Determinants of primary healthcare seeking behaviours for children during the first 18 months of life in Benin

Alice Brembilla; Jean-François Faucher; A. Garcia; A Koura; A Deloron; A Parmentier; A. Pierrat; A Cottrell; P Mauny

Determinants of primary healthcare seeking behaviours for children during the first 18 months of life in Benin

Alice Brembilla ^{1, *} Jean-François Faucher ^{2, 3} A. Garcia A Koura A Deloron A Parmentier ¹ A. Pierrat A Cottrell P Mauny

* Auteur correspondant

1 LCE - Laboratoire Chrono-environnement - UFC (UMR 6249)

2 Service des Maladies infectieuses et tropicales [CHU Limoges]

3 NET - Neuroépidémiologie Tropicale

Abstract : Background: Primary healthcare is a key element of management of childhood illness in Africa. The objectives were to identify primary care seeking determinants among infants and young children up to 18 mo in a birth cohort from Benin. Methods: From 2007 to 2009 in Benin, a birth cohort was followed until the age of 18 mo in three health centres. Multilevel Poisson regression models were fitted to identify the factors related to the monthly number of consultations. Maternal and newborn characteristics and infant general health parameters were considered. Results: A total of 566 children were followed. On average, 0.46 consultations per month per child were recorded. The number of consultations was significantly lower after the first 6 mo of life (p<0.001). A distance >1000 m was associated with fewer consultations (p=0.01). Primiparity was significantly associated with higher care seeking (relative risk 1.17 [95% CI 1.05 to 1.30], p<0.01). No child characteristics at birth were significantly associated with the number of consultations (all p>0.16). Conclusions: Development of health structures and improvement of access remain important goals for strengthening of the primary care health system. Studying factors of care seeking behaviour, like parity, can help to identify women more prone to seek care for their child during the first year of life.

Type de document :

Article dans une revue

Domaine :

Sciences du Vivant [q-bio] / Santé publique et épidémiologie

Liste complète des métadonnées

https://hal-unilim.archives-ouvertes.fr/hal-02047830
Contributeur : Elisabeth Grelier <>
Soumis le : lundi 25 février 2019 - 11:29:23
Dernière modification le : vendredi 15 mars 2019 - 17:24:26

Determinants of primary healthcare seeking behaviours for children during the first 18 months of life in Benin

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