria. Objective. To assess the effect of community-level intervention on mothers' care-seeking behaviour for common childhood illnesses and related influencing factors. Methods. The study had a comparative cross-sectional design and was conducted in two local government areas (LGAs) of Osun State, South-West Nigeria. A total of 722 mothers of index children aged <5 years were selected through a multistage cluster sampling technique. Data were collected and analysed using SPSS version 16.0. Descriptive, bivariate and multivariate analyses were performed. Results. Care-seeking for children who reported illness was higher in the CIMCI-implementing LGA (90.2%) compared with 74.8% in the non-implementing LGA (p=0.002). Care was sought within the first 48 hours of perceived onset of illness for 83.2% and 57.9% of sick children in the CIMCI-implementing and non-implementing LGAs, respectively. Residing in a CIMCI-implementing area (odds ratio (OR) 2.54, 95% confidence interval (CI) 1.24-5.45) and maternal education level (OR 1.50, 95% CI 1.06-3.03) were identified as predictors of healthcare-seeking practices among mothers. Conclusion. The study concluded that a high level of care-seeking behaviour exists where community-level intervention was operating. Therefore the CIMCI programme should be strengthened further and also scaled up to include non-implementing communities. S Afr J Child Health 2016;10(1):16-19. DOI:10.7196/SAJCH.2016.v106i1.912</description><identifier>ISSN: 1994-3032</identifier><identifier>EISSN: 1999-7671</identifier><identifier>DOI: 10.7196/SAJCH.2016.v10i1.912</identifier><language>eng</language><publisher>Health & Medical Publishing Group</publisher><subject>Care and treatment ; Evaluation ; Forecasts and trends ; Health aspects ; Health behavior ; Medical care utilization ; Mother-child relations ; Pediatric diseases</subject><ispartof>SAJCH : the South African journal of child health, 2016-04, Vol.10 (1), p.16</ispartof><rights>COPYRIGHT 2016 Health & Medical Publishing Group</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c282t-be57b905de892b73df563d7a339f3954e1cc5f69e8f0b99ca1d1a419019b48b93</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,864,27924,27925</link.rule.ids></links><search><creatorcontrib>Ogundele, Olorunfemi Akinbode</creatorcontrib><creatorcontrib>Ogundele, Tolulope</creatorcontrib><creatorcontrib>Olajide, Olalere Samuel</creatorcontrib><creatorcontrib>Agunbiade, Olalekan Isaiah</creatorcontrib><title>Effect of community integrated management of childhood illness on mothers’ healthcare-seeking behaviour and home management of childhood illness in Ile Ife, South-West Nigeria: A household survey</title><title>SAJCH : the South African journal of child health</title><description>Background. Care-seeking interventions, as part of community integrated management of childhood illness (CIMCI), have the potential to substantially reduce child mortality in countries where common childhood illnesses are a major problem. Prompt and appropriate care-seeking practices are important to avoid many deaths attributed to delays in or not seeking care, particularly in developing countries such as Nigeria. Objective. To assess the effect of community-level intervention on mothers' care-seeking behaviour for common childhood illnesses and related influencing factors. Methods. The study had a comparative cross-sectional design and was conducted in two local government areas (LGAs) of Osun State, South-West Nigeria. A total of 722 mothers of index children aged <5 years were selected through a multistage cluster sampling technique. Data were collected and analysed using SPSS version 16.0. Descriptive, bivariate and multivariate analyses were performed. Results. Care-seeking for children who reported illness was higher in the CIMCI-implementing LGA (90.2%) compared with 74.8% in the non-implementing LGA (p=0.002). Care was sought within the first 48 hours of perceived onset of illness for 83.2% and 57.9% of sick children in the CIMCI-implementing and non-implementing LGAs, respectively. Residing in a CIMCI-implementing area (odds ratio (OR) 2.54, 95% confidence interval (CI) 1.24-5.45) and maternal education level (OR 1.50, 95% CI 1.06-3.03) were identified as predictors of healthcare-seeking practices among mothers. Conclusion. The study concluded that a high level of care-seeking behaviour exists where community-level intervention was operating. Therefore the CIMCI programme should be strengthened further and also scaled up to include non-implementing communities. S Afr J Child Health 2016;10(1):16-19. DOI:10.7196/SAJCH.2016.v106i1.912</description><subject>Care and treatment</subject><subject>Evaluation</subject><subject>Forecasts and trends</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Medical care utilization</subject><subject>Mother-child relations</subject><subject>Pediatric