Determinant Factors of Womens towards Modern Health Care Seeking Behavior for Childhood Diarrheal Disease in Hetosa District, Arsi Zone
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Date
2011-05
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Addis Abeba Universty
Abstract
Background: Diarrheal disease remains one of the principal causes of morbidity and mortality in
children of developing countries. One major reason for the poor outcomes of diarrheal episodes is the
mother’s treatment of diarrheal disease at her home and the kind of modern treatment she seeks.
Objectives: To assess mothers’ modern health care seeking behavior and its determinants for
childhood diarrheal illnesses in Hetosa District,Arsi Zone, Oromia region.
Methods: a comparative cross sectional study was conducted from December 2010-January 2011 in
Hetosa Woreda, Arsi zone, Oromia region. The study participants were 434 mothers/caretakers who
had at least one under five years old child with diarrhea in the previous four weeks and selected from
eight kebeles and one town. Data were collected using structured questionnaire and entered through
Epi enfo version 3.5.1 and analyzed by SPSS version 16. A distractive statistics, bivarate and
multivariate analysis was done using cross tabulation and binary logistic regressions.
Results: the study revealed that residence, excretal disposal method, income, distance of health care
facilities and educational status of the mothers or care takers were significantly associated with
mother’s modern treatment seeking behavior. Mothers who live in urban were four and half times
sought modern treatment than rural dwellers, [OR(95%CI)=4.49(2.07, 9.7)].Mothers of those grade
9-12 were nine times more likely to seek modern treatment than illiterate
one[OR(95%CI)=8.88(1.15, 68.6)]. Those households used latrine and income greater than 500 per
month were 4.6 and 3.3 times more likely to seek modern treatment than who use open field and
earn less than 500 Ethiopian birr respectively,[OR(95%CI)=4.62(1.84,11.6)]and
[OR(95%CI)=3.31(1.45, 7.54)]. Concerning the composition of fluid given, only 38.8% of the
mothers used oral rehydration therapy (ORT) (ORS and RHF) while the rest of them gave soup
(36.2%) and others (25.2%) such as plain water, tea, raw milk and traditional remedies which are
generally not as such helpful for the diarrheal child.
Conclusion: Majority of study mothers perceived that contaminated food is the major cause of
childhood diarrhea. But there were mothers perception on childhood diarrhea those not treated by
modern treatment. Regarding Mothers seeking behavior of modern treatment mothers who live in
urban was more likely seek modern treatment than rural dwellers.
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Keywords
Determinant Factors of Womens towards Modern Health Care