Dongre A R, Deshmukh P R, Garg B S
Dr. Sushila Nayar School of Public Health, Mahatma Gandhi Institute of Medical Sciences, Sewagram, India.
Indian J Med Sci. 2010 Jan;64(1):7-16.
To find out the magnitude of childhood morbidities, health care seeking behavior and explore the status of 'some desired practices' at household level during episodes of illness in two tribal blocks of Chandrapur district.
The present explanatory mixed-method design of quantitative (survey) and qualitative (focus group discussions, FGDs )methods was undertaken in nine Primary health centers of Warora and Bhadrawati blocks in Chandrapur district. The information of 2,700 under-five children on morbidity, health care seeking behavior and some desired practices at household level was collected by paying home visits and using pre-designed and pre-tested questionnaire. The data was entered and analyzed by using SPSS 12.0.1 and C sample program of epi_info (version 6.04d) software package. The conventional content analysis of FGD data was undertaken.
The prevalence of morbidities was high among newborns and children. About 1,811 (67%) children had at least one of the morbidities. Private health care providers and village level faith healers were preferred for seeking treatment of newborn danger sings and childhood morbidities. The status of some desired household practices such as frequent feeding and giving extra fluid to drink during episodes of illness was poor.
In conclusion, considering high prevalence of child morbidities and poor status of some desired household practices of caregivers at household level for sick children, household and community IMNCI strategy needs to be implemented to promote child health and nutrition. Apart from this, health care delivery at village level should be strengthened.
了解钱德拉布尔区两个部落街区儿童疾病的严重程度、就医行为，并探究患病期间家庭层面“一些期望做法”的状况。
采用定量（调查）和定性（焦点小组讨论）相结合的解释性混合方法设计，在钱德拉布尔区瓦罗拉和巴德拉瓦蒂街区的9个初级卫生中心开展研究。通过上门走访并使用预先设计和预先测试的问卷，收集了2700名五岁以下儿童关于发病率、就医行为以及家庭层面一些期望做法的信息。数据使用SPSS 12.0.1和epi_info（版本6.04d）软件包的C样本程序录入并进行分析。对焦点小组讨论数据进行常规内容分析。
新生儿和儿童的发病率很高。约1811名（67%）儿童至少患有一种疾病。在治疗新生儿危险症状和儿童疾病时，人们更倾向于选择私人医疗服务提供者和村级信仰治疗师。一些期望的家庭做法，如患病期间频繁喂食和额外补充液体，状况较差。
总之，鉴于儿童发病率高，且家庭层面照顾患病儿童的一些期望做法状况不佳，需要实施家庭和社区综合管理儿童疾病战略，以促进儿童健康和营养。除此之外，应加强村级医疗服务的提供。
