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01.12.2017 | Research article | Ausgabe 1/2017 Open Access

BMC Health Services Research 1/2017

A qualitative exploration of care-seeking pathways for sick children in the rural Oromia region of Ethiopia

Zeitschrift:
BMC Health Services Research > Ausgabe 1/2017
Autoren:
Bryan Shaw, Agbessi Amouzou, Nathan P. Miller, Jennifer Bryce, Pamela J. Surkan
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12913-017-2123-5) contains supplementary material, which is available to authorized users.

Abstract

Background

Ethiopia has experienced rapid improvements in its healthcare infrastructure, such as through the recent scale up of integrated community case management (iCCM) delivered by community-based health extension workers (HEWs) targeting children under the age of five. Despite notable improvements in child outcomes, the use of HEWs delivering iCCM remains very low. The aim of our study was to explain this phenomenon by examining care-seeking practices and treatment for sick children in two rural districts in the Oromia Region of Ethiopia.

Methods

Using qualitative methods, we explored perceptions of child illness, influences on decision-making processes occurring over the course of a child’s illness and caregiver perceptions of available community-based sources of child illness care. Sixteen focus group discussions (FGDs) and 40 in-depth interviews (IDIs) were held with mothers of children under age five. For additional perspective, 16 IDIs were conducted fathers and 22 IDIs with health extension workers and community health volunteers.

Results

Caregivers often described the act of care-seeking for a sick child as a time of considerable uncertainty. In particular, mothers of sick children described the cultural, social and community-based resources available to minimize this uncertainty as well as constraints and strategies for accessing these resources in order to receive treatment for a sick child. The level of trust and familiarity were the most common dynamics noted as influencing care-seeking strategies; trust in biomedical and government providers was often low.

Conclusions

Overall, our research highlights the multiple and dynamic influences on care-seeking for sick children in rural Ethiopia. An understanding of these influences is critical for the success of existing and future health interventions and continued improvement of child health in Ethiopia.
Zusatzmaterial
Additional file 1: Research instruments for “A Qualitative Exploration of Care-Seeking Pathways for Sick Children in the Rural Oromia Region of Ethiopia”. This file contains the general focus group discussion guide for caregivers, in-depth interview guide for caregivers and in-depth interview guide for health workers used for eliciting data for the manuscript. (DOCX 38 kb)
12913_2017_2123_MOESM1_ESM.docx
Literatur
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