Assessment of Mothers/Care Givers Health Care Seeking Behavior for Childhood Illness in Rural Ensaro District, North Shoa Zone, Amhara Region, Ethiopia 2014

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Addis Ababa University


Introduction: The UN (United Nation) Millennium Development Goals (MDG 4) calls for Ethiopia to reduce child mortality by a two-third by the year 2015. The practice of appropriate health care seeking has a great potential to reduce the occurrence of severe and life-threatening childhood illnesses. However, varieties of factors have been identified as the leading causes of poor utilization of primary health care services. Poor socio-economic status, lack of physical accessibility, attitude to modern treatment, low literacy level of the mothers, large family size, number of symptoms, previous experience of child death, and perceived severity of illness were the predictors of care seeking behavior Objective: To assess mothers/care givers health care seeking behavior and its determinants for childhood illnesses Methodology: The study employed both quantitative and qualitative data collection methods with face to face prepared questionnaire for quantitative and focus group discussion for qualitative study from April 11 to May 10/2014. For quantitative data template was prepared and the data was entered, categorized, coded, and summarized using EPI 3.5.3 and transformed to SPSS version 20.00 for further analysis. Bivariate and multivariate logistic regression analysis was done to see the association of each categories of variable with the outcome variable. Significance was checked at 95% CI with p-value <0.05. Result: Regarding child hood illness 4 weeks preceding the study. 212 (33.1%) children had illness. Most of the respondents 438(68.3%) believed that there were childhood illness that could not be treated by modern medicine Mothers/ caregivers who had diploma and above education level were more likely to seek health care than those who were illiterate and Place of residence also appeared as an important factor that influenced healthcare-seeking, with residents urban more likely seek health care than rural residence. Conclusion and Recommendation: The critical predictors of healthcare-seeking identified using multivariate analysis are; place of residence, educational status of the mothers/care givers, age of the mothers /care givers, distance of the health facility and private drug shop owner. Regarding to recommendation, efforts need to be done by government and non-governmental organization to improve the mothers’ health seeking behavior by providing information, education and behavioral change communication. Key words: mothers/care givers, health, care, seeking, behavior, childhood, illness, and rural district



Mothers/care givers,, Health, care, Seeking, Behavior