Restricted accessResearch articleFirst published online 2020-9
Health Care–Seeking Behavior of Children With Acute Respiratory Infections Symptoms: Analysis of the 2012 and 2017 Indonesia Demographic and Health Surveys
Our study examined factors associated with the utilization of health services in children younger than 5 years with acute respiratory infections (ARIs) symptoms in Indonesia. Data were derived from the 2012 and 2017 Indonesia Demographic and Health Survey. Information from 1408 children younger than 5 years showing ARI symptoms in the past 2 weeks before the survey was analyzed using logistic regression analyses. Around 25% of children younger than 5 years with ARI symptoms did not receive medical care. The odds of receiving care increased in mothers from rich households. The odds reduced in children aged 2 or more years; children of mothers not assisted by trained delivery attendants; mothers attending none or <4 antenatal visits; mothers delivering at home, and mothers reporting that permission to visit health services was a problem. Efforts to improve care-seeking behavior are required. Health promotion strategies and interventions to improve access to reach community not regularly exposed to health services are important.
GBD 2016 Causes of Death Collaborators. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2013;2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390:1151-1210. doi:10.1016/S0140-6736(17)32152-9
2.
TroegerCBlackerBKhalilIA, et al. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18:1191-1210. doi:10.1016/S1473-3099(18)30310-4
3.
MurdochDRHowieSRC. The global burden of lower respiratory infections: making progress, but we need to do better. Lancet Infect Dis. 2018;18:1162-1163. doi:10.1016/S1473-3099(18)30407-9
4.
LiuLHillKOzaS, et al. Levels and causes of mortality under age five years. In: BlackRELaxminarayanRTemmermanMWalkerN eds. Reproductive, Matern, Newborn, and Child Health: Disease Control Priorities. 3rd ed.The International Bank for Reconstruction and Development/World Bank; 2016.
5.
Statistics Indonesia, National Family Planning Coordinating Board, Ministry of Health Republic of Indonesia, Macro ORC. Indonesia Demographic and Health Survey 2017. BKKBN, BPS, Kemenkes, and ICF; 2018.
6.
Statistics Indonesia, National Family Planning Coordinating Board, Ministry of Health Republic of Indonesia, Macro ORC. Indonesia Demographic and Health Survey 2012. BPS, BKKBN, Kemenkes, and ICF International; 2013.
7.
National Institute of Health Research and Development, Republic of Indonesia, Ministry of Health. Basic Health Research 2013: National Report 2013. National Institute of Health Research and Development, Ministry of Health, Republic of Indonesia; 2013.
8.
WusananiYuIsmailDTriasihR.Mother’s health care-seeking behavior for children with acute respiratory infectionsin a post-earthquake setting. Paediatr Indones. 2013;53:144-149.
SultanaMSarkerARSheikhN, et al. Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh. PLoS One. 2019;14:e0210433. doi:10.1371/journal.pone.0210433
11.
DagnewABTewabeTMuruganR.Level of modern health care seeking behaviors among mothers having under five children in Dangila town, north West Ethiopia, 2016: a cross sectional study. Ital J Pediatr. 2018;44:61. doi:10.1186/s13052-018-0503-z
12.
PajueloMJAnticona HuaynateCCorreaM, et al. Delays in seeking and receiving health care services for pneumonia in children under five in the Peruvian Amazon: a mixed-methods study on caregivers’ perceptions. BMC Health Serv Res. 2018;18:149. doi:10.1186/s12913-018-2950-z
13.
The United Nations Children’s Emergency Fund, World Health Organization. Pneumonia: The Forgotten Killer of Children. UNICEF and World Health Organization; 2006.
14.
MakateM.Maternal Health-Seeking Behavior and Child’s Birth Order: Evidence from Malawi, Uganda, and Zimbabwe. University Library of Munich, Germany; 2016. https://econpapers.repec.org/RePEc:pra:mprapa:72722.
15.
