A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea

dc.contributor.authorCunnama, Lucy
dc.contributor.authorHonda, Ayako
dc.date.accessioned2017-03-16T13:25:30Z
dc.date.available2017-03-16T13:25:30Z
dc.date.issued2016-11-21
dc.date.updated2016-11-21T19:02:15Z
dc.description.abstractBackground: Diarrhoea presents a considerable health risk to young children and is one of the leading causes of infant mortality. Although proven cost-effective interventions exist, South Africa is yet to reach the Sustainable Development Goals set for the elimination of preventable under-five mortality and water-borne diseases. The rural study area in the Eastern Cape of South Africa continues to have a parallel health system comprising traditional and modern healthcare services. It is in this setting that this study aimed to qualitatively examine the beliefs surrounding and perceived quality of healthcare accessed for children’s acute diarrhoea. Methods: Purposive sampling was used to select participants for nine focus-group-discussions with mothers of children less than 5 years old and 11 key-informant-interviews with community members and traditional and modern practitioners. The focus-group-discussions and interviews were held to explore the reasons why mothers seek certain types of healthcare for children with diarrhoea. Data was analysed using manual thematic coding methods. Results: It was found that seeking healthcare from traditional practitioners is deeply ingrained in the culture of the society. People’s beliefs about the causative agents of diarrhoea are at the heart of seeking care from traditional practitioners, often in order to treat supposed supernatural causes. A combination of care-types is acceptable to the community, but not necessarily to modern practitioners, who are concerned about the inclusion of unknown ingredients and harmful substances in some traditional medicines, which could be toxic to children. These factors highlight the complexity of regulating traditional medicine. Conclusion: South African traditional practitioners can be seen as a valuable human resource, especially as they are culturally accepted in their communities. However due to the variability of practices amongst traditional practitioners and some reluctance on the part of modern practitioners regulation and integration may prove complex.
dc.identifier.apacitationCunnama, L., & Honda, A. (2016). A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea. http://hdl.handle.net/11427/24053en_ZA
dc.identifier.chicagocitationCunnama, Lucy, and Ayako Honda "A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea." (2016) http://hdl.handle.net/11427/24053en_ZA
dc.identifier.citationCunnama, L., & Honda, A. (2016). A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea. BMC Health Services Research, 16(1), 669.
dc.identifier.ris TY - Journal Article AU - Cunnama, Lucy AU - Honda, Ayako AB - Background: Diarrhoea presents a considerable health risk to young children and is one of the leading causes of infant mortality. Although proven cost-effective interventions exist, South Africa is yet to reach the Sustainable Development Goals set for the elimination of preventable under-five mortality and water-borne diseases. The rural study area in the Eastern Cape of South Africa continues to have a parallel health system comprising traditional and modern healthcare services. It is in this setting that this study aimed to qualitatively examine the beliefs surrounding and perceived quality of healthcare accessed for children’s acute diarrhoea. Methods: Purposive sampling was used to select participants for nine focus-group-discussions with mothers of children less than 5 years old and 11 key-informant-interviews with community members and traditional and modern practitioners. The focus-group-discussions and interviews were held to explore the reasons why mothers seek certain types of healthcare for children with diarrhoea. Data was analysed using manual thematic coding methods. Results: It was found that seeking healthcare from traditional practitioners is deeply ingrained in the culture of the society. People’s beliefs about the causative agents of diarrhoea are at the heart of seeking care from traditional practitioners, often in order to treat supposed supernatural causes. A combination of care-types is acceptable to the community, but not necessarily to modern practitioners, who are concerned about the inclusion of unknown ingredients and harmful substances in some traditional medicines, which could be toxic to children. These factors highlight the complexity of regulating traditional medicine. Conclusion: South African traditional practitioners can be seen as a valuable human resource, especially as they are culturally accepted in their communities. However due to the variability of practices amongst traditional practitioners and some reluctance on the part of modern practitioners regulation and integration may prove complex. DA - 2016-11-21 DB - OpenUCT DO - 10.1186/s12913-016-1911-7 DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea TI - A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea UR - http://hdl.handle.net/11427/24053 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1186/s12913-016-1911-7
dc.identifier.urihttp://hdl.handle.net/11427/24053
dc.identifier.vancouvercitationCunnama L, Honda A. A mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea. 2016; http://hdl.handle.net/11427/24053.en_ZA
dc.language.rfc3066en
dc.publisherBioMed Central
dc.publisher.departmentDepartment of Public Health and Family Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rights.holderThe Author(s).
dc.subject.otherSouth Africa
dc.subject.otherPerceived quality
dc.subject.otherHealthcare access
dc.subject.otherChild-health
dc.subject.otherRural
dc.subject.otherTraditional practitioners
dc.subject.otherQualitative
dc.titleA mother’s choice: a qualitative study of mothers’ health seeking behaviour for their children with acute diarrhoea
dc.typeJournal Article
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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