ArticlePloS one2022
Determinants of care-seeking behaviour for fever, acute respiratory infection and diarrhoea among children under five in Nigeria.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Delay in malaria care-seeking for children under five in Africa: a systematic review.Malaria journal · 2026Pooled it
- Treatment-seeking practices of caregivers for children aged less than five years old with diarrhoea in low- and middle-income countries: a systematic review and meta-analysis.Journal of global health · 2025Pooled it
- Prevalence of healthcare-seeking behavior among caregivers for common childhood illness in Ethiopia using PMA 2021-2023 data a multilevel analysis.Scientific reports · 2026Article
- Article
- Estimating the economic burden of respiratory syncytial virus infection among children <2 years old seeking care in North-West Nigeria.Journal of global health · 2025Article
- Article
- Care pathways for critically ill children aged 0-5 years arriving at district hospitals in Burkina Faso, Guinea, Mali, and Niger (2022): a cross-sectional study.BMC public health · 2025Article
- Sentinel surveillance of acute respiratory infection (ARI) in children under five years old from 2015 to 2022 at a high-complexity health care institution in Cali, Colombia.Journal of global health · 2025Article
- Prevalence and associated risk factors of acute respiratory tract infections among under-five children in a tertiary hospital in Nigeria.BMC pediatrics · 2025Article
- Applying the three delays qualitative model to sepsis care seeking and emergency care in a private hospital in Lagos, Nigeria.BMC health services research · 2025Article
- Health seeking behaviour of caregivers of children under five and its determinants in Ho West and Adaklu districts, Volta Region, Ghana: a community-based cross-sectional study.BMC public health · 2025Article
- Wealth-related inequality in women healthcare-seeking behaviour for under-five children illness in Afghanistan: evidence from 2022 Afghanistan Multiple Indicator Cluster Survey.BMC health services research · 2025Article
- Healthcare-seeking behaviour of fever cases in Magude district, southern Mozambique: A qualitative study.PloS one · 2025Article
- Health matters: a statistical approach to understand childhood illnesses in the North-East States of India, 2019-2021.BMC public health · 2024Article
- Multilevel analysis of healthcare utilization for childhood diarrhea in high under five mortality countries.Scientific reports · 2024Article
- Magnitude and determinant of healthcare-seeking behavior for childhood acute respiratory tract infections in Ethiopia: a cross-sectional study.BMC pediatrics · 2024Article
- Urban-rural differences in seasonal malaria chemoprevention coverage and characteristics of target populations in nine states of Nigeria: a comparative cross-sectional study.Malaria journal · 2024Article
- Article
- Machine learning algorithms to predict healthcare-seeking behaviors of mothers for acute respiratory infections and their determinants among children under five in sub-Saharan Africa.Frontiers in public health · 2024Article
- A situational assessment of treatments received for childhood diarrhea in the Federal Republic of Nigeria.PloS one · 2024Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite available, inexpensive and effective treatments, malaria, diarrhoea, and pneumonia still contribute the majority of the global burden of childhood morbidity and mortality. Nigeria has the highest absolute numbers of child deaths worldwide. Appropriate care-seeking is important for prompt diagnosis, appropriate and timely treatment, and prevention of complications. The objective of this cross-sectional study was to examine the prevalence of and factors associated with appropriate care-seeking for childhood illnesses.
methodsWe used the most recent Nigeria Demographic and Health Survey (2018) to assess the prevalence of appropriate care-seeking among mothers of children under five with symptoms of common childhood illnesses. For diarrhoea, we defined appropriate care-seeking as seeking care from a formal health provider. For fever and acute respiratory infection (ARI), appropriate care-seeking was defined as seeking care from a formal provider the day of or after symptom onset. Multivariate logistic regression was carried out to assess factors associated with optimal care-seeking for each illness.
resultsAt least 25% of parents did not seek any care for children with fever or ARI; this figure was over one third for diarrhoea. Only 15% and 13% of caregivers showed appropriate care-seeking for their children with fever and ARI respectively, and 27% of mothers sought care from a formal provider for diarrhoea. Predictors of appropriate care-seeking varied according to childhood illness. Previous facility delivery was the only risk factor associated with increased odds of appropriate care-seeking for all three illnesses; other risk factors varied between illnesses.
conclusionOverall, care-seeking for childhood illnesses was suboptimal among caregivers in Nigeria. Interventions to increase caregivers' awareness of the importance of appropriate care-seeking are needed alongside quality of care interventions that reinforce people's trust in formal health facilities, to improve timely care-seeking and ultimately reduce the high burden of child deaths in Nigeria.
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