Journal of Behavioral Medicine

, Volume 34, Issue 4, pp 254–267

Rural and urban Vietnamese mothers utilization of healthcare resources for children under 6 years with pneumonia and associated symptoms

  • Linda M. Kaljee
  • Dang Duc Anh
  • Truong Tan Minh
  • Le Huu Tho
  • Nyambat Batmunkh
  • Paul E. Kilgore
Article

DOI: 10.1007/s10865-010-9305-5

Cite this article as:
Kaljee, L.M., Anh, D.D., Minh, T.T. et al. J Behav Med (2011) 34: 254. doi:10.1007/s10865-010-9305-5

Abstract

Worldwide, pneumonia causes 14% of deaths among children and infants (ages 4 weeks to 5 years). UNICEF and WHO have established treatment guidelines to reduce risk of death from pneumonia including caregiver symptom recognition, appropriate care, and use of antibiotics. In June 2008, cross-sectional survey data were collected in Khanh Hoa Province Viet Nam with 329 mothers of children under 6 years. In relation to pneumonia and associated symptoms (fever >38°C, strong cough, “fast or difficult” breathing), data were collected on perceptions of symptom severity and child vulnerability, reported healthcare utilization including use of antibiotics, sources of health information, and barriers to care. Pearson’s chi square, independent t tests, and multinomial analysis were conducted to assess different patterns of reported healthcare utilization in relation to residency (rural/urban), mother’s education, and household income. Outcomes include rural and urban residency-based patterns related to perceptions of child’s vulnerability and symptom severity, health facility utilization and barriers to care, and reported use of antibiotics during previous episodes of pneumonia. Implications include the need to target different healthcare facilities in urban and rural Viet Nam in relation to education about symptoms of childhood pneumonia and associated treatments.

Keywords

Pneumonia Viet Nam Infants and children 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Linda M. Kaljee
    • 1
  • Dang Duc Anh
    • 2
  • Truong Tan Minh
    • 3
  • Le Huu Tho
    • 3
  • Nyambat Batmunkh
    • 4
  • Paul E. Kilgore
    • 4
  1. 1.Pediatric Prevention Research Center, The Carman and Ann Adams Department of PediatricsWayne State UniversityDetroitUSA
  2. 2.National Institute of Hygiene and EpidemiologyHa NoiViet Nam
  3. 3.Khanh Hoa Provincial Health ServicesNha TrangViet Nam
  4. 4.International Vaccine InstituteSeoulKorea

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