Tekalign Tiwabwork, Guta Mistire Teshome, Awoke Nefsu, Asres Abiyot Wolie, Obsa Mohammed Suleiman
School of Nursing, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia.
School of Nursing, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Int J Pediatr. 2022 Oct 18;2022:2221618. doi: 10.1155/2022/2221618. eCollection 2022.
Healthcare-seeking interventions can potentially reduce child mortality; however, many children die in developing countries without reaching a health facility. The World Health Organization reported that 70% of child deaths are related to delay care-seeking. So, this review is aimed at identifying mothers' care-seeking behavior for common childhood illnesses and predictors in Ethiopia.
Systematic search of studies was done on PubMed, Scopus, Web of Science, institutional repositories, Academic Search Premier, and manually from reference lists of identified studies in the English language up to August 2021. The quality of the studies was evaluated by the Joanna Briggs Institute (JBI) quality appraisal tool for prevalence study. This meta-analysis used the random-effect method using the STATA™ Version 14 software.
Fourteen studies involving 8,031 participants were included in this meta-analysis. After correcting Duval and Tweedie's trim and fill analysis, the overall pooled prevalence of mothers' care-seeking behavior is 60.73% (95% CI: 43.49-77.97), whereas the highest prevalence, 74.80% (95% CI: 62.60, 87.00) and 67.77%(95% CI: 55.66, 79.87), was seen in Amhara region and urban residents, respectively, while the lowest, 36.49% (95% CI: -27.21, 100.18) and 47.80% (95% CI:-15.31, 110.9), was seen in South Nation Nationality Peoples' Regions and among rural residents, respectively. Mothers' educational status ( ≤ 0.001) and mothers' marital status ( ≤ 0.001) were significantly associated with mothers' care-seeking behavior.
Even though children are a vulnerable group, mothers' care-seeking behavior for common childhood illnesses is significantly low. Educational status and marital status were determinants of mothers' care-seeking behavior. So, all responsible bodies should work on the improvement of mothers' care-seeking behavior.
寻求医疗保健的干预措施有可能降低儿童死亡率；然而，在发展中国家，许多儿童在未到达医疗机构的情况下死亡。世界卫生组织报告称，70%的儿童死亡与延迟寻求医疗服务有关。因此，本综述旨在确定埃塞俄比亚母亲针对常见儿童疾病的就医行为及其预测因素。
截至2021年8月，在PubMed、Scopus、科学网、机构知识库、学术搜索大全中对研究进行系统检索，并从已识别的英文研究的参考文献列表中手动检索。研究质量通过乔安娜·布里格斯研究所（JBI）患病率研究质量评估工具进行评估。本荟萃分析使用STATA™ 14版软件的随机效应方法。
本荟萃分析纳入了14项涉及8031名参与者的研究。在对杜瓦尔和特威迪的修剪和填补分析进行校正后，母亲寻求医疗服务行为的总体合并患病率为60.73%（95%置信区间：43.49 - 77.97），而患病率最高的分别是阿姆哈拉地区的74.80%（95%置信区间：62.60, 87.00）和城市居民的67.77%（95%置信区间：55.66, 7,9.87），最低的分别是南方民族地区的36.49%（95%置信区间： - 27.21, 100.18）和农村居民的47.80%（95%置信区间： - 15.31, 110.9）。母亲的教育程度（≤0.001）和母亲的婚姻状况（≤0.001）与母亲的就医行为显著相关。
尽管儿童是弱势群体，但母亲针对常见儿童疾病的就医行为显著偏低。教育程度和婚姻状况是母亲就医行为的决定因素。因此，所有责任机构都应致力于改善母亲的就医行为。
