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首页> 外文期刊>Journal of Advances in Medical and Pharmaceutical Sciences >Healthcare-seeking Practices for Common Childhood Illnesses in Northeastern Albania: A Community-based Household Survey
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Healthcare-seeking Practices for Common Childhood Illnesses in Northeastern Albania: A Community-based Household Survey

机译：阿尔巴尼亚东北部常见儿童疾病的医疗保健实践：基于社区的家庭调查

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Introduction: Appropriate medical care-seeking could prevent a significant number of child deaths and complications due to ill health. Objectives: The purpose of our study was to assess care-seeking behaviour of mothers during childhood illnesses and its influencing factors. Methods: A cross-sectional household survey was conducted in June-July 2012. 600 mothers of children 0-23 months old were selected randomly using a two-stage 30-cluster sampling technique in the three districts of the Diber region. Data collected generated information on 2-week child morbidity and care-seeking practices for acute respiratory infections (ARI) and diarrhoea. Descriptive, bivariate and multivariate logistic regression analyses were used to show frequency distributions and associations. Results: The prevalence of ARI and diarrhoea were 11.2% and 11.5 %, respectively. Eighty-seven (64%) children were taken to a health facility for advice or treatment. For most of the children (59.6%) care-seeking started on the second and subsequent days of perceived onset of illness. Paediatricians at public hospitals were the most frequently consulted providers, visited by 58 (66.7%) mothers. Mothers’ urban residence (OR=6.09, 95% CI: 1.14-41.72), having a male child (OR=6.02, 95% CI: 1.77-20.4), third and above wealth index (OR=6.02, 95% CI: 1.77-20.4), and knowledge of four or more child danger signs (OR=2.01, 95% CI: 1.04-7.22) increased the odds of ‘prompt’ care seeking. Conclusions: The prevalence of appropriate healthcare-seeking behaviour in Diber is not adequate. Reinforcement of community based Integrated Management of Childhood Illnesses program may improve mothers’ ability to recognize danger signs of childhood illness and care-seeking behaviour.
机译：简介：寻求适当的医疗护理可以预防因健康不良而导致的大量儿童死亡和并发症。目的：我们的研究目的是评估母亲在儿童期疾病期间的就医行为及其影响因素。方法：2012年6月至7月进行了横断面家庭调查。在Diber地区的三个地区，采用两阶段30聚类抽样技术，随机抽取了600名0-23个月大的母亲作为母亲。收集的数据生成了有关2周儿童发病率以及急性呼吸道感染（ARI）和腹泻的就医做法的信息。描述性，双变量和多元逻辑回归分析用于显示频率分布和关联。结果：ARI和腹泻的患病率分别为11.2％和11.5％。八十七（64％）名儿童被送往医疗机构接受建议或治疗。对于大多数儿童（59.6％），在感觉到发病的第二天及以后的几天就开始寻求护理。公立医院的儿科医生是最常被咨询的提供者，有58（66.7％）位母亲来访。母亲的城市住所（OR = 6.09，95％CI：1.14-41.72），有一个男孩（OR = 6.02，95％CI：1.77-20.4），财富指数在第三及以上（OR = 6.02，95％CI： 1.77-20.4），以及对四个或更多儿童危险标志的了解（OR = 2.01，95％CI：1.04-7.22），增加了寻求“及时”看护的机会。结论：Diber中适当的寻求医疗保健行为的患病率尚不充分。加强基于社区的“儿童疾病综合管理”计划可能会提高母亲识别儿童疾病和寻求护理行为危险迹象的能力。

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