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Determinants of delay in timely treatment seeking for diarrheal diseases among mothers with under-five children in central Ethiopia: a case control study

Degefa, Guteta, Gebreslassie, Measho, Meles, Kidanu Gebrameriam and Jackson, Ruth 2018, Determinants of delay in timely treatment seeking for diarrheal diseases among mothers with under-five children in central Ethiopia: a case control study, PLoS one, vol. 13, no. 3, doi: 10.1371/journal.pone.0193035.

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Title Determinants of delay in timely treatment seeking for diarrheal diseases among mothers with under-five children in central Ethiopia: a case control study
Author(s) Degefa, Guteta
Gebreslassie, Measho
Meles, Kidanu Gebrameriam
Jackson, RuthORCID iD for Jackson, Ruth orcid.org/0000-0003-3750-9372
Journal name PLoS one
Volume number 13
Issue number 3
Article ID e0193035
Total pages 12
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2018-05-27
ISSN 1932-6203
Keyword(s) Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
KENYA
NAIROBI
Summary BACKGROUND: Delays in seeking timely appropriate care contributes to a large number of deaths from diarrhea in children. This study aimed to identify determinants of delays in seeking timely treatment by mothers/caregivers of under-five children with diarrheal diseases.

METHODS: We used an unmatched case-control study from February-March 2017 among 316 children: 158 cases and 158 controls. Cases were mothers/caregivers with under-five children who had signs/symptoms of diarrhea and sought treatment after 24 hours onset of symptom. Controls sought treatment within 24 hours. Field workers collected data using a pre-tested standardized questionnaire. Multivariate logistic regression was conducted to identify determinants of delay in timely diarrhea treatment seeking. Statistical significance was declared by using a p-value<0.05 and 95% of confidence interval (CI) for an adjusted-odds ratio (AOR).

RESULTS: The determinants of delay in timely treatment seeking of mothers/caregivers of under-five children with diarrheal diseases were children <24months (AOR = 1.9,95%CI:1.1-3.4); fail to attend school (AOR = 2.4, 95%CI:1.2-4.6); being female children (AOR = 1.7,95%CI:1.05-2.9); preferring government health facility for the treatment of children with diarrheal diseases (AOR = 2.9, 95%CI, 1.3-6.7); lack of past history taking children to health facility and lack of counseling (AOR = 4.8, 95%CI:2.0-12.1); being in the15-25 years age (AOR = 1.7, 95%CI:1.1-3.0) and taking children to a health facility as a first response to diarrhea (AOR = 0.1, 95%CI:0.01-0.8).

CONCLUSIONS: Age of the child, maternal age, and disease related determinants were determinants for seeking timely treatment to diarrheal diseases. Providing skilled based health education and counseling to mothers/caregivers on seeking timely treatment and taking children with diarrheal diseases to a health facility as a first response to diarrhea is a paramount intervention to reduce morbidity and mortality of children.
Language eng
DOI 10.1371/journal.pone.0193035
Field of Research 111704 Community Child Health
111403 Paediatrics
111499 Paediatrics and Reproductive Medicine not elsewhere classified
MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, Degefa et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30107072

Document type: Journal Article
Collections: Alfred Deakin Research Institute
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.