HEALTHCARE UTILIZATION FOR ACUTE RESPIRATORY INFECTIONS DURING THE COVID-19 PANDEMIC AND ASSOCIATED FACTORS: A CROSS- SECTIONAL STUDY IN SOUTH DENPASAR, INDONESIA
Abstract
Background: Acute respiratory infections (ARIs) are the leading cause of morbidity and mortality among children globally, and require early diagnosis and intervention. During the COVID-19 pandemic, ARI healthcare utilization has been a challenge. Objectives: This study aimed to determine healthcare utilization for ARI during the COVID-19 pandemic, and the associated factors among children aged under five years. Methods: A cross-sectional study was conducted in South Denpasar District, Indonesia. It involved 221 mothers of children aged under five years with ARIs, selected using probability proportional to size. Data were collected through a questionnaire and analyzed using descriptive statistics to measure frequency and proportion, along with multiple logistic regression to determine the factors associated with healthcare utilization of ARI. Results: Among 221 respondents, the majority (65.6%) utilized ARI healthcare in the health centers. Mother’s age (OR: 0.21; p=0.041), number of children (OR: 4.79; p=0.001), occupation (OR: 0.38; p=0.002), and distance traveled (OR: 2.37; p=0.008) were associated with utilization of ARI healthcare. Conclusion: The healthcare utilization for ARI during the COVID-19 pandemic was low. Therefore, improved utilization is needed by using local health centers, mobile services, and home visits.Downloads
References
Abubakar, A., Van Baar, A., Fischer, R., Bomu, G., Gona, J. K., & Newton, C. R. (2013). Socio-cultural determinants of health-seeking behaviour on the Kenyan coast: a qualitative study. PloS one, 8(11), e71998. DOI: https://doi.org/10.1371/journal.pone.0071998
Adriana, N., Wulandari, L. P. L., & Duarsa, D. P. (2014). Access to health services is related to the use of adequate delivery facilities at the Kawangu Public Health Center "Akses pelayanan kesehatan berhubungan dengan pemanfaatan fasilitas persalinan yang memadai di Puskesmas Kawangu". Public Health Prev Med arch, 2(2), 175-180. DOI: https://doi.org/10.15562/phpma.v2i2.140
Agunwa, C. C., Obi, I. E., Ndu, A. C., Omotowo, I. B., Idoko, C. A., Umeobieri, A. K., & Aniwada, E. C. (2017). Determinants of patterns of maternal and child health service utilization in a rural community in south eastern Nigeria. BMC Health Serv. Res., 17(1), 1-8. DOI: https://doi.org/10.1186/s12913-017-2653-x
Cinaroglu, S. (2020). Prevalence of upper respiratory tract infections and associated factors among children in Turkey. J. Spec. Pediatr. Nurs., 25(1), e12276. DOI: https://doi.org/10.1111/jspn.12276
Dagnew, A. B., Tewabe, T., & Murugan, R. (2018). Level of modern health care seeking behaviors among mothers having under five children in Dangila town, north West Ethiopia, 2016: a cross sectional study. Ital. J. Pediatr., 44(1), 1-6. DOI: https://doi.org/10.1186/s13052-018-0503-z
Daniel, W. W., & Cross, C. L. (2013). Biostatistics: A Foundation for Analysis in the Health Sciences: Wiley.
Dev, R., Williams-Nguyen, J., Adhikari, S. P., Dev, U., Deo, S., & Hillan, E. (2021). Impact of maternal decision-making autonomy and self-reliance in accessing health care on childhood diarrhea and acute respiratory tract infections in Nepal. Public Health, 198, 89-95. DOI: https://doi.org/10.1016/j.puhe.2021.07.005
Fatimah, S., & Indrawati, F. (2019). Factors of Utilization of Health Services in Health Center "Faktor Pemanfaatan Pelayanan Kesehatan di Puskesmas". J Public Health Res Dev, 3(1), 121-131.
Femi, Y. (2018). Factors related to the utilization of health services for Jamkesmas patients at the Rao Health Center, Pasaman District in 2018 "Faktor-faktor yang berhubungan dengan pemanfaatan pelayanan kesehatan pasien jamkesmas di puskesmas Rao, Kabupaten Pasaman tahun 2018". STIKes Perintis Padang.
HOBP. (2020). Health Profile of Bali Province 2020 "Profil Kesehatan Provinsi Bali 2020". Denpasar: Health Office of Bali Province.
HODC. (2020). Health Profile of Denpasar City 2020 "Profil Kesehatan Kota Denpasar 2020". Denpasar: Health Office of Denpasar City.
Kim, S. A., Capeding, M. R. Z., & Kilgore, P. E. (2014). Factors influencing healthcare utilization among children with pneumonia in Muntinlupa City, the Philippines. Korea, 151, 919.
Mahmood, H., Khan, S. M., & Saleem., Y. S. (2017). Healthcare seeking trends in acute respiratory infections among children of Pakistan. World J Clin Infect Dis, 7(3), 38-45.
