ArticleAfrican journal of primary health care & family medicine2025
Caregivers' lived experiences of childhood probable pneumonia through a gendered lens in western Kenya.
Article in African journal of primary health care & family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGender intersects with multiple forms of socio-cultural, economic and health system factors to influence the overall care-seeking experiences of caregivers.
aimThis study aimed to understand the multiple gendered intersecting factors that shape women caregivers care-seeking experiences for children with probable pneumonia.
settingThe study was conducted in Karemo, Siaya County in western Kenya.
methodsIn-depth interviews (IDI), participant observation and informal interviews were utilised. The IDI was conducted among purposively selected 12 caregivers out of which 11 were enrolled in participant observation. Data were managed and analysed using Dedoose and hermeneutic phenomenology, respectively.
resultsWomen juggle household chores, caregiving and income-generating activities, which sometimes led them to decline child's hospitalisation because of competing household responsibilities. At the hospital, women experienced long waiting times, poor communication, unfavourable conditions, unfriendly staff and lack of drugs. Some women reported challenges in accessing money from their husbands for their child's healthcare. They were often required to make difficult choices, such as prioritising work because of financial constraints, prioritising other children because of lack of external support, or opting for over-the-counter medication because of convenience, drug shortages or long waiting times at the hospital.
conclusionLived experiences are shaped by women's daily realities and constraints. To improve women's caregiving experiences, a holistic approach that considers the multiple dimensions of caregivers' lives and gendered dynamics is recommended.Contribution: This study's findings emphasise the necessity of a holistic approach when developing intervention geared towards improving healthcare-seeking behaviour by considering the subtler factors beyond structural, social and economic influences.
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