Determinants of Care Seeking for Children With Pneumonia and Diarrhea in Guatemala
Implications for Intervention Strategies
Bibliographic Data
Objectives. We identified barriers to care seeking for pneumonia and diarrhea among rural Guatemalan children. Methods. A population-based survey was conducted twice from 2008 to 2009 among 1605 households with children younger than 5 years. A 14-day calendar recorded episodes of carer-reported pneumonia (n = 364) and diarrhea (n = 481), and formal (health services, public, private) and informal (neighbors, traditional, local shops, pharmacies) care seeking. Results. Formal care was sought for nearly half of severe pneumonias but only for 27% within 2 days of onset, with 31% and 18%, respectively, for severe diarrhea. In multivariable analysis, factors independently associated with formal care seeking were knowing the Community Emergency Plan, mother’s perception of illness severity, recognition of World Health Organization danger signs, distance from the health center, and having someone to care for family in an emergency. Conclusions. Proximal factors associated with recognizing need for care were important in determining formal care, and were strongly linked to social determinants. In addition to specific action by the health system with an enhanced community health worker role, a systems approach can help ensure barriers are addressed among poorer and more remote homes
Community health center · Diarrhea · Environmental health · Family medicine · Health care · Intervention (counseling) · Pneumonia · Population · Public health · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Gerontology
Barriers in household access to medicines for chronic conditions in three Latin American countries
Effect of community-based intervention on improving access to treatment for sick under-five children in hard-to-reach communities in Niger State, Nigeria
Treatment-seeking practices of caregivers for children aged less than five years old with diarrhoea in low- and middle-income countries
Comparison of text messaging data collection vs face-to-face interviews for public health surveys
Barriers to Accessing Pediatric Healthcare in Latin America
Social constructs, late recognition and decision making for managing fast breathing in children
Role of Health-Seeking Behaviour in Child Mortality in the Slums of Karachi, Pakistan
Inequities among the very poor
What works? Interventions for maternal and child undernutrition and survival
Effect of reduction in household air pollution on childhood pneumonia in Guatemala (Respire)
Effects of mothers' socio-economic status on the management of febrile conditions in their under five children in a resource limited setting
Changing poor mothers' care-seeking behaviors in response to childhood illness
Care seeking behaviour for childhood illness- a questionnaire survey in western Nepal
Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon
Maternal Recognition and Health Care-seeking Behavior for Acute Respiratory Infection in Children in a Rural Ecuadorian County
Using a longitudinal illness record to study household health care decision-making in rural communes of Viet Nam
Effects of Cooking Smoke and Environmental Tobacco Smoke on Acute Respiratory Infections in Young Indian Children
Child Health
A description of child illness and treatment behavior in Guatemala
Choices about treatment for ARI and diarrhea in rural Guatemala
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,55 |
| Citation span | 2015 - 2025 (11) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 6 |