Mandlik, M. D., Haralkar, S. J., Mulaje, S. M., & Mangulikar, S. K. (2017). Study of health-care seeking behavior of parents for child health problems in an urban slum area of Solapur. Int J Med Sci Public Health, 6(10), 1503-1508. DOI: https://doi.org/10.5455/ijmsph.2017.0718108082017
McAllister, D. A., Liu, L., Shi, T., Chu, Y., Reed, C., Burrows, J., . . . Campbell, H. (2019). Global, regional, and national estimates of pneumonia morbidity and mortality in children younger than 5 years between 2000 and 2015: a systematic analysis. Lancet Glob Health, 7(1), e47-e57. DOI: https://doi.org/10.1016/S2214-109X(18)30408-X
MoH, R. I. (2020). Health Profile of Indonesia 2019 "Profil Kesehatan Indonesia 2019". Jakarta: Ministry of Health Republic of Indonesia.
Monaghesh, E., & Hajizadeh, A. (2020). The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health, 20(1), 1-9. DOI: https://doi.org/10.1186/s12889-020-09301-4
NAP. (2018). Health-care utilization as a proxy in disability determination: The National Academic Press.
Oktaria, V., Danchin, M., Triasih, R., Soenarto, Y., Bines, J. E., Ponsonby, A. L., . . . Graham, S. M. (2021). The incidence of acute respiratory infection in Indonesian infants and association with vitamin D deficiency. PloS one, 16(3), e0248722. DOI: https://doi.org/10.1371/journal.pone.0248722
Pajuelo, M. J., Huaynate, C. A., Correa, M., Malpartida, H. M., Asayag, C. R., Seminario, J. R., . . . Paz-Soldan, V. A. (2018). Delays in seeking and receiving health care services for pneumonia in children under five in the Peruvian Amazon: a mixed-methods study on caregivers’ perceptions. BMC Health Serv. Res., 18(1), 1-11. DOI: https://doi.org/10.1186/s12913-018-2950-z
Pangoempia, S. J., Korompis, G. E. C., & Rumayar, A. A. (2021). Analysis of the Effect of the Covid-19 Pandemic on Health Services at Ranotana Weru Health Center and Teling Atas Health Center Manado City "Analisis Pengaruh Pandemi Covid-19 Terhadap Pelayanan Kesehatan di Puskesmas Ranotana Weru dan Puskesmas Teling Atas Kota Manado". KESMAS, 10(1).
Putri, L. R. (2020). Relationship between Knowledge, Attitude and Behavior of Mothers with Fulfillment of Health Services for Toddlers during the Covid-19 Pandemic "Hubungan Pengetahuan, Sikap dan Perilaku Ibu dengan Pemenuhan Pelayanan Kesehatan Pada Balita di Masa Pandemi Covid-19". Universitas Airlangga.
Ramani, V. K., Pattankar, J., & Puttahonnappa, S. K. (2016). Acute respiratory infections among under-five age group children at urban slums of gulbarga city: A longitudinal study. J. Clin. Diagnostic Res., 10(5), LC08. DOI: https://doi.org/10.7860/JCDR/2016/15509.7779
Sule, S., Olawuyi, O., Afolabi, O., Onajole, A., & Ogunowo, B. (2013). Caregivers knowledge and utilization of child health services in an urban district of Lagos, Nigeria. West Afr J Med, 32, 163-171.
Sultana, M., Sarker, A. R., Sheikh, N., Akram, R., Ali, N., Mahumud, R. A., & Alam, N. H. (2019). Prevalence, determinants and health care-seeking behavior of childhood acute respiratory tract infections in Bangladesh. PloS one, 14(1), e0210433. DOI: https://doi.org/10.1371/journal.pone.0210433
Swarjana, I. K., Chansatitporn, N., Suwannapong, N., Lapvongwatana, P., & Amnatsatsue, K. (2020). Disparities in utilization of maternal health services in the rural areas of indonesia: An analysis among provinces with low, middle, and high poverty rates. Journal of Public Health and Development, 18(3), 49-63.
Syed, S. T., Gerber, B. S., & Sharp, L. K. (2013). Traveling towards disease: transportation barriers to health care access. J. Community Health, 38(5), 976-993. DOI: https://doi.org/10.1007/s10900-013-9681-1
Titaley, C. R., Que, B. J., de Lima, F. V., Angkejaya, O. W., de Lima, F. V. I., Maelissa, M. M., . . . Radjabaycolle, J. E. T. (2020). Health care–seeking behavior of children with acute respiratory infections symptoms: analysis of the 2012 and 2017 Indonesia Demographic and Health Surveys. Asia Pac J Public Health, 32(6-7), 310-319. DOI: https://doi.org/10.1177/1010539520944716
WHO. (2021). Pneumonia. Retrieved 1 August, 2021, from https://www.who.int/health-topics/pneumonia#tab=tab_1
Windi, R., Efendi, F., Qona'ah, A., Adnani, Q. E. S., Ramadhan, K., & Almutairi, W. M. (2021). Determinants of acute respiratory infection among children under-five years in Indonesia. J. Pediatr. Nurs. DOI: https://doi.org/10.1016/j.pedn.2021.03.010
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