Childhood Illness Prevalence and Health Seeking Behavior Patterns in Rural Tanzania

Almamy Malick Kante, Hialy R. Gutierrez, Anna M. Larsen, Elizabeth F. Jackson, Stephane Helleringer, Amon Exavery, Kassimu Tani, James F. Phillips

Research output: Contribution to journalArticle

Abstract

Introduction: This paper identifies factors influencing differences in the prevalence of diarrhea, fever and acute respiratory infection (ARI), and health seeking behavior among caregivers of children under age five in rural Tanzania. Methods: Using cross-sectional survey data collected in Kilombero, Ulanga, and Rufiji districts, the analysis included 1,643 caregivers who lived with 2,077 children under five years old. Logistic multivariate and multinomial regressions were used to analyze factors related to disease prevalence and to health seeking behavior. Results: One quarter of the children had experienced fever in the past two weeks, 12.0 % had diarrhea and 6.7 % experienced ARI. Children two years of age and older were less likely to experience morbidity than children under one year [ORfever = 0.77, 95 % CI 0.61-0.96; ORdiarrhea = 0.26, 95 % CI 0.18-0.37; ORARI = 0.60 95 % CI 0.41-0.89]. Children aged two and older were more likely than children under one to receive no care or to receive care at home, rather than to receive care at a facility [RRRdiarrhea = 3.47, 95 % CI 1.19-10.17 for "No care"]. Children living with an educated caregiver were less likely to receive no care or home care rather than care at a facility as compared to those who lived with an uneducated caregiver [RRRdiarrhea = 0.28, 95 % CI 1.10-0.79 for "No care"]. Children living in the wealthiest households were less likely to receive no care or home care for fever as compared to those who lived poorest households. Children living more than 1 km from health facility were more likely to receive no care or to receive home care for diarrhea rather than care at a facility as compared to those living less than 1 km from a facility [RRRdiarrhea = 3.50, 95 % CI 1.13-10.82 for "No care"]. Finally, caregivers who lived with more than one child under age five were more likely to provide no care or home care rather than to seek treatment at a facility as compared to those living with only one child under five. Conclusions: Our results suggest that child age, caregiver education attainment, and household wealth and location may be associated with childhood illness and care seeking behavior patterns. Interventions should be explored that target children and caregivers according to these factors, thereby better addressing barriers and optimizing health outcomes especially for children at risk of dying before the age of five.

Original languageEnglish (US)
Article number2264
JournalBMC Public Health
Volume15
Issue number1
DOIs
StatePublished - Sep 23 2015

Fingerprint

Tanzania
Health
Caregivers
Home Care Services
Diarrhea
Fever
Respiratory Tract Infections
Health Facilities
Statistical Factor Analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Childhood Illness Prevalence and Health Seeking Behavior Patterns in Rural Tanzania. / Kante, Almamy Malick; Gutierrez, Hialy R.; Larsen, Anna M.; Jackson, Elizabeth F.; Helleringer, Stephane; Exavery, Amon; Tani, Kassimu; Phillips, James F.

In: BMC Public Health, Vol. 15, No. 1, 2264, 23.09.2015.

Research output: Contribution to journalArticle

Kante, AM, Gutierrez, HR, Larsen, AM, Jackson, EF, Helleringer, S, Exavery, A, Tani, K & Phillips, JF 2015, 'Childhood Illness Prevalence and Health Seeking Behavior Patterns in Rural Tanzania', BMC Public Health, vol. 15, no. 1, 2264. https://doi.org/10.1186/s12889-015-2264-6
Kante, Almamy Malick ; Gutierrez, Hialy R. ; Larsen, Anna M. ; Jackson, Elizabeth F. ; Helleringer, Stephane ; Exavery, Amon ; Tani, Kassimu ; Phillips, James F. / Childhood Illness Prevalence and Health Seeking Behavior Patterns in Rural Tanzania. In: BMC Public Health. 2015 ; Vol. 15, No. 1.
@article{54da9910c05e4609b46af974b6043711,
title = "Childhood Illness Prevalence and Health Seeking Behavior Patterns in Rural Tanzania",
abstract = "Introduction: This paper identifies factors influencing differences in the prevalence of diarrhea, fever and acute respiratory infection (ARI), and health seeking behavior among caregivers of children under age five in rural Tanzania. Methods: Using cross-sectional survey data collected in Kilombero, Ulanga, and Rufiji districts, the analysis included 1,643 caregivers who lived with 2,077 children under five years old. Logistic multivariate and multinomial regressions were used to analyze factors related to disease prevalence and to health seeking behavior. Results: One quarter of the children had experienced fever in the past two weeks, 12.0 {\%} had diarrhea and 6.7 {\%} experienced ARI. Children two years of age and older were less likely to experience morbidity than children under one year [ORfever = 0.77, 95 {\%} CI 0.61-0.96; ORdiarrhea = 0.26, 95 {\%} CI 0.18-0.37; ORARI = 0.60 95 {\%} CI 0.41-0.89]. Children aged two and older were more likely than children under one to receive no care or to receive care at home, rather than to receive care at a facility [RRRdiarrhea = 3.47, 95 {\%} CI 1.19-10.17 for {"}No care{"}]. Children living with an educated caregiver were less likely to receive no care or home care rather than care at a facility as compared to those who lived with an uneducated caregiver [RRRdiarrhea = 0.28, 95 {\%} CI 1.10-0.79 for {"}No care{"}]. Children living in the wealthiest households were less likely to receive no care or home care for fever as compared to those who lived poorest households. Children living more than 1 km from health facility were more likely to receive no care or to receive home care for diarrhea rather than care at a facility as compared to those living less than 1 km from a facility [RRRdiarrhea = 3.50, 95 {\%} CI 1.13-10.82 for {"}No care{"}]. Finally, caregivers who lived with more than one child under age five were more likely to provide no care or home care rather than to seek treatment at a facility as compared to those living with only one child under five. Conclusions: Our results suggest that child age, caregiver education attainment, and household wealth and location may be associated with childhood illness and care seeking behavior patterns. Interventions should be explored that target children and caregivers according to these factors, thereby better addressing barriers and optimizing health outcomes especially for children at risk of dying before the age of five.",
author = "Kante, {Almamy Malick} and Gutierrez, {Hialy R.} and Larsen, {Anna M.} and Jackson, {Elizabeth F.} and Stephane Helleringer and Amon Exavery and Kassimu Tani and Phillips, {James F.}",
year = "2015",
month = "9",
day = "23",
doi = "10.1186/s12889-015-2264-6",
language = "English (US)",
volume = "15",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Childhood Illness Prevalence and Health Seeking Behavior Patterns in Rural Tanzania

