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Community perspectives and caregivers’ healthcare practices and responses to the four major childhood killer diseases in Nigeria

Sunday A. Adedini, Oluwatoyin A. Alaba, Christiana A. Alex-Ojei

Abstract

Two-thirds of Nigeria’s childhood deaths is attributable to four preventable/curable diseases—diarrhoea, malaria, meningitis and pneumonia (DMMP). Community perspectives and caregivers’ practices about these child-killer diseases are poorly documented. Drawing on individual and group interviews (n=259), we explored community members’ perspectives, and caregivers’ practices/responses regarding DMMP among children across Nigeria’s three major ethnic groups. Using deductive reasoning and data analysis in Atlas.ti, results from the narratives formed four thematic issues—respondents’ perception and knowledge about the causes of the diseases; perception and knowledge about prevention; perception and knowledge of symptoms and fatality of the diseases; and caregivers’ practices regarding the prevention and management of the diseases. Results demonstrate significant misconception about the aetiology of pneumonia and meningitis. We found ostensible disconnection between knowledge and practice. Interventions including health education programmes/sensitizations on the causes, prevention/management of DMMP are necessary to achieve reduction in the burden of childhood mortality in Nigeria. (Afr J Reprod Health 2021; 25[6]: 121-133).

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Liu L, Shefali O, Daniel H, Jamie P, Igor R, Joy E, Lawn SC, Colin M and Robert EB. Global, regional, and national causes of child mortality in 2000–13, with projections to inform post-2015 priorities: an updated systematic analysis. The Lancet 385, no. 9966 (2015): 430-440.

Oyefara JL. Mothers’ characteristics and immunization status of under-five children in Ojo Local Government Area, Lagos State, Nigeria. SAGE Open. 2014;4(3):2158244014545474.

UNICEF. The State of the World's Children 2016: A fair chance for every child2016.

Sanyang Y. Prevalence of under-five years of age mortality by infectious diseases in West African region. International Journal of Africa Nursing Sciences. 2019/01/01/ 2019;11:100175.

National Population Commission (NPC) [Nigeria] and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International2014.

National Population Commission (NPC) [Nigeria] and ICF. Nigeria Demographic and Health Survey 2018. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF2019.

Akinyemi JO, Bamgboye EA, and Ayeni O. New trends in under-five mortality determinants and their effects on child survival in Nigeria: A review of childhood mortality data from 1990-2008. Etude de la Population Africaine. 2013;27(1).

Antai D. Regional inequalities in under-5 mortality in Nigeria: a population-based analysis of individual-and community-level determinants. Population Health Metrics. 2011;9(1):6.

Adedini SA, Odimegwu C, Imasiku EN, Ononokpono DN and Ibisomi L. Regional variations in infant and child mortality in Nigeria: a multilevel analysis. Journal of biosocial science. 2015;47(02):165-187.

National Population Commission Nigeria, Macro I. Nigeria Demographic and Health Survey 2008 Final Report. National Population Commission and ORC Macro International, Calverton MD2009.

WHO. Child mortality and causes of death. Retrieved from www.who.int/gho/child_health/mortality/en/ on May 25th, 2016. 2016.

Ayieko P, Akumu AO, Griffiths UK and English M. The economic burden of inpatient paediatric care in Kenya: household and provider costs for treatment of pneumonia, malaria and meningitis. Cost Effectiveness and Resource Allocation. 2009/01/22 2009;7(1):3.

UNICEF, WHO. Ending Preventable Child Deaths from Pneumonia and Diarrhoea by 2025: The integrated Global Action Plan for Pneumonia and Diarrhoea (GAPPD)2013.

Adedini SA, Odimegwu C, Bamiwuye O, Fadeyibi O, and DeWet N. Barriers to accessing health care in Nigeria: implications for child survival. Global health action. 2014;7(1):23499.

Feyisetan BJ, Asa S and Ebigbola JA. Mothers' management of childhood diseases in Yorubaland: the influence of cultural beliefs. Health Transition Review. 1997;7(2):221-234.

Kirscht JP. The health belief model and predictions of health actions. Health behavior: Springer; 1988:27-41.

Eller LS, Lev EL, Yuan C and Watkins AV. Describing self‐care self‐efficacy: Definition, measurement, outcomes, and implications. International journal of nursing knowledge. 2018;29(1):38-48.

WHO. World malaria report at a glance. 2018; https://www.who.int/malaria/media/world-malaria-report-2018/en/.

UNICEF, WHO, World Bank, UN DESA Population Division. Under-five mortality estimates by the UN Inter-agency Group for Child Mortality Estimation 2018; https://data.worldbank.org/indicator/SH.DTH.MORT. Accessed 24/02/2018.

UNICEF. UNICEF Report on Nigeria. 2017; https://www.unicef.org/wcaro/Countries_1320.html. Accessed 27/01/2017.

Lee C-H, Chang F-C, Hsu S-D, Chi H-Y, Huang L-J and Yeh M-K. Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use. PloS one. 2017;12(12):e0189199-e0189199.

Awad A, Eltayeb I, Matowe L and Thalib L. Self-medication with antibiotics and antimalarials in the community of Khartoum State, Sudan. J Pharm Pharm Sci. 2005;8(2):326-331.

Kassam R, Collins JB, Liow E and Rasool N. Caregivers’ treatment-seeking behaviors and practices in Uganda—A systematic review (Part II). Acta Tropica. 2015/12/01/ 2015;152:269-281.

Ayede AI, Kirolos A, Fowobaje KR, Williams LJ, Bakare AA, Oyewole OB, Olorunfemi OB, Kuna O, Iwuala NT, Oguntoye A and Kusoro SO. A prospective validation study in South-West Nigeria on caregiver report of childhood pneumonia and antibiotic treatment using Demographic and Health Survey (DHS) and Multiple Indicator Cluster Survey (MICS) questions. Journal of global health, 8(2).1 2018

Ayanlade A, Sergi C and Ayanlade OS. Malaria and meningitis under climate change: initial assessment of climate information service in Nigeria. Meteorological Applications. 2020;27(5):e1953.

Ayanlade A, Nwayor IJ, Sergi C, Ayanlade OS, Di Carlo P, Jeje OD and Jegede MO. Early warning climate indices for malaria and meningitis in tropical ecological zones. Scientific

RepoRtS, 10(1) 2020, pp.1-13.

Ogunlesi T, Okeniyi J and Oyelami O. Pyogenic meningitis in Ilesa, Nigeria. Indian pediatrics. 2005;42(10):1019.

Wogu JO, Chukwu CO, Nwafor KA, Ugwuoke JC, Ugwulor-Onyinyechi CC. Assessing the role of the media in the prevention and control of meningitis in Nigeria. Journal of International Medical Research. 2020;48(1):0300060519841168.

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