Self Treatment and Use of Health Services among Children Under 5 Years of Age in a Rural District in Vietnam
Authors: Le Thi Hoan, Nguyen Thi Thu and Peter Allebeck
Abstract: The aim was to analyze pattern of use of health services among children under 5 years of age with respiratory symptoms and/or diarrhoea. Specific aims were to: 1) describe use of health services among children with respiratory symptoms and/or diarrhoea and 2) examine determinants of use of health services in relation to socio-economic groups in a rural district in Vietnam. Methods: A population-based survey of 4087 children under five was conducted in Bavi district, a Demographic Surveillance Site in rural Vietnam and a structured questionnaire was used. Logistic regression was applied to assess determinants for use of different type of health services as well as self-treatment. Results: We identified 1,415 children with an episode of respiratory symptoms and/or diarrhoea. Measures reported were 54.5% self-treatment, 31.4 % use of private practitioners, 8.8 % use of community health centre, and 5.3 % use hospital. There were no significant differences by socio-economic groups in use of health services. Conclusions: Self-treatment was the most common measure taken in cases of respiratory symptoms and/or diarrhoea, followed by private health services, and community health centre. There were no significant differences in use of health services by socio-economic groups.