Home Management Practice and Factors Associated Wwth Mother’s Modern Health Care Seeking Behavior for Childhood Diarrheal Diseases in Ginir District,Bale Zone.
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Date
2013-06
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Addis Ababa University
Abstract
Background: Diarrheal disease still remains among the leading causes of childhood morbidity and mortality. Despite diarrhea being a disease that is easy to prevent and treat, it causes about 1.5 million under-five deaths every year. The poor outcome of diarrheal episode is mainly the result of improper mother’s treatment of diarrhea diseases at home and the types of treatment she seeks.
Objectives: To assess mother’s home management practice, prevalence of modern health care seeking behavior and its determinant factors for childhood diarrheal illnesses in Ginir District, Bale Zone, Oromia Regional states.
Methods: A cross sectional study was conducted from January to February 2013 in Ginir District. The study participants were 664 mothers/caretakers who have under-five children with diarrhea. Data was collected using both structured and semi-structured open ended questionnaire.
A descriptive statistics, bivarate and multivariate analyses were done using cross tabulation and binary logistic regression. Qualitative data was analyzed using content analysis after exported to open code software.
Results: the study showed that, majority of the mothers 291(43.8%) provide less than usual or gave nothing to drink and only 169(25.2%) of them provide more than usual fluids as recommended for their children with diarrhea. More than half of the mothers 373(59.6%) decreased or withhold food, and only 198(31.6%) of the children with diarrhea fed as usual.
Even though the use of ORS is widely recommended, only 191(28.8%) of the children with diarrhea were given ORS. The prevalence of mother’s modern treatment seeking behavior were found to be low in the district, where only 246(37%) of the mothers sought modern treatment for their children with diarrhea.
Higher level of mother’s education (AOR=15.3, 95% CI=5.4, 43.5) and being a model family (AOR=1.9, 95%CI=1.3, 2.8) were factors positively associated with modern treatment seeking behavior.
Those mothers, who live greater than five kilometers were less likely to seek modern treatment than those who live within five kilometers of health facility (AOR=0.27, 95%CI=0.17, 0.44). Mothers who thought their children had severe diarrhea were 3.4 time more likely to seek modern treatment compared to those who thought mild (AOR=3.43, 95%CI=1.77, 6.63) and mothers who related the causes of diarrhea to some Folk causes were less likely to seek modern treatment than those who respond did not know (AOR=0.26, 95% CI=0.16, 0.42).
Conclusions and recommendations: majority of the mothers practice inappropriate home management for childhood diarrheal diseases and the utilization of modern treatment were low in the area.Mother’s educational status, model family, distance from health facility, perceived severity and perceived causes of the illness were found to be statistically significant predictors of mother’s modern healthcare-seeking behavior for childhood diarrhea. Effort should be made to improve mother’s home management practice and mother’s modern healthcare seeking behavior for childhood diarrhea diseases.
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Keywords
Home Management ,Diarrheal Diseases ,Childhood,Modern Health