Barriers to healthcare access and healthcare seeking for childhood illnesses among childbearing women in Burundi

Poor health seeking behaviour continues to be major challenge in accessing healthcare in sub-Saharan Africa despite the availability of effective treatment for most childhood illnesses. The current study investigated the barriers to healthcare access and health seeking for childhood illnesses in Bur...

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Bibliographic Details
Published in:PloS one 2022-09, Vol.17 (9), p.e0274547-e0274547
Main Authors: Ahinkorah, Bright Opoku, Seidu, Abdul-Aziz, Hagan, John Elvis, Budu, Eugene, Mohammed, Aliu, Adu, Collins, Ameyaw, Edward Kwabena, Adoboi, Faustina, Schack, Thomas
Format: Article
Language:English
Subjects:
Birth order
Chi-square test
Children
Children & youth
Childrens health
Cough
Data collection
Diarrhea
Diseases
Families & family life
Fever
Health care
Health facilities
Health policy
Health services
Households
Illnesses
Malaria
Maternal & child health
Medicine and Health Sciences
Morbidity
Mortality
Multiple births
Pediatrics
People and Places
Public health
Regression analysis
Religion
Surveys
Variables
Womens health
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Summary:Poor health seeking behaviour continues to be major challenge in accessing healthcare in sub-Saharan Africa despite the availability of effective treatment for most childhood illnesses. The current study investigated the barriers to healthcare access and health seeking for childhood illnesses in Burundi. The study utilized data from the 2016-17 Burundi Demographic and Health Survey (BDHS). A total of 2173 children under five of childbearing women were included in our study. The outcome variable for the study was healthcare seeking for childhood illnesses (diarrhea and fever/cough). Barriers to healthcare access were the explanatory variables and maternal and child factors were the control variables. Chi-square test of independence and a binary logistic regression modelling were carried out to generate the results. Overall, less than 50% of children in Burundi who were ill two weeks before the survey obtained healthcare. We found that children of mothers who perceived getting money for medical care for self as a big problem [aOR = 0.75; CI = 0.60-0.93] and considered going for medical care alone as a big problem [aOR = 0.71; CI = 0.55-0.91] had lower odds of getting healthcare, compared to those of mothers who considered these indicators as not a big problem. The results also showed that children of mothers who had three [aOR = 1.48; 1.02-2.15] and four [aOR = 1.62; 1.10-2.39], children were more likely to get healthcare for childhood illnesses compared to those whose mothers had one child. Children of mothers with single birth children were less likely to get healthcare compared to those whose mothers had multiple births.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0274547