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Factors Associated with Utilization of Health Services in Rural Area in Ferlo, Senegal

In African rural area, studies have shown under-utilization of rural health services. This situation occurs in a context of therapeutic pluralism that competes with access to the health service. The aim of this study is to analyze the place of the modern health care system at the heart of the search for childcare in a rural environment in Ferlo, Senegal. Methods: A cross-sectional study was carried out to examine the place modern health care in the stages of the therapeutic itinerary among children living in Senegal rural area in March 2017. Using Schwartz formula for sampling, we include in this study 173 children aged 6 to 59 months living in the area of Widou Thiengoly. Bivariate and multivariate analyses were made. Result: Most of children (82.3%) lived on more than 1 hour drive from health facility. For the first instance of therapeutic choice, most of mothers (61.2%) used self –medication in case of children disease, 35.3% of mothers used health facilities and 2.6% choosed traditional healers. For second instance, only 2.4 % of mothers were used self-medication. For third instance, there was no self-treatment. Therapy organizing group were led by mothers at 56.5 % and fathers in 45.6%. At 77.6% of cases, there were discussions to decide on the treatment of the child. In most cases, fathers were interviewed (90.9%) to give their opinion on the therapeutic choice. Fathers paid for children care in 87.6% of cases. 30.6% of mothers said that self-medication was cheaper compared to health facilities and traditional healers. 95.3% said that they believed that it was most efficiency to use a lot of type of therapeutic in same moment. Multilogistic regression found that the quality of the caring relationship impacted in using health services ajOR=0.19: IC=0.056-0.59. Conclusion: This study contributes to the knowledge of self-treatment choices regarding children disease management in Senegal rural area. The main finding of this study was that the quality of the caring relationship impacts attendance and utilization of health services. A professional and competent attitude on the part of health workers will thus be able to improve the use of health services in traditional rural areas in Senegal.

Auteur(s) : Ndèye Marème Sougou, Oumar Bassoum, Mamadou Makhtar Mbacké Lèye, Ibrahima Seck, Adama Faye, Anta Tal-Dia
Pages : 29-33
Année de publication : 2018
Revue : European Journal of Preventive Medicine
N° de volume : 6
Type : Article
Mise en ligne par : Oumar Bassoum