Knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia: A qualitative study in an urban community in Indonesia
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Keywords

caregivers
healthcare-seeking behavior
mothers
knowledge
common cold
pneumonia
nursing
Indonesia

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Purwati, N. H., Rustina, Y., & Supriyatno, B. (2021). Knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia: A qualitative study in an urban community in Indonesia. Belitung Nursing Journal, 7(2), 107–112. https://doi.org/10.33546/bnj.1268
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Accepted for publication: 2021-03-25
Peer reviewed: Yes

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Abstract

Background: Childhood pneumonia is the leading cause of death. Family caregivers may have a poor understanding of pneumonia, especially related to prevention and treatment. It is crucial to understand country-specific knowledge and healthcare-seeking behaviors of caregivers of children with pneumonia before planning programmatic responses, particularly in an urban community where the culture-social economic status is diverse.

Objective: This study aimed to describe the knowledge and healthcare-seeking behavior of family caregivers of children with pneumonia in Indonesia’s urban community.

Methods: A descriptive qualitative study was conducted at a public hospital in Jakarta, Indonesia, from 10 December 2019 to 28 January 2020. Ten family caregivers of children with pneumonia were included, and a semi-structured interview was conducted for data collection. The audio recording was transcribed verbatim, and the data were analyzed using content analysis.

Results: The emerged data indicated low knowledge of the family caregivers, especially mothers, which considered pneumonia a common cold only, and they failed to understand the risk of its transmission. Using traditional medicines was the first stage of healthcare-seeking behavior. If the symptoms worsened, the caregivers brought their children to the nearest health center. If there was no change in the symptoms, they headed to the hospital. The health center’s location, condition, services, and staff attitude were considered factors to choose the services.

Conclusion: Living in an urban area does not guarantee the family caregivers have better knowledge and good healthcare-seeking behavior. Therefore, nurses should provide comprehensive education about pneumonia, its symptoms, and treatment management to improve family care and prevent pneumonia-related deaths. Integrated management of children with illness is recommended to help the family caregivers of children with pneumonia receive treatment as quickly as possible.

https://doi.org/10.33546/bnj.1268
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Supporting Agencies

Universitas Muhammadiyah Jakarta, Indonesia

Copyright

Copyright (c) 2021 Nyimas Heny Purwati, Yeni Rustina, Bambang Supriyatno

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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References

Abbey, M., Chinbuah, M. A., Gyapong, M., Bartholomew, L. K., & van den Borne, B. (2016). Community perceptions and practices of treatment seeking for childhood pneumonia: A mixed methods study in a rural district, Ghana. BMC Public Health, 16(1), 848. https://doi.org/10.1186/s12889-016-3513-z

Ayalneh, A. A., Fetene, D. M., & Lee, T. J. (2017). Inequalities in health care utilization for common childhood illnesses in Ethiopia: Evidence from the 2011 Ethiopian Demographic and Health Survey. International Journal for Equity in Health, 16(1), 1-9. https://doi.org/10.1186/s12939-017-0561-7

Bedford, K. J. A., & Sharkey, A. B. (2014). Local barriers and solutions to improve care-seeking for childhood pneumonia, diarrhoea and malaria in Kenya, Nigeria and Niger: A qualitative study. PloS One, 9(6), e100038.

Colvin, C. J., Smith, H. J., Swartz, A., Ahs, J. W., de Heer, J., Opiyo, N., . . . George, A. (2013). Understanding careseeking for child illness in sub-Saharan Africa: A systematic review and conceptual framework based on qualitative research of household recognition and response to child diarrhoea, pneumonia and malaria. Social Science & Medicine, 86, 66-78. https://doi.org/10.1016/j.socscimed.2013.02.031

Creswell, J. W. (2012). Qualitative inquiry and research design: Choosing among five approaches (3rd ed.). UK: SAGE Publications.

Ferdous, F., Dil Farzana, F., Ahmed, S., Das, S. K., Malek, M. A., Das, J., . . . Chisti, M. J. (2014). Mothers’ perception and healthcare seeking behavior of pneumonia children in rural Bangladesh. ISRN Family Medicine, 2014. http://dx.doi.org/10.1155/2014/690315

Le Roux, D. M., & Zar, H. J. (2017). Community-acquired pneumonia in children—a changing spectrum of disease. Pediatric Radiology, 47(11), 1392-1398. https://doi.org/10.1007/s00247-017-3827-8

McLeod-Sordjan, R., Krajewski, B., Jean-Baptiste, P., Barone, J., & Worral, P. (2011). Effectiveness of patient-caregiver dyad discharge interventions on hospital readmissions of elderly patients with community acquired pneumonia: A systematic review. JBI Evidence Synthesis, 9(14), 437-463. https://doi.org/10.11124/jbisrir-2011-127

Ministry of Health. (2015). Indonesia health profile 2015. Retrieved from https://pusdatin.kemkes.go.id/article/view/16091600001/profil-kesehatan-indonesia-tahun-2015.html

Ministry of Health. (2017). Indonesia health profile 2017 Retrieved from http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/indonesia-health-profile-2017.pdf

Ministry of Health. (2018). Basic health research. Retrieved from http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

National Statistics Center. (2020). Pneumonia cases. Retrieved from https://www.bps.go.id/indicator/30/42/2/jumlah-kasus-penyakit.html

Ndu, I. K., Ekwochi, U., Osuorah, C. D. I., Onah, K. S., Obuoha, E., Odetunde, O. I., . . . Amadi, O. F. (2015). Danger signs of childhood pneumonia: Caregiver awareness and care seeking behavior in a developing country. International Journal of Pediatrics, 2015, 167261. https://doi.org/10.1155/2015/167261

Noordam, A. C., Carvajal-Velez, L., Sharkey, A. B., Young, M., & Cals, J. W. L. (2015). Care seeking behaviour for children with suspected pneumonia in countries in sub-Saharan Africa with high pneumonia mortality. PloS One, 10(2), e0117919. https://doi.org/10.1371/journal.pone.0117919

Pahlavanzadeh, S., Mousavi, S., & Maghsoudi, J. (2018). Exploring the needs of family caregivers of children with attention deficit hyperactivity disorder: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 23(2), 149. https://doi.org/10.4103/ijnmr.IJNMR_16_17

Pajuelo, M. J., Huaynate, C. A., Correa, M., Malpartida, H. M., Asayag, C. R., Seminario, J. R., . . . Paz-Soldan, V. A. (2018). Delays in seeking and receiving health care services for pneumonia in children under five in the Peruvian Amazon: A mixed-methods study on caregivers’ perceptions. BMC Health Services Research, 18(1), 1-11. https://doi.org/10.1186/s12913-018-2950-z

Tuhebwe, D., Tumushabe, E., Leontsini, E., & Wanyenze, R. K. (2014). Pneumonia among children under five in Uganda: Symptom recognition and actions taken by caretakers. African Health Sciences, 14(4), 993-1000. https://doi.org/10.4314/ahs.v14i4.31

UNICEF. (2016). The state of the world’s children 2016. Retrieved from https://www.unicef.org/reports/state-worlds-children-2016


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