BMC pediatrics · 2026
Determinants of delay in treatment-seeking for under-five pneumonia among caregivers in public health facilities in waliso town, Ethiopia: an unmatched case-control study.
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Chuko Bacha Merga, Darega Jiregna, Dibaba Nugusie, Edea Gada, Kebata Derara, Taye Nebiyu, Ayana Mulatu
Аннотация
BACKGROUND: Pneumonia is one of the lower respiratory tract infections. It is defined as an infection of the lung tissue. Delayed treatment of pneumonia in under-five children is health care Seeking after 24 h from the recognition sign of pneumonia. Delayed, health seeking for sick children with pneumonia is associated with high morbidity/mortality of under-five children.
OBJECTIVE: To identify the determinants of delay in treatment-seeking for under-five pneumonia among caregivers at public health facilities in Waliso Town, Ethiopia, 2025.
METHODS: A facility based un-matched case- control study among 381(127 case and 254 control) with 1:2 ratios were conducted from December 10, 2024 - February 10, 2025 among under-five children at public health facility in Waliso Town, Ethiopia. Consecutive and systematic sampling technique was employed to select cases and controls respectively. Data were collected by face-to-face interview and entered into Epi info version 7.25 and exported to SPSS version 25 for analysis. Factors having p-value < 0.25 in the bivariable analysis was entered into logistic regression model for multivariable analysis. Statistical significance on the final model was declared at p-value < 0.05. Adjusted odds ratio along with 95% confidence interval was used to show strength of association. The results were presented using text, table and graphs.
RESULTS: In this study 378 caregivers (126 cases and 252 controls) were completed the interview giving the response rate of 99.48% and 0.52% non-response rates. After multivariable logistic regression analysis, significant determinants of delay in treatment seeking for under-five pneumonia were home delivery [AOR = 2.38, 95% CI (1.37-4.14)], self-medication [AOR = 2.21, 95% CI (1.23-3.95)], non-use of community health insurance [AOR = 2.36, 95% CI (1.43-3.87)], poor knowledge of child danger sign[AOR = 2.77, 95% CI (1.39-5.5)], not heard child treatment information from media [AOR = 1.71, 95% CI (1.05-2.78)].
CONCLUSION: Home delivery, self-medication, non-use of community health insurance, poor knowledge of child danger sign and not heard child treatment information from media were significantly associated with delay in treatment seeking for under-five pneumonia. Health facility and Health care providers should focus on these determinants, and strengthening early diagnosis and treatment.
OBJECTIVE: To identify the determinants of delay in treatment-seeking for under-five pneumonia among caregivers at public health facilities in Waliso Town, Ethiopia, 2025.
METHODS: A facility based un-matched case- control study among 381(127 case and 254 control) with 1:2 ratios were conducted from December 10, 2024 - February 10, 2025 among under-five children at public health facility in Waliso Town, Ethiopia. Consecutive and systematic sampling technique was employed to select cases and controls respectively. Data were collected by face-to-face interview and entered into Epi info version 7.25 and exported to SPSS version 25 for analysis. Factors having p-value < 0.25 in the bivariable analysis was entered into logistic regression model for multivariable analysis. Statistical significance on the final model was declared at p-value < 0.05. Adjusted odds ratio along with 95% confidence interval was used to show strength of association. The results were presented using text, table and graphs.
RESULTS: In this study 378 caregivers (126 cases and 252 controls) were completed the interview giving the response rate of 99.48% and 0.52% non-response rates. After multivariable logistic regression analysis, significant determinants of delay in treatment seeking for under-five pneumonia were home delivery [AOR = 2.38, 95% CI (1.37-4.14)], self-medication [AOR = 2.21, 95% CI (1.23-3.95)], non-use of community health insurance [AOR = 2.36, 95% CI (1.43-3.87)], poor knowledge of child danger sign[AOR = 2.77, 95% CI (1.39-5.5)], not heard child treatment information from media [AOR = 1.71, 95% CI (1.05-2.78)].
CONCLUSION: Home delivery, self-medication, non-use of community health insurance, poor knowledge of child danger sign and not heard child treatment information from media were significantly associated with delay in treatment seeking for under-five pneumonia. Health facility and Health care providers should focus on these determinants, and strengthening early diagnosis and treatment.