Mothers’ health care seeking behavior and associated factors for common childhood illnesses in Ethiopia: a systematic review and meta-analysis
Notice bibliographique
Résumé
Abstract Background: Even though healthcare-seeking interventions potentially reduce child mortality from easily treatable diseases, significant numbers of children die without ever reaching a health facility or due to delays in seeking care in Ethiopia. Though there was fragmented evidence on the proportion of mothers' healthcare-seeking behavior and associated factors for common childhood illnesses in Ethiopia, the national level is unknown. Therefore, this systematic review and meta-analysis estimated the pooled proportion of mothers' healthcare-seeking behavior and associated factors in Ethiopia from 2008–2019. Methods: We systematically searched the databases: PubMed/MEDLINE, Google Scholar, and Science Direct for studies conducted in Ethiopia on mothers’ health care seeking behavior since 2008. We have included observational studies, which were published between 2008 and 2019. The report was compiled according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. The quality of included studies was scored based on the Newcastle Ottawa quality assessment scale adapted for cross-sectional studies. The data were extracted in Microsoft excel and analyzed using Stata version 14.1 software. We employed a random-effects model to estimate the pooled proportion of mothers' healthcare-seeking behavior in Ethiopia. The presence of statistical heterogeneity within the included studies was evaluated using the I-squared statistic. We used Egger’s regression test to identify evidence of publication bias. The pooled proportion with a 95% confidence interval (CI) was presented using tables and forest plots. Result: We screened a total of 581 articles. Of these, 14 studies were included in the final systematic review and meta-analysis. In Ethiopia, the pooled proportion of mothers' health care seeking behavior was 50.24% (95% CI: 37.13, 63.35%). Less than 5 kilometers from a health facility (OR, 2.07; 95% CI: 1.50, 2.87), mothers who were aware of common childhood illnesses (OR =2.06; 95% CI: 1.45, 2.91, mothers who had educational levels of primary school and above (OR = 1.82;95% CI: 1.36, 2.43), caregivers at a higher wealth index category (OR = 2.01; 95% CI: 1.33. 3.24) were significantly associated with health care seeking behavior of mothers/caregivers. Conclusion: Overall, in Ethiopia healthcare-seeking behavior of mothers/caregivers for common childhood illnesses is low. Awareness, perceived illness severity, distance from a health care facility, and mothers/caregivers’ level of education were predictors of mothers' healthcare-seeking behavior. Accordingly, increasing the proximity of health facilities and educate mothers/caregivers about the importance of healthcare-seeking behavior were recommended to improve healthcare-seeking behavior.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,019 | 0,041 |
| Méta-épidémiologie (sens strict) | 0,003 | 0,002 |
| Méta-épidémiologie (sens large) | 0,019 | 0,042 |
| Bibliométrie | 0,010 | 0,009 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,003 | 0,002 |
| Science ouverte | 0,002 | 0,002 |
| Intégrité de la recherche | 0,002 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».