Determinants of Mothers' Health Care Seeking Behavior for Common Childhood Illness in Fogera Woreda, Amhara Region

No Thumbnail Available



Journal Title

Journal ISSN

Volume Title


Addis Ababa University


According io WHO, 2010 recent figure, globally around 9 million children still dies every year before reaching their fifth birthday. Almost all of these deaths occur in low and middle-income COllillries. The ullder-flve mortality rate is seven times higher in the Aji-ican Region than that of Europe. Large number of children in Ethiopia in general and Amhara region in particular die without ever reaching a health facility and due to delays in seeking care. Health care seeking interventions have the potential to considerably reduce child mortality. However, Mothers in Fogera woreda did not have sufficient knowledge of signs that their child's health is in danger, or of appropriate treatments, or access to appropriate health services. This study aims to assess determinants of mothers ' health care seeking behavior for common childhood illness. A cross-sectional study was conducted ji-om January 1-20. 2011 in Fogera Woreda, Amhara Regional state. Data were collected ji-om fi ve rural and one urban kebeles of mothers whose children under the age of five got ill in the last 30 days. A total of 610 swdy subjects were included in the study. Multi stage sampling techniques was used to reach the respondents. Both quantitative and qualitative methods were employed. The data were analyzed using SPSS window version 15. Odds ratios were calculated using logistic regression model to CO/llrol confounders. Statistical tests were done at a level of significance ofp<0.05 The results showed that Mothers' health care seeking behavior and action taken when childhood illnesses persist differ across various demographic, socio economic and health accessibility characteristics. 89.5% of mothers have observed diarrhea, malaria (fever) and acute respiratory infections were the most serious child health problem in the study area. Mothers who have one child are 2times more likely to have been health care seeker than those having more than one child. The result also revealed that health care seeking behavior for those unmarried mothers declined by 88% as compared with that of the married mothers. The multivariate analysis indicates that as educational status increases mothers who seek modern treatment for their children also increases. Mothers with prim{JJY and higher level of education were 4 times more likely to seek modern treatment compared to those with no education. Those who have media exposure were 5 times more likely to seek modern treatmenlthan th ose who (licin 't have exposure to any type of media. Mothers who engaged in off farm activities were four times more likely to seek modern treatment as compared with farmers. '. Respondents who earned more Ihan1000 Birr were 3.5 lillles more likely to seek modern treatment as compared with those who earned to Birr 1000 or less per month. Those mothers who had no contact with health extension workers did have lesser perception, behavior and practices to treat childhood illness than those who had contact and discuss with health workers. Demographic, Socio economic and accessibility of health care services factors were found to be barriers to mothers ' health care seeking behavior for common childhood illness. Based on the fi ndings, improving health education, quality of service delivery, and effective behavioral change and conllnunicalion are recommended to bring about proper health care seeking behavior



Childhood Illness