diseases</subject><issn>1994-3032</issn><issn>1999-7671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkb1uFDEURkcIJJLAG1DcKlVmscfz53SrVSCLIigCorQ84-uxwWNHtmel7XgNHogX4UnYn_RU9xZHR_p0iuIdJauO8vb94_rT5n5VEdqudpRYuuK0elFcUM552bUdfXn665IRVr0uLlP6QUhL6r6_KP7caY1jhqBhDPO8eJv3YH3GKcqMCmbp5YQz-jNirFMmBAXWOY8pQfAwh2wwpr-_foNB6bIZZcQyIf60foIBjdzZsESQXoEJM_7XaT1sHcJW4w08hiWb8jumDJ_thNHKW1gfNEtCE5yCtMQd7t8Ur7R0Cd8-36vi24e7r5v78uHLx-1m_VCOVV_lcsCmGzhpFPa8GjqmdNMy1UnGuGa8qZGOY6Nbjr0mA-ejpIrKmnJC-VD3A2dXxfXZO0mH4rw2BbdkG3wS67qhDaNdSw5gfQbHGFKKqMVTtLOMe0GJODYTp2bi2EycmolDM_YPzLSQ2Q</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Ogundele, Olorunfemi Akinbode</creator><creator>Ogundele, Tolulope</creator><creator>Olajide, Olalere Samuel</creator><creator>Agunbiade, Olalekan Isaiah</creator><general>Health & Medical Publishing Group</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20160401</creationdate><title>Effect of community integrated management of childhood illness on mothers’ healthcare-seeking behaviour and home management of childhood illness in Ile Ife, South-West Nigeria: A household survey</title><author>Ogundele, Olorunfemi Akinbode ; Ogundele, Tolulope ; Olajide, Olalere Samuel ; Agunbiade, Olalekan Isaiah</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c282t-be57b905de892b73df563d7a339f3954e1cc5f69e8f0b99ca1d1a419019b48b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Care and treatment</topic><topic>Evaluation</topic><topic>Forecasts and trends</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Medical care utilization</topic><topic>Mother-child relations</topic><topic>Pediatric diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogundele, Olorunfemi Akinbode</creatorcontrib><creatorcontrib>Ogundele, Tolulope</creatorcontrib><creatorcontrib>Olajide, Olalere Samuel</creatorcontrib><creatorcontrib>Agunbiade, Olalekan Isaiah</creatorcontrib><collection>CrossRef</collection><jtitle>SAJCH : the South African journal of child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogundele, Olorunfemi Akinbode</au><au>Ogundele, Tolulope</au><au>Olajide, Olalere Samuel</au><au>Agunbiade, Olalekan Isaiah</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of community integrated management of childhood illness on mothers’ healthcare-seeking behaviour and home management of childhood illness in Ile Ife, South-West Nigeria: A household survey</atitle><jtitle>SAJCH : the South African journal of child health</jtitle><date>2016-04-01</date><risdate>2016</risdate><volume>10</volume><issue>1</issue><spage>16</spage><pages>16-</pages><issn>1994-3032</issn><eissn>1999-7671</eissn><abstract>Background. Care-seeking interventions, as part of community integrated management of childhood illness (CIMCI), have the potential to substantially reduce child mortality in countries where common childhood illnesses are a major problem. Prompt and appropriate care-seeking practices are important to avoid many deaths attributed to delays in or not seeking care, particularly in developing countries such as Nigeria. Objective. To assess the effect of community-level intervention on mothers' care-seeking behaviour for common childhood illnesses and related influencing factors. Methods. The study had a comparative cross-sectional design and was conducted in two local government areas (LGAs) of Osun State, South-West Nigeria. A total of 722 mothers of index children aged <5 years were selected through a multistage cluster sampling technique. Data were collected and analysed using SPSS version 16.0. Descriptive, bivariate and multivariate analyses were performed. Results. Care-seeking for children who reported illness was higher in the CIMCI-implementing LGA (90.2%) compared with 74.8% in the non-implementing LGA (p=0.002). Care was sought within the first 48 hours of perceived onset of illness for 83.2% and 57.9% of sick children in the CIMCI-implementing and non-implementing LGAs, respectively. Residing in a CIMCI-implementing area (odds ratio (OR) 2.54, 95% confidence interval (CI) 1.24-5.45) and maternal education level (OR 1.50, 95% CI 1.06-3.03) were identified as predictors of healthcare-seeking practices among mothers. Conclusion. The study concluded that a high level of care-seeking behaviour exists where community-level intervention was operating. Therefore the CIMCI programme should be strengthened further and also scaled up to include non-implementing communities. S Afr J Child Health 2016;10(1):16-19. DOI:10.7196/SAJCH.2016.v106i1.912</abstract><pub>Health & Medical Publishing Group</pub><doi>10.7196/SAJCH.2016.v10i1.912</doi><oa>free_for_read</oa></addata></record> |
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subjects | Care and treatment Evaluation Forecasts and trends Health aspects Health behavior Medical care utilization Mother-child relations Pediatric diseases |
title | Effect of community integrated management of childhood illness on mothers’ healthcare-seeking behaviour and home management of childhood illness in Ile Ife, South-West Nigeria: A household survey |
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