Mbagaya Grace M, Odhiambo Mark O, Oniang'o Ruth K
Department of Home Science and Technology,Moi University, Eldoret, Kenya.
Afr Health Sci. 2005 Dec;5(4):322-7. doi: 10.5555/afhs.2005.5.4.322.
In most developing countries, the health of the children is strongly dependant on maternal healthcare behaviour. The study describes the prevalence of illness among preschool children in a rural sugarcane growing community and the mother's health seeking behavior.
To document the presence of illness among preschool children at household level in a rural community in Western Kenya and also determine the mother's health seeking behavior during the course of these illnesses.
This was an observational cross-sectional community survey using interview schedules, key informants and focus group discussions and Makunga Rural Health Center in Kakamega District western Kenya. Descriptive statistics were used in data analysis.
Fifty two percent of the children had had at least one illness a week prior to the survey. Fever was the most commonly reported symptom with 48% of the cases. A third (32.4%) of the mothers purchased and administered drugs to their sick children without seeking medical attention. The most commonly reported reasons for this behavior were: the government health facilities were at a distance, the services are poor and inability to afford services at the private hospitals and clinics.
Intervention programmes focusing on diversification of income sources, maternal education and community based mobile clinics are likely to contribute towards improved health of children in this and any other rural sugarcane growing community.
在大多数发展中国家,儿童健康在很大程度上依赖于孕产妇的保健行为。本研究描述了一个农村甘蔗种植社区学龄前儿童的疾病患病率以及母亲的就医行为。
记录肯尼亚西部一个农村社区家庭层面学龄前儿童的患病情况,并确定母亲在这些疾病过程中的就医行为。
这是一项观察性横断面社区调查,采用访谈提纲、关键 informant 和焦点小组讨论,地点在肯尼亚西部卡卡梅加区的马昆加农村健康中心。数据分析采用描述性统计。
在调查前一周,52% 的儿童至少患过一种疾病。发热是最常报告的症状,占病例的 48%。三分之一(32.4%)的母亲在未寻求医疗护理的情况下为生病的孩子购买并给药。这种行为最常报告的原因是:政府卫生设施距离远、服务差以及无力承担私立医院和诊所的服务费用。
侧重于收入来源多样化、孕产妇教育和社区流动诊所的干预方案可能有助于改善这个以及其他农村甘蔗种植社区儿童的健康状况。