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Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study
BACKGROUND: Between 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. W...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393027/ https://www.ncbi.nlm.nih.gov/pubmed/37533532 http://dx.doi.org/10.3389/fpubh.2023.1198225 |
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author | Bakare, Ayobami A. King, Carina Salako, Julius Bakare, Damola Uchendu, Obioma C. Burgess, Rochelle Ann Shittu, Funmilayo Iuliano, Agnese Isah, Adamu Ahmed, Tahlil Ahmar, Samy Valentine, Paula Olowookere, Temitayo Folorunso McCollum, Eric D. Colbourn, Tim Falade, Adegoke G. Graham, Hamish R. |
author_facet | Bakare, Ayobami A. King, Carina Salako, Julius Bakare, Damola Uchendu, Obioma C. Burgess, Rochelle Ann Shittu, Funmilayo Iuliano, Agnese Isah, Adamu Ahmed, Tahlil Ahmar, Samy Valentine, Paula Olowookere, Temitayo Folorunso McCollum, Eric D. Colbourn, Tim Falade, Adegoke G. Graham, Hamish R. |
author_sort | Bakare, Ayobami A. |
collection | PubMed |
description | BACKGROUND: Between 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. We therefore aimed to describe caregiver knowledge and care seeking behaviour for childhood pneumonia, in a high child mortality setting in Nigeria, to inform the development of effective community-based interventions for pneumonia control. METHODS: We conducted a cross-sectional household survey in Kiyawa Local Government Area, Jigawa State, Nigeria between December 2019 and March 2020. We asked caregivers about their knowledge of pneumonia symptoms, prevention, risks, and treatment. A score of 1 was assigned for each correct response. We showed them videos of pneumonia specific symptoms and asked (1) if their child had any respiratory symptoms in the 2-weeks prior; (2) their subsequent care-seeking behaviour. Multivariate regressions explored socio-demographic and clinical factors associated with care seeking. RESULTS: We surveyed 1,661 eligible women, with 2,828 children under-five. Only 4.9% of women could name both cough and difficulty/fast breathing as pneumonia symptoms, and the composite knowledge scores for pneumonia prevention, risks and treatment were low. Overall, 19.0% (536/2828) of children had a report of pneumonia specific symptoms in the prior two-weeks, and of these 32.3% (176/536) were taken for care. The odds of care seeking was higher among children: with fever (AOR:2:45 [95% CI: 1.38–4.34]); from wealthiest homes (AOR: 2:13 [95% CI: 1.03–4.38]) and whose mother first married at 20–26 years compared to 15–19 years (AOR: 5.15 [95% CI: 1.38–19.26]). Notably, the caregiver’s knowledge of pneumonia was not associated with care seeking. CONCLUSION: While some socio-demographic factors were associated with care seeking for children with symptoms of Acute Respiratory Infection (ARI), caregiver’s knowledge of the disease was not. Therefore, when designing public health interventions to address child mortality, information-giving alone is likely to be insufficient. |
format | Online Article Text |
id | pubmed-10393027 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103930272023-08-02 Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study Bakare, Ayobami A. King, Carina Salako, Julius Bakare, Damola Uchendu, Obioma C. Burgess, Rochelle Ann Shittu, Funmilayo Iuliano, Agnese Isah, Adamu Ahmed, Tahlil Ahmar, Samy Valentine, Paula Olowookere, Temitayo Folorunso McCollum, Eric D. Colbourn, Tim Falade, Adegoke G. Graham, Hamish R. Front Public Health Public Health BACKGROUND: Between 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. We therefore aimed to describe caregiver knowledge and care seeking behaviour for childhood pneumonia, in a high child mortality setting in Nigeria, to inform the development of effective community-based interventions for pneumonia control. METHODS: We conducted a cross-sectional household survey in Kiyawa Local Government Area, Jigawa State, Nigeria between December 2019 and March 2020. We asked caregivers about their knowledge of pneumonia symptoms, prevention, risks, and treatment. A score of 1 was assigned for each correct response. We showed them videos of pneumonia specific symptoms and asked (1) if their child had any respiratory symptoms in the 2-weeks prior; (2) their subsequent care-seeking behaviour. Multivariate regressions explored socio-demographic and clinical factors associated with care seeking. RESULTS: We surveyed 1,661 eligible women, with 2,828 children under-five. Only 4.9% of women could name both cough and difficulty/fast breathing as pneumonia symptoms, and the composite knowledge scores for pneumonia prevention, risks and treatment were low. Overall, 19.0% (536/2828) of children had a report of pneumonia specific symptoms in the prior two-weeks, and of these 32.3% (176/536) were taken for care. The odds of care seeking was higher among children: with fever (AOR:2:45 [95% CI: 1.38–4.34]); from wealthiest homes (AOR: 2:13 [95% CI: 1.03–4.38]) and whose mother first married at 20–26 years compared to 15–19 years (AOR: 5.15 [95% CI: 1.38–19.26]). Notably, the caregiver’s knowledge of pneumonia was not associated with care seeking. CONCLUSION: While some socio-demographic factors were associated with care seeking for children with symptoms of Acute Respiratory Infection (ARI), caregiver’s knowledge of the disease was not. Therefore, when designing public health interventions to address child mortality, information-giving alone is likely to be insufficient. Frontiers Media S.A. 2023-07-18 /pmc/articles/PMC10393027/ /pubmed/37533532 http://dx.doi.org/10.3389/fpubh.2023.1198225 Text en Copyright © 2023 Bakare, King, Salako, Bakare, Uchendu, Burgess, Shittu, Iuliano, Isah, Ahmed, Ahmar, Valentine, Olowookere, McCollum, Colbourn, Falade and Graham. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Bakare, Ayobami A. King, Carina Salako, Julius Bakare, Damola Uchendu, Obioma C. Burgess, Rochelle Ann Shittu, Funmilayo Iuliano, Agnese Isah, Adamu Ahmed, Tahlil Ahmar, Samy Valentine, Paula Olowookere, Temitayo Folorunso McCollum, Eric D. Colbourn, Tim Falade, Adegoke G. Graham, Hamish R. Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study |
title | Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study |
title_full | Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study |
title_fullStr | Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study |
title_full_unstemmed | Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study |
title_short | Pneumonia knowledge and care seeking behavior for children under-five years in Jigawa, Northwest Nigeria: a cross-sectional study |
title_sort | pneumonia knowledge and care seeking behavior for children under-five years in jigawa, northwest nigeria: a cross-sectional study |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393027/ https://www.ncbi.nlm.nih.gov/pubmed/37533532 http://dx.doi.org/10.3389/fpubh.2023.1198225 |
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