Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study
Background and objectives Despite a substantial reduction in the mortality rate of children under 5 years in the past 25 years, pneumonia remains the single-largest infectious cause of child deaths worldwide. This study explored the chronological order of visited healthcare facilities and practition...
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BMJ Publishing Group
2020-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/8/e036261.full |
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| author | Mari Sato Hitoshi Oshitani Raita Tamaki Nobuko Oyamada Kineko Sato Alkaff Raihana Nadra Jhoys Landicho Portia P Alday Veronica L Tallo Socorro P Lupisan |
| author_facet | Mari Sato Hitoshi Oshitani Raita Tamaki Nobuko Oyamada Kineko Sato Alkaff Raihana Nadra Jhoys Landicho Portia P Alday Veronica L Tallo Socorro P Lupisan |
| author_sort | Mari Sato |
| collection | DOAJ |
| description | Background and objectives Despite a substantial reduction in the mortality rate of children under 5 years in the past 25 years, pneumonia remains the single-largest infectious cause of child deaths worldwide. This study explored the chronological order of visited healthcare facilities and practitioners, and the factors affecting mothers’ intention to seek care before the hospitalisation of children with pneumonia.Methods and analysis A qualitative research design was employed using theory of planned behaviour as a framework for the analysis. Using purposive sampling technique, 11 mothers, whose children under 5 years old were hospitalised with severe pneumonia, were recruited for individual semi-structured interviews. Their socio-demographic information was analysed using descriptive statistics.Results Mothers brought their sick children to multiple facilities, and 1 to 19 days had passed before hospitalisation. We identified four major factors determining mothers’ intentions: (1) doing something useful for the sick child, (2) expecting the child to receive the necessary assessment and treatment, (3) accepting advice to visit a healthcare facility and be referred to a hospital and (4) considering issues and benefits associated with hospitalisation. Mothers noticed their children’s unusual symptoms and monitored them while applying home remedies. They also took their children to traditional healers despite knowing that the treatments were not necessarily effective. Mothers expected children to be checked by health professionals and listened to advice from family members regarding the facilities to visit, and from healthcare staff to be referred to a hospital. Financial issues and the double burden of housework and caring for the hospitalised child were mothers’ major concerns about hospitalisation.Conclusion Children were hospitalised after several days because they visited multiple healthcare facilities, including traditional healers. Improving care quality at healthcare facilities and reducing financial and mothers’ burden may reduce the hospitalisation delay for children with pneumonia. |
| format | Article |
| id | doaj-art-1a455fa15a7d4c2e951ef5d02ad36c1f |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1a455fa15a7d4c2e951ef5d02ad36c1f2025-08-20T02:51:03ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2019-036261Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative studyMari Sato0Hitoshi Oshitani1Raita Tamaki2Nobuko Oyamada3Kineko Sato4Alkaff Raihana Nadra5Jhoys Landicho6Portia P Alday7Veronica L Tallo8Socorro P Lupisan91 Department of Virology, Tohoku University, Sendai, Miyagi, Japan1 Department of Virology, Tohoku University, Sendai, Miyagi, Japan2 Japan International Cooperation Agency, Nairobi, Kenya3 Department of Maternal Nursing, Tohoku University, Sendai, Miyagi, Japan3 Department of Maternal Nursing, Tohoku University, Sendai, Miyagi, Japan1 Department of Virology, Tohoku University, Sendai, Miyagi, Japan4 Epidemiology and Biostatics, Research Institute for Tropical Medicine, Muntinlupa City, Philippines4 Epidemiology and Biostatics, Research Institute for Tropical Medicine, Muntinlupa City, Philippines4 Epidemiology and Biostatics, Research Institute for Tropical Medicine, Muntinlupa City, Philippines4 Epidemiology and Biostatics, Research Institute for Tropical Medicine, Muntinlupa City, PhilippinesBackground and objectives Despite a substantial reduction in the mortality rate of children under 5 years in the past 25 years, pneumonia remains the single-largest infectious cause of child deaths worldwide. This study explored the chronological order of visited healthcare facilities and practitioners, and the factors affecting mothers’ intention to seek care before the hospitalisation of children with pneumonia.Methods and analysis A qualitative research design was employed using theory of planned behaviour as a framework for the analysis. Using purposive sampling technique, 11 mothers, whose children under 5 years old were hospitalised with severe pneumonia, were recruited for individual semi-structured interviews. Their socio-demographic information was analysed using descriptive statistics.Results Mothers brought their sick children to multiple facilities, and 1 to 19 days had passed before hospitalisation. We identified four major factors determining mothers’ intentions: (1) doing something useful for the sick child, (2) expecting the child to receive the necessary assessment and treatment, (3) accepting advice to visit a healthcare facility and be referred to a hospital and (4) considering issues and benefits associated with hospitalisation. Mothers noticed their children’s unusual symptoms and monitored them while applying home remedies. They also took their children to traditional healers despite knowing that the treatments were not necessarily effective. Mothers expected children to be checked by health professionals and listened to advice from family members regarding the facilities to visit, and from healthcare staff to be referred to a hospital. Financial issues and the double burden of housework and caring for the hospitalised child were mothers’ major concerns about hospitalisation.Conclusion Children were hospitalised after several days because they visited multiple healthcare facilities, including traditional healers. Improving care quality at healthcare facilities and reducing financial and mothers’ burden may reduce the hospitalisation delay for children with pneumonia.https://bmjopen.bmj.com/content/10/8/e036261.full |
| spellingShingle | Mari Sato Hitoshi Oshitani Raita Tamaki Nobuko Oyamada Kineko Sato Alkaff Raihana Nadra Jhoys Landicho Portia P Alday Veronica L Tallo Socorro P Lupisan Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study BMJ Open |
| title | Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study |
| title_full | Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study |
| title_fullStr | Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study |
| title_full_unstemmed | Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study |
| title_short | Factors affecting mothers’ intentions to visit healthcare facilities before hospitalisation of children with pneumonia in Biliran province, Philippines: a qualitative study |
| title_sort | factors affecting mothers intentions to visit healthcare facilities before hospitalisation of children with pneumonia in biliran province philippines a qualitative study |
| url | https://bmjopen.bmj.com/content/10/8/e036261.full |
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