1. Healthcare seeking patterns of families of infants with circumcision-related morbidities from two population-based cohort studies in Ghana
- Author
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Thomas Gyan, Natalie A. Strobel, Kimberley McAuley, Karen Edmond, and Maureen O'Leary
- Subjects
Male ,Rural Population ,Pediatrics ,medicine.medical_specialty ,Multivariate analysis ,030231 tropical medicine ,Population ,Ghana ,Cohort Studies ,03 medical and health sciences ,Population based cohort ,Postoperative Complications ,0302 clinical medicine ,Health care ,Epidemiology ,medicine ,Humans ,030212 general & internal medicine ,education ,education.field_of_study ,business.industry ,Research ,Public health ,Infant ,General Medicine ,Patient Acceptance of Health Care ,Logistic Models ,Circumcision, Male ,Acute Disease ,Multivariate Analysis ,Healthcare seeking ,Female ,epidemiology ,Public Health ,Morbidity ,business ,paediatric urology ,Penis ,Cohort study - Abstract
ObjectiveThis study assessed healthcare seeking patterns of families of infants with circumcision-related morbidities and families of infants with acute illnesses in rural Ghana.DesignTwo population-based cohort studies.SettingBrong Ahafo Region of central rural Ghana.ParticipantsA total of 22 955 infants enrolled in a large population-based trial (Neovita trial) from 16 August 2010 to 7 November 2011 and 3141 infants in a circumcision study from 21 May 2012 to 31 December 2012.Primary outcomeCare seeking for circumcision-related morbidities and acute illnesses unrelated to circumcision.ResultsTwo hundred and thirty (8.1%) infants from the circumcision study had circumcision-related morbidities and 6265 (27.3%) infants from the Neovita study had acute illnesses unrelated to circumcision. A much lower proportion (35, 15.2%) of families of infants with circumcision-related morbidities sought healthcare compared with families of infants with acute illnesses in the Neovita study (5520, 88.1%). More families sought care from formal providers (24, 69%) compared with informal providers (11, 31%) for circumcision-related morbidities. There were no obvious determinants of care seeking for acute illnesses or circumcision-related morbidities in the population.ConclusionsGovernment and non-government organisations need to improve awareness about the complications and care seeking needed for circumcision-related morbidities.
- Published
- 2017