Objective. To assess the pooled prevalence of mothers’ or caregivers’ healthcare-seeking behavior for childhood diarrhea, fever, and respiratory tract infections and associated factors in Ethiopia. Study Design. Systematic review and meta-analysis. Methods. Literature searches were conducted through databases (Google Scholar, PubMed, CINHAL, ScienceDirect, HINARI, and gray literatures) from September 1 to 30, 2021, using key terms in accordance with the PRISMA guidelines. The characteristics of the original articles were described using text and tables. Heterogeneity among the reported prevalence of studies was checked by using a heterogeneity <math xmlns="http://www.w3.org/1998/Math/MathML" id="M1"> <msup> <mrow> <mi>χ</mi> </mrow> <mrow> <mn>2</mn> </mrow> </msup> </math> test and <math xmlns="http://www.w3.org/1998/Math/MathML" id="M2"> <msup> <mrow> <mtext>I</mtext> </mrow> <mrow> <mn>2</mn> </mrow> </msup> </math> test. Publication bias was examined by performing Egger’s correlation and Begg’s regression intercept tests at a 5% significant level. A random-effect model was employed to estimate the pooled prevalence of the outcome variable and its determinants in Ethiopia. Results. Of the total identified studies, 25 studies were included in the review, with a total of 29,993 study participants. The overall pooled prevalence of mothers’ or caregivers’ health-seeking behavior for childhood diarrhea, fever, and respiratory tract infections was 60.33% (95% CI: 50.14-70.52). The significant factors were residence ( <math xmlns="http://www.w3.org/1998/Math/MathML" id="M3"> <mtext>AOR</mtext> <mo>=</mo> <mn>3.06</mn> </math> , 95% CI: 1.11–8.39), wealth index ( <math xmlns="http://www.w3.org/1998/Math/MathML" id="M4"> <mtext>AOR</mtext> <mo>=</mo> <mn>2.18</mn> </math> , 95% CI: 1.92-2.48), perceived severity of illness ( <math xmlns="http://www.w3.org/1998/Math/MathML" id="M5"> <mtext>AOR</mtext> <mo>=</mo> <mn>2.7</mn> </math> , 95% CI: 1.12–6.51), and knowledge of the illness ( <math xmlns="http://www.w3.org/1998/Math/MathML" id="M6"> <mtext>AOR</mtext> <mo>=</mo> <mn>1.95</mn> </math> , 95% CI: 1.37–2.75). Conclusion. This review suggests that the overall pooled prevalence of mothers’ or caregivers’ HSB for childhood diarrhea, fever, and respiratory tract infections was 60.33%. Residence, wealth index, perceived severity of illness, and knowledge of the illness by mothers were the significant factors. Therefore, providing interventions by considering the above factors will improve the overall seeking behavior.
Authors: Getachew Assefa, Seblewongel Gebretsadik, Temesgen Muche, Daniel Sisay, Abinet Meno, Habtamu Endashaw Hareru, Berhanu Gidisa Debela
DOI: https://doi.org/10.1155/2022/4053085
Publish Year: 2022
