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ORIGINAL ARTICLE
Open Access

Where Do Caregivers Take Their Sick Children for Care? An Analysis of Care Seeking and Equity in 24 USAID Priority Countries

Sarah E.K. Bradley, Lauren Rosapep and Tess Shiras
Global Health: Science and Practice September 2020, 8(3):518-533; https://doi.org/10.9745/GHSP-D-20-00115
Sarah E.K. Bradley
aAbt Associates, International Development Division, Sustaining Health Outcomes through the Private Sector (SHOPS) Plus Project, Rockville, MD, USA.
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  • For correspondence: sarah_bradley@abtassoc.com
Lauren Rosapep
aAbt Associates, International Development Division, Sustaining Health Outcomes through the Private Sector (SHOPS) Plus Project, Rockville, MD, USA.
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Tess Shiras
aAbt Associates, International Development Division, Sustaining Health Outcomes through the Private Sector (SHOPS) Plus Project, Rockville, MD, USA.
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  • FIGURE 1.
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    FIGURE 1.

    USAID Maternal and Child Health Priority Countries Analyzed Using Demographic and Health Survey Dataa

    Abbreviation: USAID, U.S. Agency for International Development.a No Demographic and Health Survey data are available for South Sudan.

  • FIGURE 2.
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    FIGURE 2.

    Prevalence of Acute Respiratory Infection Symptoms, Diarrhea, and Fever in USAID Maternal and Child Health Priority Countries, by Regiona

    Abbreviations: ARI, acute respiratory infection; USAID, U.S. Agency for International Development.a The range of prevalence is indicated by the vertical bars. The mean is noted in each square.

  • FIGURE 3.
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    FIGURE 3.

    Prevalence of ARI Symptoms, Fever, and/or Diarrhea and Disparity Between Children in the Poorest and Wealthiest Households in USAID Maternal and Child Health Priority Countriesa

    Abbreviations: ARI, acute respiratory infection; DRC, Democratic Republic of the Congo; USAID, U.S. Agency for International Development.a The bars depict the magnitude of the difference in reported prevalence between the poorest and wealthiest, with values shown when the magnitude is 5 or more percentage points.

  • FIGURE 4.
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    FIGURE 4.

    Out-of-Home Care-Seeking Levels by Country Among Caregivers of Sick Children in USAID Maternal and Child Health Priority Countries

    Abbreviations: DRC, Democratic Republic of Congo; USAID, U.S. Agency for International Development.

  • FIGURE 5.
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    FIGURE 5.

    Differences in Care Seeking Levels Among Caregivers from Urban and Rural Households in USAID Maternal and Child Health Priority Countriesa

    Abbreviations: DRC, Democratic Republic of the Congo; USAID, U.S. Agency for International Development.a The bars depict the magnitude of the difference in urban and rural care seeking, with values shown in cases where the magnitude is 5 or more percentage points.

  • FIGURE 6.
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    FIGURE 6.

    Differences in Care Seeking Among Caregivers With Sick Children From the Poorest and Wealthiest Households in USAID Maternal and Child Health Priority Countries, by Countrya

    a The bars depict the magnitude of the difference between the poorest and wealthiest, with values shown in cases where the magnitude is 5 or more percentage points.

  • FIGURE 7.
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    FIGURE 7.

    Sources for Sick Child Care in USAID Maternal and Child Health Priority Countries, by Country

    Abbreviations: DRC, Democratic Republic of the Congo; USAID, U.S. Agency for International Development.

  • FIGURE 8.
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    FIGURE 8.

    Sources for Sick Child Care in USAID Maternal and Child Health Priority Countries, by Region and Urbanicity

    Abbreviations: DRC, Democratic Republic of the Congo; ESA, East and Southern Africa; USAID, U.S. Agency for International Development; WCA, West and Central Africa.

  • FIGURE 9.
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    FIGURE 9.

    Types of Private Providers Consulted in Urban and Rural Areas, by region

    Abbreviations: DRC, Democratic Republic of the Congo; ESA, East and Southern Africa; USAID, U.S. Agency for International Development; WCA, West and Central Africa.

  • FIGURE 10.
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    FIGURE 10.

    Levels of Private Sector Health Facility Care Seeking Among the Poorest and Wealthiest Caregivers Who Sought Care from Private Sector Sources in USAID Maternal and Child Health Priority Countries, by Countrya

    Abbreviations: DRC, Democratic Republic of the Congo; USAID, U.S. Agency for International Development.a The bars depict the magnitude of the difference between the poorest and wealthiest households.

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    TABLE.

    Source Categorizations Used in Care-Seeking Analysis of 24 USAID Maternal and Child Health Priority Countries

    Public sectorPrivate sectorOther
    Health facilities
    • Hospitals

    • Clinics

    • Health posts

    • Private clinics, hospitals, and clinicians

    • Nongovernmental and faith-based clinics

    • Traditional healers

    • Friends or family members

    Community health workers and retail outlets
    • Community health workers

    • Pharmacies

    • Shops, markets

    • Abbreviation: USAID, U.S. Agency for International Development.

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Global Health: Science and Practice: 8 (3)
Global Health: Science and Practice
Vol. 8, No. 3
September 30, 2020
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Where Do Caregivers Take Their Sick Children for Care? An Analysis of Care Seeking and Equity in 24 USAID Priority Countries
Sarah E.K. Bradley, Lauren Rosapep, Tess Shiras
Global Health: Science and Practice Sep 2020, 8 (3) 518-533; DOI: 10.9745/GHSP-D-20-00115

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Where Do Caregivers Take Their Sick Children for Care? An Analysis of Care Seeking and Equity in 24 USAID Priority Countries
Sarah E.K. Bradley, Lauren Rosapep, Tess Shiras
Global Health: Science and Practice Sep 2020, 8 (3) 518-533; DOI: 10.9745/GHSP-D-20-00115
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