A Cross-sectional Study on Factors Influencing Health Services Utilisation for under-Five Morbidities in South Bengaluru
- سال انتشار: 1401
- محل انتشار: فصلنامه تخصصی تحقیقات سلامت، دوره: 12، شماره: 1
- کد COI اختصاصی: JR_JCHR-12-1_007
- زبان مقاله: انگلیسی
- تعداد مشاهده: 79
نویسندگان
MD, Kempegowda Institute of Medical Sciences, Karnataka, India
MD, University College of Medical Sciences, Delhi, India
MD, Sri Siddhartha Institute of Medical Sciences & Research Centre, Karnataka, India
MD, Kasturba Medical College, Mangalore, India
چکیده
Background: World Health Organization (WHO) estimates that seeking prompt and appropriate healthcare could reduce child deaths by nearly ۳۰%. In this background, the present study was conducted to ۱. assess the health services utilization for diarrhoea and ARI (acute respiratory infections) among under-۵ children in South Bengaluru, ۲. determine the factors influencing mothers for utilization of health services. Methods: Authors conducted a cross-sectional study in ۱۰ randomly selected wards of South Bengaluru from July, ۲۰۱۹ to January, ۲۰۲۰ using multistage sampling. ۴۳۲ mothers with under-۵ children were interviewed regarding morbidities of their children in the previous one month and the health services they utilised, using a semi-structured questionnaire derived from multiple indicator cluster survey (MICS) by UNICEF. Data were analysed using SPSS ۲۱.۰ for descriptive statistics and logistic regression. Results: ۹۵ of the participants had illnesses in the past one month; but, only ۴۱ had used health facilities for treatment, mainly in the private sector (۶۸.۳%). The reasons for non-utilization of healthcare services were negligence (۳۶.۹%), long waiting time at the center (۲۲.۴%), financial constraints (۲۰.۴%) and mothers’ jobs (۹.۶%). The most significant factors influencing the health services utilisation were: literacy status of the mother (predisposing factor), low socio-economic status/ BPL (below poverty line) families (enabling factor), and severity of symptoms (need factor). Conclusion: Utilisation of healthcare services for under-five morbidities in the studied population was inadequate. The influencing factors have to be addressed on a priority basis to fulfil the goal of universal health coverage.کلیدواژه ها
Childhood, Factors, Healthcare, Morbidities, Usageاطلاعات بیشتر در مورد COI
COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.
کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.