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Contextual factors associated with health care service utilization for children with acute childhood illnesses in Nigeria
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Adedokun, Sulaimon, Adekanmbi, Victor, Uthman, Olalekan A. and Lilford, Richard (2017) Contextual factors associated with health care service utilization for children with acute childhood illnesses in Nigeria. PLoS One, 12 (3). e0173578. doi:10.1371/journal.pone.0173578 ISSN 1932-6203.
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Official URL: http://dx.doi.org/10.1371/journal.pone.0173578
Abstract
Objective
To examine the independent contribution of individual, community and state-level factors to
health care service utilization for children with acute childhood illnesses in Nigeria.
Materials and methods
The study was based on secondary analyses of cross-sectional population-based data from
the 2013 Nigeria Demographic and Health Survey (DHS). Multilevel logistic regression models
were applied to the data on 6,427 under-five children who used or did not use health
care service when they were sick (level 1), nested within 896 communities (level 2) from 37
states (level 3).
Results
About one-quarter of the mothers were between 15 and 24 years old and almost half of
them did not have formal education (47%). While only 30% of the children utilized health service
when they were sick, close to 67% lived in the rural area. In the fully adjusted model,
mothers with higher education attainment (Adjusted odds ratio [aOR] = 1.63; 95% credible
interval [CrI] = 1.31–2.03), from rich households (aOR = 1.76; 95% CrI = 1.35–2.25), with
access to media (radio, television or magazine) (aOR = 1.18; 95% CrI = 1.08–1.29), and
engaging in employment (aOR = 1.18; 95% CrI = 1.02–1.37) were significantly more likely to
have used healthcare services for acute childhood illnesses. On the other hand, women
who experienced difficulty getting to health facilities (aOR = 0.87; 95% CrI = 0.75–0.99)
were less likely to have used health service for their children
| Item Type: | Journal Article | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services | ||||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | Child health services -- Nigéria, Children -- Diseases -- Treament -- Nigéria | ||||||||
| Journal or Publication Title: | PLoS One | ||||||||
| Publisher: | Public Library of Science | ||||||||
| ISSN: | 1932-6203 | ||||||||
| Official Date: | 15 March 2017 | ||||||||
| Dates: |
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| Volume: | 12 | ||||||||
| Number: | 3 | ||||||||
| Article Number: | e0173578 | ||||||||
| DOI: | 10.1371/journal.pone.0173578 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 17 March 2017 | ||||||||
| Date of first compliant Open Access: | 20 March 2017 | ||||||||
| Funder: | Wellcome Trust (London, England), Carnegie Corporation of New York, Sweden. Styrelsen för internationell utveckling | ||||||||
| Grant number: | Grant No: 087547/Z/08/Z (Wellcome Trust (London, England)), Grant No: B8606.R02 (Carnegie Corporation of New York), Grant No: 54100029 (Sweden. Styrelsen för internationell utveckling) | ||||||||
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