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Spatial distribution of common childhood illnesses, healthcare utilisation and associated factors in Ethiopia: Evidence from 2016 Ethiopian Demographic and Health Survey.
Defar, Atkure; B Okwaraji, Yemisrach; Tigabu, Zemene; Persson, Lars Åke; Alemu, Kassahun.
Afiliação
  • Defar A; Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
  • B Okwaraji Y; Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
  • Tigabu Z; Ethiopian Public Health Institute, Addis Ababa, Ethiopia.
  • Persson LÅ; London School of Hygiene and Tropical Medicine, London, United Kingdom.
  • Alemu K; Department of Paediatrics and Child Health, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
PLoS One ; 18(3): e0281606, 2023.
Article em En | MEDLINE | ID: mdl-36897920
INTRODUCTION: Childhood illnesses, such as acute respiratory illness, fever, and diarrhoea, continue to be public health problems in low-income countries. Detecting spatial variations of common childhood illnesses and service utilisation is essential for identifying inequities and call for targeted actions. This study aimed to assess the geographical distribution and associated factors for common childhood illnesses and service utilisation across Ethiopia based on the 2016 Demographic and Health Survey. METHODS: The sample was selected using a two-stage stratified sampling process. A total of 10,417 children under five years were included in this analysis. We linked data on their common illnesses during the last two weeks and healthcare utilisation were linked to Global Positioning System (GPS) information of their local area. The spatial data were created in ArcGIS10.1 for each study cluster. We applied a spatial autocorrelation model with Moran's index to determine the spatial clustering of the prevalence of childhood illnesses and healthcare utilisation. Ordinary Least Square (OLS) analysis was done to assess the association between selected explanatory variables and sick child health services utilisation. Hot and cold spot clusters for high or low utilisation were identified using Getis-Ord Gi*. Kriging interpolation was done to predict sick child healthcare utilisation in areas where study samples were not drawn. All statistical analyses were performed using Excel, STATA, and ArcGIS. RESULTS: Overall, 23% (95CI: 21, 25) of children under five years had some illness during the last two weeks before the survey. Of these, 38% (95%CI: 34, 41) sought care from an appropriate provider. Illnesses and service utilisation were not randomly distributed across the country with a Moran's index 0.111, Z-score 6.22, P<0.001, and Moran's index = 0.0804, Z-score 4.498, P< 0.001, respectively. Wealth and reported distance to health facilities were associated with service utilisation. Prevalence of common childhood illnesses was higher in the North, while service utilisation was more likely to be on a low level in the Eastern, South-western, and the Northern parts of the country. CONCLUSION: Our study provided evidence of geographic clustering of common childhood illnesses and health service utilisation when the child was sick. Areas with low service utilisation for childhood illnesses need priority, including actions to counteract barriers such as poverty and long distances to services.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Atenção à Saúde Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Child / Child, preschool / Humans País como assunto: Africa Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Aceitação pelo Paciente de Cuidados de Saúde / Atenção à Saúde Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Child / Child, preschool / Humans País como assunto: Africa Idioma: En Ano de publicação: 2023 Tipo de documento: Article