AU - Kante, Almamy Malick

AU - Gutierrez, Hialy R.

AU - Larsen, Anna M.

AU - Jackson, Elizabeth F.

AU - Helleringer, Stephane

AU - Exavery, Amon

AU - Tani, Kassimu

AU - Phillips, James F.

PY - 2015/9/23

Y1 - 2015/9/23

N2 - Introduction: This paper identifies factors influencing differences in the prevalence of diarrhea, fever and acute respiratory infection (ARI), and health seeking behavior among caregivers of children under age five in rural Tanzania. Methods: Using cross-sectional survey data collected in Kilombero, Ulanga, and Rufiji districts, the analysis included 1,643 caregivers who lived with 2,077 children under five years old. Logistic multivariate and multinomial regressions were used to analyze factors related to disease prevalence and to health seeking behavior. Results: One quarter of the children had experienced fever in the past two weeks, 12.0 % had diarrhea and 6.7 % experienced ARI. Children two years of age and older were less likely to experience morbidity than children under one year [ORfever = 0.77, 95 % CI 0.61-0.96; ORdiarrhea = 0.26, 95 % CI 0.18-0.37; ORARI = 0.60 95 % CI 0.41-0.89]. Children aged two and older were more likely than children under one to receive no care or to receive care at home, rather than to receive care at a facility [RRRdiarrhea = 3.47, 95 % CI 1.19-10.17 for "No care"]. Children living with an educated caregiver were less likely to receive no care or home care rather than care at a facility as compared to those who lived with an uneducated caregiver [RRRdiarrhea = 0.28, 95 % CI 1.10-0.79 for "No care"]. Children living in the wealthiest households were less likely to receive no care or home care for fever as compared to those who lived poorest households. Children living more than 1 km from health facility were more likely to receive no care or to receive home care for diarrhea rather than care at a facility as compared to those living less than 1 km from a facility [RRRdiarrhea = 3.50, 95 % CI 1.13-10.82 for "No care"]. Finally, caregivers who lived with more than one child under age five were more likely to provide no care or home care rather than to seek treatment at a facility as compared to those living with only one child under five. Conclusions: Our results suggest that child age, caregiver education attainment, and household wealth and location may be associated with childhood illness and care seeking behavior patterns. Interventions should be explored that target children and caregivers according to these factors, thereby better addressing barriers and optimizing health outcomes especially for children at risk of dying before the age of five.

AB - Introduction: This paper identifies factors influencing differences in the prevalence of diarrhea, fever and acute respiratory infection (ARI), and health seeking behavior among caregivers of children under age five in rural Tanzania. Methods: Using cross-sectional survey data collected in Kilombero, Ulanga, and Rufiji districts, the analysis included 1,643 caregivers who lived with 2,077 children under five years old. Logistic multivariate and multinomial regressions were used to analyze factors related to disease prevalence and to health seeking behavior. Results: One quarter of the children had experienced fever in the past two weeks, 12.0 % had diarrhea and 6.7 % experienced ARI. Children two years of age and older were less likely to experience morbidity than children under one year [ORfever = 0.77, 95 % CI 0.61-0.96; ORdiarrhea = 0.26, 95 % CI 0.18-0.37; ORARI = 0.60 95 % CI 0.41-0.89]. Children aged two and older were more likely than children under one to receive no care or to receive care at home, rather than to receive care at a facility [RRRdiarrhea = 3.47, 95 % CI 1.19-10.17 for "No care"]. Children living with an educated caregiver were less likely to receive no care or home care rather than care at a facility as compared to those who lived with an uneducated caregiver [RRRdiarrhea = 0.28, 95 % CI 1.10-0.79 for "No care"]. Children living in the wealthiest households were less likely to receive no care or home care for fever as compared to those who lived poorest households. Children living more than 1 km from health facility were more likely to receive no care or to receive home care for diarrhea rather than care at a facility as compared to those living less than 1 km from a facility [RRRdiarrhea = 3.50, 95 % CI 1.13-10.82 for "No care"]. Finally, caregivers who lived with more than one child under age five were more likely to provide no care or home care rather than to seek treatment at a facility as compared to those living with only one child under five. Conclusions: Our results suggest that child age, caregiver education attainment, and household wealth and location may be associated with childhood illness and care seeking behavior patterns. Interventions should be explored that target children and caregivers according to these factors, thereby better addressing barriers and optimizing health outcomes especially for children at risk of dying before the age of five.

UR - http://www.scopus.com/inward/record.url?scp=84960356839&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960356839&partnerID=8YFLogxK

U2 - 10.1186/s12889-015-2264-6

DO - 10.1186/s12889-015-2264-6

M3 - Article

C2 - 26399915

AN - SCOPUS:84960356839

VL - 15

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 2264

ER -