Determinant Factors of Womens towards Modern Health Care Seeking Behavior for Childhood Diarrheal Disease in Hetosa District, Arsi Zone

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Addis Abeba Universty


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.



Determinant Factors of Womens towards Modern Health Care