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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
Improvement in mothers' immediate care-seeking behaviors for children's danger signs through a community-based intervention in Lusaka, Zambia
Tohoku Journal of Experimental Medicine, Volume 217, No. 1, Year 2009
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Description
The large number of child deaths in developing countries is associated with delays in care-seeking by families, but the community-based efforts of the Integrated Management of Childhood Illnesses developed by WHO/ UNICEF has remained ineffectual. To improve caregivers' ability to recognise potentially life-threatening symptoms of major childhood illnesses, we provided education about the importance of danger signs and immediate care-seeking practices through a community-based intervention of 'the Growth Monitoring Programme Plus (GMP+)' in low-income areas of Lusaka, Zambia. Using repeated cross-sectional data from interviews, we compared attendance and non-attendance groups to assess the impacts of intervention on mothers' care-seeking. Of 1717 and 1546 attendance mothers in the baseline and the final survey, 1097 and 1035, respectively, sought care from a health centre after perceiving the danger signs. The proportion of mothers with immediate response increased from 35.7% (392/1097) to 51.5% (533/1035) (p < 0.01). In the final survey, the attendance mothers became more likely to respond immediately to the danger signs than the non-attendance mothers (adjusted odds ratio: 2.140, 95% confidence interval: [1.408-3.252]), and the higher educational level the attendance mothers had, the more likely they were to respond immediately to the danger signs (primary level: 2.067 [1.050-4.068], secondary level and above: 2.174 [1.098-4.306]). In conclusion, GMP+ with danger sign education can improve mothers' care-seeking for severely sick children. Therefore, GMP+ has the potential to reduce child death in developing countries, i.e., contribute to the Millennium Development Goal 4 aiming at reducing child mortality by two-thirds by 2015. © 2009 Tohoku University Medical Press.
Authors & Co-Authors
Fujino, Yasuyuki
Japan, Niigata
Niigata University
Sasaki, Satoshi
Japan, Niigata
Niigata University
Igarashi, Kumiko
Japan, Niigata
Niigata University
Tanabe, Naohito
Japan, Niigata
Niigata University
Muleya, Clara Mbwili
Zambia, Lusaka
Zambian Ministry of Health
Tambatamba, Bushimbwa
Zambia, Lusaka
Zambian Ministry of Health
Suzuki, Hiroshi
Japan, Niigata
Niigata University
Statistics
Citations: 22
Authors: 7
Affiliations: 2
Identifiers
Doi:
10.1620/tjem.217.73
ISSN:
00408727
e-ISSN:
13493329
Research Areas
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Case-Control Study
Study Approach
Quantitative
Study Locations
Zambia