Evidence map›Paper›PMID 41160386›Full record

ArticleMaternal and child health journal2025

Home Based Management of Diarrhea Contributes to Health Care Seeking Delays Among Caregivers of Under Five Children in Addis Ababa, Ethiopia.

Meseret Azene, Joseph N S Eisenberg, Leon Espira, Zeweter Abebe, Abebe Habtamu, Benson Chucks Iweriebor, Nqobile Monate Mkolo, Workineh Shibeshi, Solomon Assefa, Kaleab Baye

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Article in Maternal and child health journal, 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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5 · Who and what money

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10 authors.

Meseret AzeneCenter for Food Science and Nutrition, College of Natural and Computational Sciences, Addis Ababa University, P.O.Box 1176, Addis Ababa, Ethiopia. mazene8@gmail.com.
Joseph N S EisenbergDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Leon EspiraDepartment of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Zeweter AbebeCenter for Food Science and Nutrition, College of Natural and Computational Sciences, Addis Ababa University, P.O.Box 1176, Addis Ababa, Ethiopia.
Abebe HabtamuDepartment of Pediatrics and Child Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Benson Chucks IwerieborDepartment of Biology and Environmental Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Nqobile Monate MkoloDepartment of Biology and Environmental Sciences, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Workineh ShibeshiDepartment of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Solomon AssefaDepartment of Pharmacology and Clinical Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Kaleab BayeCenter for Food Science and Nutrition, College of Natural and Computational Sciences, Addis Ababa University, P.O.Box 1176, Addis Ababa, Ethiopia.

Funding

Addis Ababa University Addis Ababa University
6 · The paper itself

Abstract

backgroundIf not managed appropriately, diarrheal disease can lead to severe outcomes such as dehydration, secondary bacterial infections, and mortality. Seeking health care in a timely manner is known to improve the prognosis of diarrheal disease episodes. The aim of this study was to determine the drivers of delay in health seeking among children's caregivers notably in urban settings.

methodsWe conducted a cross-sectional study at two health centers, Weyzero Beletshachew Public Health Center and Lideta Health Center in Addis Ababa, Ethiopia. Caregivers of infants and children aged 6-59 months who sought treatment for a child's diarrhea at the two health centers were included in the study. A semi-structured questionnaire was administered to 330 caregivers. Multivariate logistic regression analysis was used to identify factors associated with a 24-hour delay in health care seeking.

resultsWe found that 65.2% of caregivers waited 24 h after the onset of diarrhea before seeking health care. Delay in health care seeking was significantly associated with the child's age being 6-23 months (AOR, 2.12; 95% CI 1.16-3.86), caregivers poor knowledge about diarrhea (2.11; 95% CI 1.17-3.77), caregivers not using rice water to manage child's diarrhea at home (AOR, 0.47; 95% CI 0.24-0.92), and caregivers who didn't immediately go to the health center during the first diarrhea episode (AOR, 2.17; 95% CI 1.11-4.24).

conclusionDelay in seeking health service to manage child diarrhea is significant. Educating caregivers about the signs, prevention and mode of transmission of diarrhea and appropriate home management can reduce delay in health care seeking thus improving the prognosis of diarrheal disease episodes.

Indexed as

CaregiversDiarrheaHome Care ServicesPatient Acceptance of Health CareAdultChild, PreschoolCross-Sectional StudiesEthiopiaFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMaleSurveys and QuestionnairesAddis ababaDelayDiarrheaHealth seekingHome managementUnder-five children

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PMID41160386

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