Back to browse results
Caregiver Decision-Making: Household Response to Child Illness in Sub-Saharan Africa
Authors: Hayley Pierce, Ashley Larsen Gibby, and Renata Forste
Source: Population Research and Policy Review, 35(5): 581–597; DOI: 10.1007/s11113-016-9396-y
Topic(s): Child health
Household decision-making
Country: Africa
  Multiple African Countries
Published: OCT 2016
Abstract: We draw upon a framework outlining household recognition and response to child illness proposed by Colvin et al. (Soc Sci Med 86:66–78, 2013) to examine factors predictive of treatment sought for a recent child illness. In particular, we model whether no treatment, middle layer treatment (traditional healer, pharmacy, community health worker, etc.), or biomedical treatment was sought for recent episodes of diarrhea, fever, or cough. Based on multinomial, multi-level analyses of Demographic and Health Surveys from 19 countries in sub-Saharan Africa, we determine that if women have no say in their own healthcare, they are unlikely to seek treatment in response to child illness. We find that women in sub-Saharan Africa need healthcare knowledge, the ability to make healthcare decisions, as well as resources to negotiate cost and travel, in order to access biomedical treatment. Past experience with medical services such as prenatal care and a skilled birth attendant also increases the odds that biomedical treatment for child illness is sought. We conclude that caregiver decision-making in response to child illness within households is critical to reducing child morbidity and mortality in sub-Saharan Africa. Keywords Sub-Saharan Africa, Demographic and Health Surveys, Child illness, CaregiverDecision-making, Treatment