AbdulkadirMBAbdulkadirZA.A cross-sectional survey of parental care-seeking behavior for febrile illness among under-five children in Nigeria. Alexandria J Med. 2017;53:85-91. doi:10.1016/j.ajme.2016.02.005
16.
MahmoodHKhanSMAbbasiSSherazY.Healthcare seeking trends in acute respiratory infections among children of Pakistan. World J Clin Infect Dis. 2017;7:38-45.
17.
MandlikMDHaralkarSJMulajSMMangulikarSK.Study of health-care seeking behavior of parents for child health problems in an urban slum area of Solapur. Int J Med Sci Public Health. 2017;6:1504-1508.
18.
SreeramareddyCTSathyanarayanaTNKumarHNH. Utilization of health care services for childhood morbidity and associated factors in India: a national cross-sectional household survey. PLoS One. 2012;7:e51904. doi:10.1371/journal.pone.0051904
19.
AsifAMAkbarMTahirMRArshadIA.Role of maternal education and vaccination coverage: evidence from Pakistan Demographic and Health Survey. Asia Pac J Public Health. 2019;31:676-688. doi:10.1177/1010539519889765
20.
AgustinaRDartantoTSitompulR, et al. Universal health coverage in Indonesia: concept, progress, and challenges. Lancet. 2019;393:75-102. doi:10.1016/s0140-6736(18)31647-7
21.
KhanMAniJRaniB, et al. Healthcare-seeking behavior for infectious diseases in a community in Bangladesh. Int J Adv Med Heal Res. 2018;5:52-56. doi:10.4103/ijamr.Ijamr_38_18
22.
ParamitaSAYamazakiCSetiawatiEPKoyamaH.Distribution trends of Indonesia’s health care resources in the decentralization era. Int J Health Plann Manage. 2018;33:e586-e596. doi:10.1002/hpm.2506
23.
AbrahaAMyléusAByassPKahsayAKinsmanJ.Social determinants of under-5 child health: a qualitative study in Wolkayit Woreda, Tigray Region, Ethiopia. PLoS One. 2019;14:e0218101.
24.
ChowdhurySKBillahSMArifeenS ElHoqueDME. Care-seeking practices for sick neonates: findings from cross-sectional survey in 14 rural sub-districts of Bangladesh. PLoS One. 2018;13:e0204902. doi:10.1371/journal.pone.0204902
25.
HemblingJMcEwanEAliMPassanitiAAryeePASaakaM.Mobilising faith-based and lay leaders to address antenatal care outcomes in northern Ghana. Dev Pract. 2017;27:634-645. doi:10.1080/09614524.2017.1327028
26.
ChiPCUrdalHT.The evolving role of traditional birth attendants in maternal health in post-conflict Africa: a qualitative study of Burundi and northern Uganda. 2018;6:2050312117753631.
27.
OhashiAHiguchiMLabeebSAMohamedAGChiangCAoyamaA.Family support for women’s health-seeking behavior: a qualitative study in rural southern Egypt (Upper Egypt). Nagoya J Med Sci. 2014;76:17-25.
28.
BinnsCLeeMKLowWYZerfasA.The role of public health nutrition in achieving the sustainable development goals in the Asia Pacific Region. Asia Pac J Public Heal. 2017;29:617-624. doi:10.1177/1010539517736441
29.
ChaSChoY.Changes in under-5 mortality rate and major childhood diseases: a country-level analysis. Asia Pac J Public Health. 2016;28:178-196. doi:10.1177/1010539515620632
30.
EdwardAESanchezJFChhorvannCBowlesCMalamaSChegeJ.Impact of community oriented interventions on pediatric care-seeking practices—a multi-country study in Cambodia, Guatemala, Kenya and Zambia. Prev Med Commun Heal. 2018;1:1-10. doi:10.15761/PMCH.1000105
Supplementary Material
Please find the following supplemental material available below.
For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.
For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.
