Health-seeking behaviour

Background: The coronavirus disease was declared a pandemic on March 11, 2020. Due to the rapid spread of the virus, various governments implemented major restrictions to control its transmission. These restrictions included an economic lockdown and restrictions on movement. The aftermath of this had effects such as a reduction in income, panic, and hunger. The COVID- 19 pandemic has disproportionately affected vulnerable populations, including children, women, and the elderly, who are more susceptible to the virus due to their pre-existing health conditions and other factors. More than 7.5 million children die globally each year, partly due to the poor health-seeking behaviour and health beliefs of mothers. Methodology: This study utilized a descriptive cross-sectional design. A total of 624 mothers of children under the age of 5 in the Oluku community were selected using a multistage sampling technique. An interviewer-administered questionnaire was used for this study. The data was
analyzed using the Statistical Package for Social Sciences (SPSS) version 25, with a significance level set at p<0.05. Results: A higher proportion of respondents (73.2%) were between the ages of 25 and 39, with a mean age of 30.7 ± 6.3 years. Out of the 624 respondents, 79.4% identified as Christians, 27.9% identified as being of Benin ethnicity, 50% had completed secondary education, 77.9% had a particular skill, 81.1% had an average income between ₦30,000 and ₦150,000, and 63.3% belonged to the middle socioeconomic status. Just over a quarter, 26.1% of individuals had xiii harmful health beliefs, while more than 55% exhibited good health-seeking behaviour. Age, religion, level of education, average monthly income, skill level, and socioeconomic status were found to have a statistically significant relationship with the impact of COVID-19 on health beliefs. Meanwhile, marital status, level of education, and socioeconomic status were found to have a statistically significant relationship with the impact of COVID-19 on health-seeking behaviour.

Background: Health-seeking behaviours among caregivers, particularly mothers, are essential to addressing childhood illnesses and reducing under-five mortality rates. In low-income settings like Nigeria, factors such as socioeconomic status, cultural beliefs, and healthcare access significantly impact these behaviours. Understanding the determinants of these behaviours can
aid in developing effective interventions to improve healthcare utilization for common childhood illnesses. Aim: To examine the patterns and determinants of health-seeking behaviours among mothers of
under-five children in Benin City, Nigeria, aiming to identify factors influencing healthcare decisions and improve child health outcomes. Methods: A descriptive cross-sectional study was conducted among 550 mothers of children under five selected by multi-staged sampling technique. Data collection involved the use of pretested, interviewer-administered questionnaires assessing socio-demographic factors, healthcare-seeking patterns, and determinants impacting these decisions. Data entry and
statistical analysis was done using the Statistical Package for the Social Sciences (SPSS) version 27 and the analysis included both univariate, bivariate and multivariate analysis to identify significant predictors of health-seeking behaviour. The level of statistical significance was set at p < 0.05. Results: Findings indicated that 474 (86.2%) mothers received antenatal care during pregnancy, predominantly from public hospitals, 311 (65.6%) with most having at least four visits, 459 (96.8%). Despite high antenatal attendance, 284 (65.7% ) mothers sought treatment for childhood illnesses from pharmacies rather than hospitals, 108 (25.0%) influenced by factors such as cost, 230 (53.2%), proximity, 135 (31.3%), quality of health services rendered, 92 (21.3%) and attitude of healthcare personnel, 61 (14.1%). Key determinants of formal healthcare
xv utilization included maternal education level, income, and household size, with higher hospital deliveries among mothers with increasing level of education (p < <0.001), and with employment (p = 0.007), higher visitation of antenatal clinics with increasing income (p = 0.007) and higher proportion of hospital treatment of sick children with decreasing household size (p < 0.001). Conclusion: Economic, educational, and cultural factors substantially influenced health-seeking behaviours among mothers for under-five children. Targeted interventions to improve maternal health literacy, enhance healthcare access, and reduce treatment costs could promote timely and appropriate healthcare-seeking behaviour, ultimately contributing to reduced childhood
morbidity and mortality. Keywords: Health-seeking behaviour; Childhood illnesses; Mothers; Determinants; Healthcare access, Under-five mortality; Nigeria.