Who is to blame? Perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya
2011

Barriers to Healthcare for Children Under Five in Butere District, Kenya

Sample size: 397 publication 10 minutes Evidence: moderate

Author Information

Author(s): Opwora Antony S, Laving Ahmed MR, Nyabola Lambert O, Olenja Joyce M

Primary Institution: Kenya Medical Research Institute/Wellcome Trust Research Programme

Hypothesis

What are the barriers to accessing healthcare services for children under five in Butere District?

Conclusion

Caregivers' actions and the healthcare delivery system both significantly influence access to healthcare for children under five.

Supporting Evidence

  • 397 caregivers were surveyed in exit interviews.
  • Caregivers reported long waiting times and lack of drugs as major barriers.
  • High rates of mosquito net utilization were reported among caregivers.

Takeaway

This study found that caregivers face many challenges when trying to get healthcare for their young children, and both their actions and the healthcare system need to improve to help reduce child deaths.

Methodology

The study used exit interviews, focus group discussions, and key informant interviews to gather data from caregivers and health workers.

Potential Biases

Recall bias may have affected the accuracy of caregivers' responses.

Limitations

The study may have selection bias as it only included caregivers who accessed healthcare services.

Participant Demographics

{"gender_distribution":{"female":97.7,"male":2.3},"age_distribution":{"below_20":9.3,"20-29":61.2,"30-39":22.2,"40-49":4.0,"50_and_above":0.3},"relation_to_child":{"mother":95.7,"father":2.0,"grandparent":2.3}}

Statistical Information

P-Value

0.013

Confidence Interval

0.273 - 0.805

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-11-272

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