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@article{Ng'ambi:2020:10.1111/tmi.13499,
author = {Ng'ambi, W and Mangal, T and Phillips, A and Colbourn, T and Mfutso-Bengo, J and Revill, P and Hallett, TB},
doi = {10.1111/tmi.13499},
journal = {Tropical Medicine and International Health},
pages = {1486--1495},
title = {Factors associated with healthcare seeking behaviour for children in Malawi: 2016},
url = {http://dx.doi.org/10.1111/tmi.13499},
volume = {25},
year = {2020}
}

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TY  - JOUR
AB  - ObjectiveTo characterise health seeking behaviour (HSB) and determine its predictors amongst children in Malawi in 2016.MethodsWe used the 2016 Malawi Integrated Household Survey data set. The outcome of interest was HSB, defined as seeking care at a health facility amongst people who reported one or more of a list of possible symptoms given on the questionnaire in the past two weeks. We fitted a multivariate logistic regression model of HSB using a forward step-wise selection method, with age, sex and symptoms entered as a priori variables.ResultsOf 5350 children, 1666 (32%) had symptoms in the past two weeks. Of the 1666, 1008 (61%) sought care at health facility. The children aged 5–14 years were less likely to be taken to health facilities for health care than those aged 0–4 years. Having fever vs. not having fever and having a skin problem vs. not having skin problem were associated with increased likelihood of HSB. Having a headache vs. not having a headache was associated with lower likelihood of accessing care at health facilities (AOR = 0.50, 95% CI: 0.26–0.96, P = 0.04). Children from urban areas were more likely to be taken to health facilities for health care (AOR = 1.81, 95% CI: 1.17–2.85, P = 0.008), as were children from households with a high wealth status (AOR = 1.86, 95% CI: 1.25–2.78, P = 0.02).ConclusionThere is a need to understand and address individual, socio-economic and geographical barriers to health seeking to increase access and use of health care and fast-track progress towards Universal Health Coverage.
AU  - Ng'ambi,W
AU  - Mangal,T
AU  - Phillips,A
AU  - Colbourn,T
AU  - Mfutso-Bengo,J
AU  - Revill,P
AU  - Hallett,TB
DO  - 10.1111/tmi.13499
EP  - 1495
PY  - 2020///
SN  - 1360-2276
SP  - 1486
TI  - Factors associated with healthcare seeking behaviour for children in Malawi: 2016
T2  - Tropical Medicine and International Health
UR  - http://dx.doi.org/10.1111/tmi.13499
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000579793700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://onlinelibrary.wiley.com/doi/10.1111/tmi.13499
VL  - 25
ER  -

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