Health care seeking behavior for diarrhea in children under 5 in rural Niger: results of a cross-sectional survey
2011

Health Care Seeking for Diarrhea in Children Under 5 in Rural Niger

Sample size: 2940 publication Evidence: moderate

Author Information

Author(s): Page Anne-Laure, Hustache Sarah, Luquero Francisco J, Djibo Ali, Manzo Mahamane Laouali, Grais Rebecca F

Primary Institution: Epicentre, Paris, France

Hypothesis

What proportion of children under five with diarrhea consult a health structure?

Conclusion

The study found that a higher proportion of children under five with diarrhea sought medical care compared to previous surveys, likely due to the introduction of free health care for this age group.

Supporting Evidence

  • The period prevalence of diarrhea was 36.8%, with 70.4% of those affected seeking care.
  • Free health care for children under five may have contributed to increased consultations.
  • The study suggests that hospital-based surveillance may miss many cases of severe diarrhea.

Takeaway

In Niger, many young children with diarrhea go to the doctor, which is good because it helps them get better. This is especially true since doctors don't charge for kids under five.

Methodology

A cluster survey was conducted in four districts of the Maradi Region, Niger, involving interviews with caretakers about diarrhea and health-seeking behavior.

Potential Biases

Potential over-reporting of health-seeking behavior due to social desirability bias.

Limitations

The study's retrospective design may have led to recall bias, and the subjective assessment of dehydration signs could affect the classification of diarrhea severity.

Participant Demographics

The majority of respondents were mothers with low education levels, and the sample included children aged 0 to 59 months.

Statistical Information

Confidence Interval

95% CI: 33.7 - 40.0

Digital Object Identifier (DOI)

10.1186/1471-2458-11-389

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