Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. BOX 196, Gondar, Ethiopia.
Department of Human Nutrition, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Sci Rep. 2024 Jul 4;14(1):15375. doi: 10.1038/s41598-024-65860-1.
Globally, 4.9 million under-five deaths occurred before celebrating their fifth birthday. Four in five under-five deaths were recorded in sub-Saharan Africa and Southern Asia. Childhood diarrhea is one of the leading causes of death and is accountable for killing around 443,832 children every year. Despite healthcare utilization for childhood diarrhea has a significant effect on the reduction of childhood mortality and morbidity, most children die due to delays in seeking healthcare. Therefore, this study aimed to assess healthcare utilization for childhood diarrhea in the top high under-five mortality countries. This study used secondary data from 2013/14 to 2019 demographic and health surveys of 4 top high under-five mortality countries. A total weighted sample of 7254 mothers of under-five children was included. A multilevel binary logistic regression was employed to identify the associated factors of healthcare utilization for childhood diarrhea. The statistical significance was declared at a p-value less than 0.05 with a 95% confidence interval. The overall magnitude of healthcare utilization for childhood diarrhea in the top high under-five mortality countries was 58.40% (95% CI 57.26%, 59.53%). Partner/husband educational status, household wealth index, media exposure, information about oral rehydration, and place of delivery were the positive while the number of living children were the negative predictors of healthcare utilization for childhood diarrhea in top high under-five mortality countries. Besides, living in different countries compared to Guinea was also an associated factor for healthcare utilization for childhood diarrhea. More than four in ten children didn't receive health care for childhood diarrhea in top high under-five mortality countries. Thus, to increase healthcare utilization for childhood diarrhea, health managers and policymakers should develop strategies to improve the household wealth status for those with poor household wealth index. The decision-makers and program planners should also work on media exposure and increase access to education. Further research including the perceived severity of illness and ORS knowledge-related factors of healthcare utilization for childhood diarrhea should also be considered by other researchers.
全球有 490 万五岁以下儿童在庆祝五岁生日之前夭折。五分之四的五岁以下儿童死亡发生在撒哈拉以南非洲和南亚。儿童腹泻是导致死亡的主要原因之一，每年约有 443832 名儿童因此死亡。尽管儿童腹泻的医疗保健利用对降低儿童死亡率和发病率有显著影响，但大多数儿童因延迟寻求医疗保健而死亡。因此，本研究旨在评估五个高儿童死亡率国家儿童腹泻的医疗保健利用情况。本研究使用了 2013/14 年至 2019 年五个高儿童死亡率国家的人口与健康调查的二级数据。共纳入了 7254 名五岁以下儿童的母亲作为加权总样本。采用多水平二项逻辑回归模型来确定儿童腹泻医疗保健利用的相关因素。统计显著性以 95%置信区间内的 p 值小于 0.05 为标准。五个高儿童死亡率国家儿童腹泻的医疗保健利用总体规模为 58.40%（95%CI：57.26%，59.53%）。配偶/丈夫的教育程度、家庭财富指数、媒体接触、口服补液盐的信息以及分娩地点是儿童腹泻医疗保健利用的积极预测因素，而活产子女的数量是儿童腹泻医疗保健利用的消极预测因素。此外，与几内亚相比，生活在不同国家也是儿童腹泻医疗保健利用的一个相关因素。在五个高儿童死亡率国家，超过十分之四的儿童没有因腹泻接受医疗保健。因此，为了提高儿童腹泻的医疗保健利用，卫生管理人员和政策制定者应制定策略来改善贫困家庭的财富状况。决策者和规划人员还应努力加强媒体接触并增加教育机会。其他研究人员还应考虑包括对疾病严重程度的认识和口服补液盐知识等因素在内的儿童腹泻医疗保健利用的进一步研究。
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