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Factors affecting decisions to seek treatment for sick children in Kerala, India

Author

Listed:
  • Pillai, Rajamohanan K
  • Williams, Sankey V.
  • Glick, Henry A.
  • Polsky, Daniel
  • Berlin, Jesse A.
  • Lowe, Robert A.

Abstract

The purpose of this study was to measure the effects of social and economic variables, disease-related variables, and child gender on the decisions of parents in Kerala, India, to seek care for their children and on their choice of providers in the allopathic vs. the alternative system. A case-control analysis was done using data from the Kerala section of the 1996 Indian National Family Health Survey, a cross-sectional survey of a probability sample of households conducted by trained interviewers with a close-ended questionnaire. Of the 469 children who were eligible for this study because they had at least one common symptom suggestive of acute respiratory illness or diarrhea during the 2 weeks before the interview, 78 (17%) did not receive medical care, while the remaining 391 (83%) received medical care. Of the 391 children who received medical care, 342 (88%) received allopathic medical care, and 48 (12%) received alternative medical care. In multivariable analyses, parents chose not to seek medical care for their children significantly more often when the illness was mild, the child had a specific diagnosis, the mother had previously made fewer antenatal visits, and the family had a higher economic status. When parents sought medical care for their children, care was sought significantly more often in the alternative provider system when the child was a boy, the family lived in a rural area, and the family had a lower social class. We conclude that, in Kerala, disease severity and economic status predict whether children with acute respiratory infection or diarrhea are taken to medical providers. In contrast, most studies of this issue carried out in other populations have identified economic status as the primary predictor of medical system utilization. Also in Kerala, the gender of the child did not influence whether or not the child was taken for treatment but did influence whether care was sought in the alternative or the allopathic system.

Suggested Citation

  • Pillai, Rajamohanan K & Williams, Sankey V. & Glick, Henry A. & Polsky, Daniel & Berlin, Jesse A. & Lowe, Robert A., 2003. "Factors affecting decisions to seek treatment for sick children in Kerala, India," Social Science & Medicine, Elsevier, vol. 57(5), pages 783-790, September.
  • Handle: RePEc:eee:socmed:v:57:y:2003:i:5:p:783-790
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    Citations

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    Cited by:

    1. Dodd, Warren & King, Nia & Humphries, Sally & Little, Matthew & Dewey, Cate, 2016. "Self-reported morbidity and health service utilization in rural Tamil Nadu, India," Social Science & Medicine, Elsevier, vol. 161(C), pages 118-125.
    2. Suman Kanungo & Kalyan Bhowmik & Tanmay Mahapatra & Sanchita Mahapatra & Uchhal K Bhadra & Kamalesh Sarkar, 2015. "Perceived Morbidity, Healthcare-Seeking Behavior and Their Determinants in a Poor-Resource Setting: Observation from India," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-21, May.
    3. Aboud, Frances E. & Rahman, Ehsanur & Kassam, Rosemin & Khan, Jasmin & Ali, Nabeel Ashraf & Taleb, Fahmida, 2017. "Interrupting pathways to sepsis: Effectiveness of an intervention to reduce delays in timely care for sick children in rural Bangladesh," Social Science & Medicine, Elsevier, vol. 177(C), pages 269-277.
    4. Bhan, Gautam & Bhandari, Nita & Taneja, Sunita & Mazumder, Sarmila & Bahl, Rajiv, 2005. "The effect of maternal education on gender bias in care-seeking for common childhood illnesses," Social Science & Medicine, Elsevier, vol. 60(4), pages 715-724, February.
    5. Qian, Dongfu & Lucas, Henry & Chen, Jiaying & Xu, Ling & Zhang, Yaoguang, 2010. "Determinants of the use of different types of health care provider in urban China: A tracer illness study of URTI," Health Policy, Elsevier, vol. 98(2-3), pages 227-235, December.
    6. Pokhrel, Subhash & Snow, Rachel & Dong, Hengjin & Hidayat, Budi & Flessa, Steffen & Sauerborn, Rainer, 2005. "Gender role and child health care utilization in Nepal," Health Policy, Elsevier, vol. 74(1), pages 100-109, September.
    7. Valadez, Joseph J. & Hage, Jerald & Vargas, William, 2005. "Understanding the relationship of maternal health behavior change and intervention strategies in a Nicaraguan NGO network," Social Science & Medicine, Elsevier, vol. 61(6), pages 1356-1368, September.

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