open access publication

Article, Early Access, 2024

Care seeking for childhood illnesses in rural Mtwara, south-east Tanzania: a mixed methods study

TRANSACTIONS OF THE ROYAL SOCIETY OF TROPICAL MEDICINE AND HYGIENE, ISSN 0035-9203, 0035-9203, 10.1093/trstmh/trae022

Contributors

Mshamu, Salum (Corresponding author) [1] [2] Meta, Judith Sanga, Casiana [1] Day, Nicholas [2] [3] [4] Mukaka, Mavuto [2] [3] [4] Adhikari, Bipin [2] [3] [4] Deen, Jacqueline [5] [6] Knudsen, Jakob [7] Pell, Christopher [8] [9] [10] von Seidlein, Lorenz [2] [3] [4]

Affiliations

  1. [1] CSK Res Solut, Mtwara, Tanzania
    2. [NORA names: Tanzania; Africa];
  2. [2] Univ Oxford, Ctr Trop Med & Global Hlth, Nuffield Dept Med, Oxford, England
    3. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  3. [3] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Bangkok, Thailand
    4. [NORA names: Thailand; Asia, South];
  4. [4] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Bangkok, Thailand
    5. [NORA names: Thailand; Asia, South];
  5. [5] Univ Philippines, Manila, Philippines
    6. [NORA names: Philippines; Asia, South];

Abstract

Background: Care seeking was assessed in preparation for a study of the health impact of novel design houses in rural Mtwara, Tanzania. Methods: A total of 578 residents of 60 villages participated in this mixed-methods study from April to August 2020. Among them, 550 participated in a healthcare-seeking survey, 17 in in-depth interviews and 28 in key informant interviews. Results: The decision to seek care was based on symptom severity (95.4% [370]). Caregivers first visited non-allopathic healthcare providers or were treated at home, which led to delays in seeking care at healthcare facilities. More than one-third (36.0% [140]) of respondents took >12 h seeking care at healthcare facilities. The majority (73.0% [282]) visited healthcare facilities, whereas around one-fifth (21.0% [80]) sought care at drug stores. Treatment costs deterred respondents from visiting healthcare facilities (61.4% [338]). Only 10 (3.6%) of the households surveyed reported that they were covered by health insurance. Conclusions: Quality of care, related to institutional factors, impacts timely care seeking for childhood illnesses in Mtwara, Tanzania. Ensuring accessibility of facilities is therefore not sufficient.

Keywords

child health, diarrhoea, health services, health services needs and demand, malaria, respiratory tract infections

Data Provider: Clarivate

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