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Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines

OBJECTIVES: Pneumonia remains a primary cause of death for under-five children. It is possible to reduce the mortality impact from childhood pneumonia if caregivers recognise the danger signs of pneumonia and obtain appropriate healthcare. Among caregivers, research on fathers’ healthcare-seeking be...

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Autores principales: Sato, Mari, Oshitani, Hitoshi, Tamaki, Raita, Oyamada, Nobuko, Sato, Kineko, Nadra, Alkaff Raihana, Landicho, Jhoys, Alday, Portia P, Lupisan, Socorro, Tallo, Veronica L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252634/
https://www.ncbi.nlm.nih.gov/pubmed/30467133
http://dx.doi.org/10.1136/bmjopen-2018-023857
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author Sato, Mari
Oshitani, Hitoshi
Tamaki, Raita
Oyamada, Nobuko
Sato, Kineko
Nadra, Alkaff Raihana
Landicho, Jhoys
Alday, Portia P
Lupisan, Socorro
Tallo, Veronica L
author_facet Sato, Mari
Oshitani, Hitoshi
Tamaki, Raita
Oyamada, Nobuko
Sato, Kineko
Nadra, Alkaff Raihana
Landicho, Jhoys
Alday, Portia P
Lupisan, Socorro
Tallo, Veronica L
author_sort Sato, Mari
collection PubMed
description OBJECTIVES: Pneumonia remains a primary cause of death for under-five children. It is possible to reduce the mortality impact from childhood pneumonia if caregivers recognise the danger signs of pneumonia and obtain appropriate healthcare. Among caregivers, research on fathers’ healthcare-seeking behaviours and perceptions are limited, whereas research on mothers is available. This study aims to reveal fathers’ roles and perspectives with respect to the selection of care and treatment for children with pneumonia in a remote island of the Philippines. DESIGN: A qualitative research was carried out using semistructured interviews. SETTING AND PARTICIPANTS: The interviews were conducted with 12 fathers whose children had pneumonia-like episodes in the 6 months prior to the interview. Data analysis was performed using the concept analysis method to identify codes which were merged into subcategories and categories. Finally, the themes were identified. RESULTS: Three themes were identified as part of fathers’ roles, and two were identified as fathers’ perspectives on various treatment options. Fathers took care of their sick children by not entrusting care only to mothers because they considered this as part of their role. Notably, fathers considered that arranging money for the child’s treatment was a matter of prime importance. They selected a particular treatment based on their experiences and beliefs, including herbal medicine, home treatment, and visiting traditional healers and health facilities. Their decision was influenced by not only their perception of the severity of illness but also cultural beliefs on the cause of illness. Visiting health facilities, particularly during hospital admissions, causes significant financial burden for the family which was the main concern of fathers. CONCLUSION: It is crucial to consider the cultural background and also imperative to address issues related to medical cost and the credibility of health facilities to improve fathers’ healthcare-seeking behaviour.
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spelling pubmed-62526342018-12-11 Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines Sato, Mari Oshitani, Hitoshi Tamaki, Raita Oyamada, Nobuko Sato, Kineko Nadra, Alkaff Raihana Landicho, Jhoys Alday, Portia P Lupisan, Socorro Tallo, Veronica L BMJ Open Qualitative Research OBJECTIVES: Pneumonia remains a primary cause of death for under-five children. It is possible to reduce the mortality impact from childhood pneumonia if caregivers recognise the danger signs of pneumonia and obtain appropriate healthcare. Among caregivers, research on fathers’ healthcare-seeking behaviours and perceptions are limited, whereas research on mothers is available. This study aims to reveal fathers’ roles and perspectives with respect to the selection of care and treatment for children with pneumonia in a remote island of the Philippines. DESIGN: A qualitative research was carried out using semistructured interviews. SETTING AND PARTICIPANTS: The interviews were conducted with 12 fathers whose children had pneumonia-like episodes in the 6 months prior to the interview. Data analysis was performed using the concept analysis method to identify codes which were merged into subcategories and categories. Finally, the themes were identified. RESULTS: Three themes were identified as part of fathers’ roles, and two were identified as fathers’ perspectives on various treatment options. Fathers took care of their sick children by not entrusting care only to mothers because they considered this as part of their role. Notably, fathers considered that arranging money for the child’s treatment was a matter of prime importance. They selected a particular treatment based on their experiences and beliefs, including herbal medicine, home treatment, and visiting traditional healers and health facilities. Their decision was influenced by not only their perception of the severity of illness but also cultural beliefs on the cause of illness. Visiting health facilities, particularly during hospital admissions, causes significant financial burden for the family which was the main concern of fathers. CONCLUSION: It is crucial to consider the cultural background and also imperative to address issues related to medical cost and the credibility of health facilities to improve fathers’ healthcare-seeking behaviour. BMJ Publishing Group 2018-11-21 /pmc/articles/PMC6252634/ /pubmed/30467133 http://dx.doi.org/10.1136/bmjopen-2018-023857 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 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/.
spellingShingle Qualitative Research
Sato, Mari
Oshitani, Hitoshi
Tamaki, Raita
Oyamada, Nobuko
Sato, Kineko
Nadra, Alkaff Raihana
Landicho, Jhoys
Alday, Portia P
Lupisan, Socorro
Tallo, Veronica L
Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines
title Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines
title_full Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines
title_fullStr Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines
title_full_unstemmed Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines
title_short Father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines
title_sort father’s roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the philippines
topic Qualitative Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252634/
https://www.ncbi.nlm.nih.gov/pubmed/30467133
http://dx.doi.org/10.1136/bmjopen-2018-023857
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