Evidence map›Paper›PMID 41293587›Full record

ArticleFrontiers in public health2025

Household healthcare seeking patterns for emergent ill-health in Migori, Western Kenya.

Zachary A Kwena, Elizabeth A Bukusi, Chanda Mwamba, Norton M Sang, Felix O Okoth, Jennifer F Morton, Anna Winters, Derek Pollard, Alastair Van Heerden, Hilton Humphries and 5 more

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Zachary A KwenaCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Elizabeth A BukusiCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Chanda MwambaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Norton M SangCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Felix O OkothCentre for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya.
Jennifer F MortonDepartment of Global Health, University of Washington, Seattle, WA, United States.
Anna WintersAkros, Lusaka, Zambia.
Derek PollardAkros, Lusaka, Zambia.
Alastair Van HeerdenHuman Sciences Research Council (HSRC), Pretoria, South Africa.
Hilton HumphriesHuman Sciences Research Council (HSRC), Pretoria, South Africa.
Dino RechAudere, Johannesburg, South Africa.
Meagan BemerDepartment of Global Health, University of Washington, Seattle, WA, United States.
Shawna CooperAudere, Seattle, WA, United States.
Anjali SharmaCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
Paul K DrainSchool of Medicine, University of Washington, Seattle, WA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Healthcare-seeking decisions reflect personal assessments of illness etiology and severity to determine whether, how, and where to seek care. Understanding these contexts enables targeted interventions to address barriers and ensure timely access to quality services. We examined patterns of household healthcare seeking for emergent ill-health in Western Kenya. Methods: As part of a multi-site mixed-methods study evaluating a patient-centered, digitally-facilitated self-testing intervention, we analyzed 16 in-depth interviews and two focus group discussions ( Results: We found that a complex interplay of psychosocial, enabling, and need factors determined if, when, and where households sought care for ill members. Psychosocial influences included prevailing community norms that favored home remedies and self-medication prior to formal care as in the quote below: ' Conclusion: Household healthcare-seeking decisions were shaped by a dynamic interplay of psychosocial, enabling, and need factors. Addressing these multifaceted barriers through targeted, context-specific interventions, such as enhancing health infrastructure and integrating different providers, is crucial to ensuring timely access to quality healthcare.

Indexed as

Family CharacteristicsPatient Acceptance of Health CareAdultFemaleFocus GroupsHealth Services AccessibilityHumansInterviews as TopicKenyaMaleMiddle AgedYoung Adultaccess to health facilitiesemergent ill-healthenabling factorshealthcare decision-makinghealthcare-seeking behaviorneed factorspsycho-social factorsWestern Kenya

Identifiers

PMID41293587
PMCPMC12640822

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.