Article

Factors determining health seeking behaviour for sick children in a fishermen community in Pondicherry

Indian Journal of Community Medicine 01/2007; DOI: 10.4103/0970-0218.53411
Source: DOAJ
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    ABSTRACT: Health seeking behaviour in the event of illness is influenced by the availability of good health care facilities and health care financing mechanisms. Micro health insurance not only promotes formal health care utilization at private providers but also reduces the cost of care by providing the insurance coverage. This paper explores the impact of Sampoorna Suraksha Programme, a micro health insurance scheme on the health seeking behaviour of households during illness in Karnataka, India. The study was conducted in three randomly selected districts in Karnataka, India in the first half of the year 2011. The hypothesis was tested using binary logistic regression analysis on the data collected from randomly selected 1146 households consisting of 4961 individuals. Insured individuals were seeking care at private hospitals than public hospitals due to the reduction in financial barrier. Moreover, equity in health seeking behaviour among insured individuals was observed. Our finding does represent a desirable result for health policy makers and micro finance institutions to advocate for the inclusion of health insurance in their portfolio, at least from the HSB perspective.
    Indian Journal of Community Medicine 03/2013; 38(4):217-222. DOI:10.4103/0970-0218.120156
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    ABSTRACT: Purpose: To explore the rural-urban differentials with respect to treat-ment seeking behaviour and cost incurred for Acute Respiratory Infec-tion (ARI) among under-five children. Methodology: A community-based cross-sectional study was conducted in Puducherry among 270 under-five children. Data on treatment seeking behaviour and cost incurred was collected from the parents using a semi-structured questionnaire. Results: The perceived severity of ARI episode was significantly higher among rural areas compared to urban (p=0.04). For consultation, major-ity preferred the government sector (63%) in rural and private sector in urban areas (51.2%). Main reasons for preferring type of consultation were proximity (61.1%) and trust (51.2%) in rural and urban areas respec-tively. Rural parents were significantly less satisfied with outside consul-tation (p=0.003). Home remedies were preferred by 17.9% and 10% par-ents in rural and urban areas respectively. Median direct cost incurred in both areas was Rs 250. Conclusion: Differences in treatment seeking behaviour should be kept in mind while designing interventions.
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    ABSTRACT: Most of the causes of childhood blindness are either treatable or preventable. Eye care-seeking behavior (ESB) of parents for their children plays a pivotal role in reducing this problem. This study was done because there was a sparsity of literature in this context and with a view to help eye care professionals plan better programs and to identify factors facilitating and/or hindering ESB of parents for their school-going children in an urban area. This study adopted a qualitative snapshot narrative study design. In-depth interviews and focus group discussions were conducted in areas of Chennai with parents and eye care professionals selected through stratified purposive sampling. Parents were based on those who sought care and did not seek care after a school eye screening program and on their socioeconomic status. Data were transcribed to English, familiarized, and inductive coded, and themes were formed. Redundancy was considered as end point of data collection. Two focus group discussions and 11 in-depth interviews were conducted. Squint, redness or watering of eyes, eye irritation, headache, family history of ocular diseases, severity, and repetitiveness of symptoms facilitate parents seeking eye care for their wards/children. Economic status was an important barrier reported to affect the ESB. Logistic factors like taking appointment with doctor, taking leave from work, transport, and traveling distance were noted. This study shows the facilitating factors and barriers for ESB of the Chennai urban parents for their wards. The results suggest that efforts needed to be put to overcome the barriers through planned awareness programs.
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