Kulkarni Prashant S, Kurane Anjali D
Department of Anthropology, Savitribai Phule Pune University, Pune, Maharashtra, India.
Indian J Community Med. 2023 May-Jun;48(3):478-482. doi: 10.4103/ijcm.ijcm_837_22. Epub 2023 May 30.
In India, pneumonia deaths in the past decade show a decreasing trend in the child mortality rate from 74.6 to 45.4. However, NFHS-5 records an increase in prevalence to 2.8% from 2.7% in NFHS-4. The childhood pneumonia control strategies focus on strengthening the health system, skill-building health workers, counseling, and creating awareness about promoting healthy behaviors regarding the management of sick children.
The study attempts to understand "caregivers" care-seeking behavior and the management of childhood pneumonia.
The study was conducted in the Akkalkuwa block of Nandurbar district, Maharashtra, India. We used episodic interviews, asking caregivers to recollect specific events linked to the need for treatment.
A total of 11 in-depth interviews of mothers were conducted whose under-five children had pneumonia in the past year. These interviews used vignettes from real pneumonia cases to discuss community priorities for health care and actions taken to improve child's health. In addition, the qualitative data from the in-depth interviews were thematically analyzed.
Cough, breathlessness, and disturbance in the routine schedule of the child were the major symptoms to identify pneumonia () among children. Branding on the stomach, oil massage, and were commonly observed phenomena to seek help. Low priority, the influence of traditional healers and herbal medicines, and the inaccessibility of quality healthcare services were the main factors that led to the child's treatment.
Culturally appropriate activities are to be imparted on recognition of symptoms and appropriate care seeking, and community health workers need capacity building.
在印度，过去十年间肺炎导致的儿童死亡率呈下降趋势，从74.6降至45.4。然而，全国第五次家庭健康调查（NFHS - 5）记录显示，肺炎患病率从全国第四次家庭健康调查（NFHS - 4）的2.7%上升至2.8%。儿童肺炎控制策略侧重于加强卫生系统、培养卫生工作者技能、提供咨询以及提高对促进患病儿童健康管理方面健康行为的认识。
本研究试图了解“照料者”的就医行为以及儿童肺炎的管理情况。
本研究在印度马哈拉施特拉邦楠杜尔巴尔区的阿卡库瓦街区开展。我们采用了情景访谈，要求照料者回忆与治疗需求相关的具体事件。
对过去一年中其五岁以下儿童患肺炎的母亲进行了11次深入访谈。这些访谈使用了真实肺炎病例的案例来讨论社区的医疗保健优先事项以及为改善儿童健康所采取的行动。此外，对深入访谈的定性数据进行了主题分析。
咳嗽、呼吸急促以及儿童日常作息紊乱是识别儿童肺炎的主要症状。在腹部烙印、油疗以及[此处原文缺失内容]是常见的寻求帮助的现象。低优先级、传统治疗师和草药的影响以及优质医疗服务难以获得是导致儿童得不到治疗的主要因素。
应开展符合文化习俗的活动，以提高对症状的识别和寻求适当护理的意识，并且社区卫生工作者需要能力建设。
