In African rural area, studies have shown under-utilization of rural health services. This situation occurs in a context of therapeutic pluralism that competes with access to the health service. The aim of this study is to analyze the place of the modern health care system at the heart of the search for childcare in a rural environment in Ferlo, Senegal. Methods: A cross-sectional study was carried out to examine the place modern health care in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we include in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Bivariate and multivariate analyses were made. Result: Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4 % of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5 % and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that the quality of the caring relationship impacted in using health services ajOR=0.19: IC=0.056-0.59. Conclusion: This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. The main finding of this study was that the quality of the caring relationship impacts attendance and utilization of health services. A professional and competent attitude on the part of health workers will thus be able to improve the use of health services in traditional rural areas in Senegal.
| Published in | European Journal of Preventive Medicine (Volume 6, Issue 2) |
| DOI | 10.11648/j.ejpm.20180602.11 |
| Page(s) | 29-33 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2018. Published by Science Publishing Group |
Using Health Services, Children, Health Workers, Rural Area
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APA Style
Ndèye Marème Sougou, Oumar Bassoum, Mamadou Makhtar Mbacké Lèye, Ibrahima Seck, Adama Faye, et al. (2018). Factors Associated with Utilization of Health Services in Rural Area in Ferlo, Senegal. European Journal of Preventive Medicine, 6(2), 29-33. https://doi.org/10.11648/j.ejpm.20180602.11
ACS Style
Ndèye Marème Sougou; Oumar Bassoum; Mamadou Makhtar Mbacké Lèye; Ibrahima Seck; Adama Faye, et al. Factors Associated with Utilization of Health Services in Rural Area in Ferlo, Senegal. Eur. J. Prev. Med. 2018, 6(2), 29-33. doi: 10.11648/j.ejpm.20180602.11
AMA Style
Ndèye Marème Sougou, Oumar Bassoum, Mamadou Makhtar Mbacké Lèye, Ibrahima Seck, Adama Faye, et al. Factors Associated with Utilization of Health Services in Rural Area in Ferlo, Senegal. Eur J Prev Med. 2018;6(2):29-33. doi: 10.11648/j.ejpm.20180602.11
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author = {Ndèye Marème Sougou and Oumar Bassoum and Mamadou Makhtar Mbacké Lèye and Ibrahima Seck and Adama Faye and Anta Tal-Dia},
title = {Factors Associated with Utilization of Health Services in Rural Area in Ferlo, Senegal},
journal = {European Journal of Preventive Medicine},
volume = {6},
number = {2},
pages = {29-33},
doi = {10.11648/j.ejpm.20180602.11},
url = {https://doi.org/10.11648/j.ejpm.20180602.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20180602.11},
abstract = {In African rural area, studies have shown under-utilization of rural health services. This situation occurs in a context of therapeutic pluralism that competes with access to the health service. The aim of this study is to analyze the place of the modern health care system at the heart of the search for childcare in a rural environment in Ferlo, Senegal. Methods: A cross-sectional study was carried out to examine the place modern health care in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we include in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Bivariate and multivariate analyses were made. Result: Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4 % of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5 % and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that the quality of the caring relationship impacted in using health services ajOR=0.19: IC=0.056-0.59. Conclusion: This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. The main finding of this study was that the quality of the caring relationship impacts attendance and utilization of health services. A professional and competent attitude on the part of health workers will thus be able to improve the use of health services in traditional rural areas in Senegal.},
year = {2018}
}
TY - JOUR T1 - Factors Associated with Utilization of Health Services in Rural Area in Ferlo, Senegal AU - Ndèye Marème Sougou AU - Oumar Bassoum AU - Mamadou Makhtar Mbacké Lèye AU - Ibrahima Seck AU - Adama Faye AU - Anta Tal-Dia Y1 - 2018/04/08 PY - 2018 N1 - https://doi.org/10.11648/j.ejpm.20180602.11 DO - 10.11648/j.ejpm.20180602.11 T2 - European Journal of Preventive Medicine JF - European Journal of Preventive Medicine JO - European Journal of Preventive Medicine SP - 29 EP - 33 PB - Science Publishing Group SN - 2330-8230 UR - https://doi.org/10.11648/j.ejpm.20180602.11 AB - In African rural area, studies have shown under-utilization of rural health services. This situation occurs in a context of therapeutic pluralism that competes with access to the health service. The aim of this study is to analyze the place of the modern health care system at the heart of the search for childcare in a rural environment in Ferlo, Senegal. Methods: A cross-sectional study was carried out to examine the place modern health care in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we include in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Bivariate and multivariate analyses were made. Result: Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4 % of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5 % and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that the quality of the caring relationship impacted in using health services ajOR=0.19: IC=0.056-0.59. Conclusion: This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. The main finding of this study was that the quality of the caring relationship impacts attendance and utilization of health services. A professional and competent attitude on the part of health workers will thus be able to improve the use of health services in traditional rural areas in Senegal. VL - 6 IS - 2 ER -
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