Phung Quang Vinh. Health services utilization among mothers of children under 5 years old in Muang district of Sakaeo province Thailand. Master's Degree(Primary Health Care Management). Mahidol University. : Mahidol University, 2006.
Health services utilization among mothers of children under 5 years old in Muang district of Sakaeo province Thailand
Abstract:
A cross-sectional study was conducted to investigate the health services utilization
among mothers of children under 5 years old in the Muang district, Sakaeo province,
Thailand. Socio-demographic characteristics, attitude toward public health service,
knowledge toward general health services, accessibility of health services and the illness
levels of the studied mothers children were all investigated.
Data were obtained from 272 mothers of children under 5 years old by interview
and questionnaire. The mothers who lived at least one year in the village and whose
children had had on illness in the past year were included in this study.
Approximately forty three percent of mothers were between 20-29 years of age.
The main occupation (35.3 percent) was housewife. The education level of the majority of
the respondents was primary school level (51.2 percent). Fifty five percent of the family
had sufficient income for day to day living but not enough savings. Approximately
seventy one percent of mothers had moderate attitude toward public health services. Sixty
percent of respondents had a fair knowledge toward general health services. When the
childs illness was mild, the majority of mothers who had a high attitude toward public
health services went to government hospitals (37.8 percent) and those with low attitude
bought drugs in drug stores (26.19 percent). The mothers with sufficient income for day
to day living and having savings went to government hospitals (28.72 percent) as
compared to those who were not sufficient income for day to day living who did selftreatment
(37.04 percent). For mothers with poor knowledge toward general health
services the percentage of those not using the public health service was higher than those
who had fair or good knowledge, 23.81%, 6.71%, 7.58% respectively.
There were significant associations between the type of health services used and
each of the following variables; main occupation, education, family composition, income
of mothers family, distance from mothers house to health services, transportation and
traveling time in case of child mild illness. In severe illness cases, two factors; distance
from mothers house to health services and traveling time were associated with the kind
of health services used. The mothers who were laborers tended to use public health
service, 3.47 times as much as those who worked in agriculture.
It is suggested that there should be improvement in the information and
management about public health services and also in the mothers attitudes and
knowledge