Care-seeking for fatal illnesses in young children in Indramayu, West Java, Indonesia

B. Sutrisna, Siti Boedina Kresno, Budi Utomo, Bambang Sutrisna, A. Reingold, G. Harrison

Research output: Contribution to journalArticlepeer-review

59 Citations (Scopus)

Abstract

To examine patterns of seeking care for gravely ill infants and children, we studied all deaths in children under 5 in 10 000 households in Indramayu, West Java, Indonesia, between July 1, 1991, and Dec 31, 1992. 141 deaths were identified (mortality rate 80·7 per 1000), of which 139 were due to causes other than trauma. No treatment of any kind was sought outside the home for 30 (22%) of the children who died from natural causes, and for 59 (42%) others only a traditional healer or other source of non-western medical advice was consulted. Whether or not a mother sought western medical care was strongly associated with the age of the child, the duration of the terminal illness, the previous attendance of the mother at a community-based maternal-and-child-health facility, and the mother's response to a prospectively asked question about what care should be sought for a hypothetical 1-month-old baby with signs of severe pneumonia. Household income, maternal age, and education, and distance between home and government health post were not associated with whether or not western medical care was sought.

Original languageEnglish
Pages (from-to)787-789
Number of pages3
JournalThe Lancet
Volume342
Issue number8874
DOIs
Publication statusPublished - 25 Sep 1993

Fingerprint Dive into the research topics of 'Care-seeking for fatal illnesses in young children in Indramayu, West Java, Indonesia'. Together they form a unique fingerprint.

Cite this