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Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study

OBJECTIVES: To explore the health-seeking behaviour of Ethiopian caregivers when infants are unwell. DESIGN: A qualitative descriptive approach was employed using in-depth interviews and focus group discussions. Data were collected using semistructured interview guides. SETTING: The study was conduc...

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Autores principales: Kiross, Girmay, Chojenta, Catherine, Barker, Daniel, Loxton, Deborah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032389/
https://www.ncbi.nlm.nih.gov/pubmed/36944470
http://dx.doi.org/10.1136/bmjopen-2021-051462
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author Kiross, Girmay
Chojenta, Catherine
Barker, Daniel
Loxton, Deborah
author_facet Kiross, Girmay
Chojenta, Catherine
Barker, Daniel
Loxton, Deborah
author_sort Kiross, Girmay
collection PubMed
description OBJECTIVES: To explore the health-seeking behaviour of Ethiopian caregivers when infants are unwell. DESIGN: A qualitative descriptive approach was employed using in-depth interviews and focus group discussions. Data were collected using semistructured interview guides. SETTING: The study was conducted in East Gojjam zone, Amhara region, northwest Ethiopia. PARTICIPANTS: Participants were selected using a maximum variation purposive sampling technique across the different study groups: caregivers, community members and healthcare providers. A total of 35 respondents, 27 individuals in the focus group discussions and 8 individuals in the in-depth interviews participated in the study. METHOD: In this study, a qualitative descriptive approach was employed to explore the health-seeking behaviour of caregivers. The data were collected from July to September 2019 and conventional content analysis was applied. RESULTS: The decision to take a sick child to healthcare facilities is part of a complex care-seeking process that involves many people. Some of the critical steps in the process are caregivers recognising that the child is ill, recognising the severity of the illness and deciding to take the child to a health institution based on the recognised symptoms and illness. In Ethiopia, a significant proportion of caregivers do not seek healthcare for childhood illness, and most caregivers do not know where and when to seek care for their child. This study points out that the health-seeking behaviour of caregivers can be influenced by different contextual factors such as caregivers’ disease understanding, access to health services and family pressures to seek care. CONCLUSIONS: Healthcare-seeking practice plays an important role in reducing the impact of childhood illnesses and mortality. In Ethiopia, home-based treatment practice and traditional healing methods are widely accepted. Therefore, contextual understanding of the caregivers’ health-seeking is important to design contextual healthcare interventions in the study area.
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spelling pubmed-100323892023-03-23 Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study Kiross, Girmay Chojenta, Catherine Barker, Daniel Loxton, Deborah BMJ Open Public Health OBJECTIVES: To explore the health-seeking behaviour of Ethiopian caregivers when infants are unwell. DESIGN: A qualitative descriptive approach was employed using in-depth interviews and focus group discussions. Data were collected using semistructured interview guides. SETTING: The study was conducted in East Gojjam zone, Amhara region, northwest Ethiopia. PARTICIPANTS: Participants were selected using a maximum variation purposive sampling technique across the different study groups: caregivers, community members and healthcare providers. A total of 35 respondents, 27 individuals in the focus group discussions and 8 individuals in the in-depth interviews participated in the study. METHOD: In this study, a qualitative descriptive approach was employed to explore the health-seeking behaviour of caregivers. The data were collected from July to September 2019 and conventional content analysis was applied. RESULTS: The decision to take a sick child to healthcare facilities is part of a complex care-seeking process that involves many people. Some of the critical steps in the process are caregivers recognising that the child is ill, recognising the severity of the illness and deciding to take the child to a health institution based on the recognised symptoms and illness. In Ethiopia, a significant proportion of caregivers do not seek healthcare for childhood illness, and most caregivers do not know where and when to seek care for their child. This study points out that the health-seeking behaviour of caregivers can be influenced by different contextual factors such as caregivers’ disease understanding, access to health services and family pressures to seek care. CONCLUSIONS: Healthcare-seeking practice plays an important role in reducing the impact of childhood illnesses and mortality. In Ethiopia, home-based treatment practice and traditional healing methods are widely accepted. Therefore, contextual understanding of the caregivers’ health-seeking is important to design contextual healthcare interventions in the study area. BMJ Publishing Group 2023-03-21 /pmc/articles/PMC10032389/ /pubmed/36944470 http://dx.doi.org/10.1136/bmjopen-2021-051462 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Public Health
Kiross, Girmay
Chojenta, Catherine
Barker, Daniel
Loxton, Deborah
Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
title Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
title_full Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
title_fullStr Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
title_full_unstemmed Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
title_short Health-seeking behaviour of Ethiopian caregivers when infants are unwell: a descriptive qualitative study
title_sort health-seeking behaviour of ethiopian caregivers when infants are unwell: a descriptive qualitative study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032389/
https://www.ncbi.nlm.nih.gov/pubmed/36944470
http://dx.doi.org/10.1136/bmjopen-2021-051462
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