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Socio-economic determinants in selecting childhood diarrhoea treatment options in Sub-Saharan Africa: A multilevel model
Karolinska Institute.
Karolinska Institute.
Karolinska Institute.
Linköping University, Department of Medical and Health Sciences, Health Technology Assessment and Health Economics. Linköping University, Faculty of Health Sciences.
2011 (English)In: ITALIAN JOURNAL OF PEDIATRICS, ISSN 1720-8424, Vol. 37, no 13Article in journal (Refereed) Published
Abstract [en]

ackground: Diarrhoea disease which has been attributed to poverty constitutes a major cause of morbidity and mortality in children aged five and below in most low-and-middle income countries. This study sought to examine the contribution of individual and neighbourhood socio-economic characteristics to caregivers treatment choices for managing childhood diarrhoea at household level in sub-Saharan Africa. less thanbrgreater than less thanbrgreater thanMethods: Multilevel multinomial logistic regression analysis was applied to Demographic and Health Survey data conducted in 11 countries in sub-Saharan Africa. The unit of analysis were the 12,988 caregivers of children who were reported to have had diarrhoea two weeks prior to the survey period. less thanbrgreater than less thanbrgreater thanResults: There were variability in selecting treatment options based on several socioeconomic characteristics. Multilevel-multinomial regression analysis indicated that higher level of education of both the caregiver and that of the partner, as well as caregivers occupation were associated with selection of medical centre, pharmacies and home care as compared to no treatment. In contrast, caregivers partners occupation was negatively associated with selection medical centre and home care for managing diarrhoea. In addition, a low-level of neighbourhood socio-economic disadvantage was significantly associated with selection of both medical centre and pharmacy stores and medicine vendors. less thanbrgreater than less thanbrgreater thanConclusion: In the light of the findings from this study, intervention aimed at improving on care seeking for managing diarrhoea episode and other childhood infectious disease should jointly consider the influence of both individual SEP and the level of economic development of the communities in which caregivers of these children resides.

Place, publisher, year, edition, pages
BioMed Central , 2011. Vol. 37, no 13
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-70113DOI: 10.1186/1824-7288-37-13ISI: 000293242200001OAI: diva2:435539
Original Publication: Olatunde Aremu, Stephen Lawoko, Tahereh Moradi and Koustuv Dalal, Socio-economic determinants in selecting childhood diarrhoea treatment options in Sub-Saharan Africa: A multilevel model, 2011, ITALIAN JOURNAL OF PEDIATRICS, (37), 13, . Licensee: BioMed Central Available from: 2011-08-19 Created: 2011-08-19 Last updated: 2012-01-18

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