ArticleTransactions of the Royal Society of Tropical Medicine and Hygiene2024
Care seeking for childhood illnesses in rural Mtwara, south-east Tanzania: a mixed methods study.
Article in Transactions of the Royal Society of Tropical Medicine and Hygiene, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- A sustainable house design to improve child health in rural Africa: a cluster-randomized controlled trial.Nature medicine · 2026Trial
- Community perspectives on mass malaria vaccine and drug administration in the Chittagong Hill Tracts, Bangladesh: a qualitative study.Malaria journal · 2026Article
- Acceptability of improved cook stoves-a scoping review of the literature.PLOS global public health · 2025Article
- Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal: A qualitative study.PLOS global public health · 2025Article
- Community responses to a novel house design: A qualitative study of "Star Homes" in Mtwara, southeastern Tanzania.PloS one · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundCare seeking was assessed in preparation for a study of the health impact of novel design houses in rural Mtwara, Tanzania.
methodsA total of 578 residents of 60 villages participated in this mixed-methods study from April to August 2020. Among them, 550 participated in a healthcare-seeking survey, 17 in in-depth interviews and 28 in key informant interviews.
resultsThe decision to seek care was based on symptom severity (95.4% [370]). Caregivers first visited non-allopathic healthcare providers or were treated at home, which led to delays in seeking care at healthcare facilities. More than one-third (36.0% [140]) of respondents took >12 h seeking care at healthcare facilities. The majority (73.0% [282]) visited healthcare facilities, whereas around one-fifth (21.0% [80]) sought care at drug stores. Treatment costs deterred respondents from visiting healthcare facilities (61.4% [338]). Only 10 (3.6%) of the households surveyed reported that they were covered by health insurance.
conclusionsQuality of care, related to institutional factors, impacts timely care seeking for childhood illnesses in Mtwara, Tanzania. Ensuring accessibility of facilities is therefore not sufficient.
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