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Knowledge and care seeking practices for ear infections among parents of under five children in Kigali, Rwanda : a cross-sectional study

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Mukara, Kaitesi Batamuliza, Waiswa, Peter, Lilford, Richard and Tucci, Debara Lyn (2017) Knowledge and care seeking practices for ear infections among parents of under five children in Kigali, Rwanda : a cross-sectional study. BMC Ear, Nose and Throat Disorders, 17 (1). 7. doi:10.1186/s12901-017-0040-1 ISSN 1472-6815.

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Official URL: http://dx.doi.org/10.1186/s12901-017-0040-1

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Abstract

Background:
Infections affecting the middle ear are a common childhood occurrence. Some cases may present with ear discharge through a tympanic membrane perforation which may heal spontaneously. However, up to 5% or more cases of those affected have persistent ear discharge. A number of barriers contribute towards delayed presentation at health facilities for treatment of ear infections. We conducted a study to evaluate parents’ and caregivers’ knowledge and care seeking practices for ear infections in children under five in Gasabo district in Kigali, Rwanda.

Methods:
Parents/guardians (n = 810) were interviewed using a structured questionnaire to elicit their knowledge of ear infections in children under five and their attitude to seeking care for their children.

Results:
The mean age of the respondents was 31.27 years (SD = 7.88, range 17–83). Considering an average of knowledge parameters which included causes, symptoms, prevention, treatment and consequences of ear infections, we found that 76.6% (622) of respondents were knowledgeable about ear infections. We defined a positive practice as seeking medical treatment (community health workers or health facility) and this was found in 89.1% (722) respondents. Correlating knowledge with choice of seeking treatment, respondents were 33% less likely to practice medical pluralism (OR = 0.33, CI 0.11–0.97, P = 0.043) if they were familiar with infections. Moreover, urban dweller were 1.7 times more likely to know ear infections compared to rural dwellers (OR = 1.70, CI 1.22–2.38, P = 0.002).

Conclusion:
The majority of respondents had good knowledge and positive attitudes and practices about ear infection. However, medical pluralism was common. There is need to improve the community’s awareness and access to primary health care facilities for the care of ear infections especially in rural areas of Rwanda.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Ear -- Infections -- Treatment -- Rwanda, Otitis media in children -- Rwanda, Medical care -- Utilization -- Rwanda, Help-seeking behavior -- Rwanda, Parent and child -- Rwanda
Journal or Publication Title: BMC Ear, Nose and Throat Disorders
Publisher: BioMed Central Ltd.
ISSN: 1472-6815
Official Date: 10 October 2017
Dates:
DateEvent
10 October 2017Published
28 September 2017Accepted
1 March 2017Submitted
Volume: 17
Number: 1
Article Number: 7
DOI: 10.1186/s12901-017-0040-1
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 19 March 2018
Date of first compliant Open Access: 20 March 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
UNSPECIFIEDAfrican Population and Health Research Centerhttps://lccn.loc.gov/no2002031410
UNSPECIFIEDUniversity of the Witwatersrand, Johannesburghttp://dx.doi.org/10.13039/100009467
087547/Z/08/ZWellcome Trusthttp://dx.doi.org/10.13039/100004440
Development Partnerships in Higher EducationDepartment for International Development, UK Governmenthttp://dx.doi.org/10.13039/501100002992
B 8606Carnegie Corporation of New Yorkhttp://dx.doi.org/10.13039/100000308
1100-0399Ford Foundationhttp://dx.doi.org/10.13039/100000010
191994Googlehttp://dx.doi.org/10.13039/100006785
54100029Styrelsen för Internationellt Utvecklingssamarbetehttp://dx.doi.org/10.13039/100004441
10-95915-000-INPJohn D. and Catherine T. MacArthur Foundationhttp://dx.doi.org/10.13039/100000870
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