A Study on factors associated with Utilization of Healthcare Services for common Childhood Illnesses among Mothers of Under-Five Children in the Urban Field Practice Area of RajaRajeswari Medical College and Hospital, Bengaluru

Ramya K S, Shashikala M


Introduction: Assessment of utilization of healthcare services and associated factors in a community provides essential information for improving service delivery to achieve universal health coverage.

Objectives: To estimate the proportion of utilization of healthcare services for childhood illness among mothers of under-five children and to assess the factors associated with the utilization of healthcare services among mothers of under-five children.

Materials and methods: A community based cross sectional study was conducted in an urban area in Bangalore, among 120 mothers of under-five children selected using Systematic Random Sampling Technique using pretested questionnaire based on Andersen model (predisposing and enabling factors).

Method of Analysis: Data was analyzed using descriptive statistics and suitable tests of significance using SPSS (Statistical Package for Social Sciences) software.

Results: The mean age of mothers studied was 25.4 ± 3.5 years. Out of 120, 79 (65.8%) mothers utilized healthcare services for childhood illness. 49 (40.8%) children had respiratory tract infection, 42 (35%) had an episode of fever and 29 (24.2%) had diarrhea in the last one month. A statistically significant association was found between utilization of healthcare services and literacy of mothers (p< 0.0001), their socioeconomic status (p- 0.0128) and type of family (p-0.0007).

Conclusion: Mothers’ educational status, socioeconomic status and type of family influence the utilization of healthcare services for common childhood illness.


Utilization of Healthcare services, Urban, Mothers of under-five, Bangalore.

Full Text:



Sreeramareddy CT, Sathyanarayana TN, Kumar HNH. Utilization of Health Care Services for Childhood Morbidity and Associated Factors in India: A National Cross-Sectional Household Survey. PLoS ONE 2012; 7(12): e51904. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles /PMC3526528/.

Dey DK, Mishra V. Determinants of Choice of Healthcare Services Utilization: Empirical Evidence from India. Ind J Comm Health 2014; 26(4): 356-63. Available from: http://www. iapsmupuk.org/journal/index.php/IJCH/article/view/701/pdf_110.

United Nations Children’s Fund. Levels and Trends in Child Mortality. New York. 2014. Available from: http://www.unicef.org/media/files/Levels_ and_Trends_in_Child_Mortality_2014.pdf.

World Health Organization. Global Health Observatory-Data Care seeking for pneumonia. Geneva. 2015. Available from: http://www.who. int/gho/child_health/prevention/pneumonia_text/en/.

World Health Organization. Technical bases for the WHO recommendations on the management of pneumonia in children at first level health facilities. Geneva. 2012. Available from: http:// apps.who.int/iris/bitstream/10665/61199/1/WHO_ARI_91.20.pdf.

Thind A. Health service use by children in rural Bihar. J Trop Pediatr 2004; 50: 137-42. Available from: http://www.ncbi.nlm.nih.gov/pubmed/152 33188.

Pillai RK, Williams SV, Glick HA et al. Factors affecting decisions to seek treatment for sick children in Kerala, India. Soc Sci Med 2003; 57: 783-90. Available from: http://www.ncbi.nlm.nih. gov/pubmed/12850106.

International Institute for Population Sciences (IIPS) and Macro International. National Family Health Survey (NFHS-3) 2005-06 Key Findings. Mumbai, 2007. Available from: http://cbhidghs .nic.in/writereaddata/linkimages/NFHS-3%20key %20Findings5456434051.pdf.

Majumdar A, Premarajan KC, Ganesh KS et al. Rural Urban Differentials of Treatment Seeking Behaviour for Acute Respiratory Infection among Children in Puducherry. Natl J Community Med 2014; 5(3): 325-28. Available from: http:// njcmindia.org/uploads/5-3_325-328.pdf.

Chandwani H, Pandor J. Healthcare- seeking behaviors of mothers regarding their children in a tribal community of Gujarat, India. Electronic Physician 2015; 7(1): 990-97. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455300/pdf/990-997.pdf.

Ghosh N, Chakrabarti I, Chakraborty M et al. Factors affecting the healthcare-seeking behavior of mothers regarding their children in a rural community of Darjeeling district, West Bengal. Int J Med Public Health 2013; 3: 12-16. Available from: http://www.ijmedph.org/text.asp?2013/3/ 1/12/109307.


  • There are currently no refbacks.

Copyright (c)