Table 3.
Healthcare utilization for episodes of acute illnesses (Eastleigh, July – August 2010)
| Variable | Total (N = 434) | % (95% CI) | Fever (N = 129) | % (95% CI) | ARI (N = 262) | % (95% CI) | Diarrhea (N = 49) | % (95% CI) |
|---|---|---|---|---|---|---|---|---|
| Care-seeking behavior |
|
|
|
|
|
|
|
|
| Sought care |
330 |
77.0 (72.2-81.9) |
85 |
70.6 (60.3 - 80.9) |
208 |
79.9 (74.1 - 85.8) |
37 |
75.8 (61.0 - 90.5) |
| Did not seek care |
99 |
23.0 (18.1-27.8) |
36 |
29.4 (19.1 - 39.7) |
52 |
20.1 (14.2 - 25.9) |
11 |
24.2 (9.5 - 39.0) |
| Reasons for not seeking care |
|
|
|
|
|
|
|
|
| Was not sick enough |
33 |
34.6 (23.0-46.2) |
15 |
43.4 (23.0 - 63.7) |
15 |
31.1 (15.1 - 47.1) |
3 |
25.5 (0.0 - 54.5) |
| Was getting better on own |
11 |
8.7 (2.9-14.6) |
3 |
5.7 (0.0 - 12.3) |
6 |
8.8 (0.7 - 16.9) |
2 |
17.8 (0.0 - 43.6) |
| Too expensive |
39 |
44.8 (32.7-57.0) |
13 |
42.6 (21.2 - 64.0) |
22 |
45.9 (29.6 - 62.2) |
4 |
46.2 (10.5 - 81.9) |
| No one to take care of the children/house while gone |
3 |
3.2 (0.0-7.5) |
0 |
|
3 |
5.9 (0.0 - 13.4) |
0 |
|
| Site of care* |
|
|
|
|
|
|
|
|
| Private health care provider |
174 |
59.8 (52.5 -67.1) |
42 |
59.2 (44.3 - 74.0) |
111 |
60.3 (51.2 - 69.4) |
21 |
58.3 (37.2 - 79.4) |
| Pharmacy/Chemist/Drug seller |
55 |
18.9 (8.6 - 29.2) |
15 |
21.1 (0.5 - 41.8) |
35 |
19.0 (6.0 - 32.0) |
5 |
13.9 (0.0 - 44.2) |
| Government facility |
38 |
13.1 (2.3 - 23.8) |
9 |
12.7 (0.0 - 34.4) |
22 |
12.0 (0.0 - 25.5) |
7 |
19.4 (0.0 - 48.8) |
| Individual† |
24 |
8.2 (0.0 - 19.3) |
5 |
7.0 (0.0 - 29.5) |
16 |
8.7 (0.0 - 22.5) |
3 |
8.3 (0.0 - 39.6) |
| Medications used |
|
|
|
|
|
|
|
|
| Antibiotics |
176 |
40.0 (34.3-45.7) |
24 |
17.3 (9.6 - 25.0) |
139 |
52.0 (44.5 - 59.4) |
13 |
25.5 (11.3 - 39.8) |
| Painkiller |
173 |
36.5 (31.0-41.9) |
72 |
60.1 (48.9 - 71.4) |
93 |
29.5 (23.3 - 35.8) |
8 |
18.5 (4.4 - 32.7) |
| Anti-malarial |
49 |
9.1 (6.2-12.1) |
39 |
28.8 (19.1 - 38.4) |
10 |
2.4 (0.7 - 4.1) |
0 |
|
| ORS‡ |
21 |
5.2 (2.6-7.7) |
0 |
|
0 |
|
21 |
47.9 (31.0 - 64.8) |
| Hospitalization |
29 |
7.5 (4.3-10.7) |
6 |
3.8 (0.0 - 8.6) |
16 |
7.5 (3.5 - 11.5) |
7 |
16.7 (3.9 - 29.5) |
| Diagnostics done |
|
|
|
|
|
|
|
|
| X-ray |
46 |
21.4 (13.7-29.2) |
|
|
46 |
21.4 (13.7 - 29.2) |
|
|
| Stool microscopy |
24 |
58.1 (41.4-74.9) |
|
|
|
|
24 |
58.1 (41.4 - 74.9) |
| Blood smear for malaria |
62 |
42.2 (30.7-53.6) |
62 |
42.2 (30.7 - 53.6) |
|
|
|
|
| Malaria parasites present | 42 | 27.7 (17.9-37.5) | 42 | 27.7 (17.9 - 37.5) |
*The name of the site of care for each respondent was asked, and only those who knew the names of the site were included in this analysis.
† Individuals included relatives, friends, religious leaders, traditional healers, and health volunteer.
‡ORS – Oral rehydration solution.
Note: All percentages are weighted.