Factors associated with health care seeking behaviors of urban, rural, and urban and rural households in Esera woreda, Southwest Ethiopia, 2015.

<p>Factors associated with health care seeking behaviors of urban, rural, and urban and rural households in Esera woreda, Southwest Ethiopia, 2015.</p

Graphic presentation of HHs (household) recruitment, Esera district, Southwest Ethiopia, 2014.

<p>Fig 2 shows the graphic presentation of recruitment of households included in the study. District stratified in to rural and urban; kebeles in both urban and rural selected via SRS; census was conducted among the selected kebeles; and households were allocated via PPS. Finally, number of HHS included in the sample was described and reason of non-respondents was included.</p

Health care-seeking behaviors of urban and rural households, Esera district, Southwest Ethiopia, 2015.

<p>Health care-seeking behaviors of urban and rural households, Esera district, Southwest Ethiopia, 2015.</p

Demographic characteristics of urban and rural households in Esera district, Southwest Ethiopia, 2015.

<p>Demographic characteristics of urban and rural households in Esera district, Southwest Ethiopia, 2015.</p

Health Care Seeking Behavior in Southwest Ethiopia

<div><p>Background</p><p>Rural and urban populations have disparate socio-demographic and economic characteristics, which have an influence on equity and their health seeking behavior. We examined and compared the health care seeking behavior for perceived morbidity between urban and rural households in Southwest Ethiopia.</p><p>Methods</p><p>Analytic cross-sectional study was conducted among urban and rural households living in Esera district of Southwest Ethiopia. A random sample of 388 head of households (126 urban and 262 rural) were selected. A pretested and structured questionnaire was used for data collection with face-to-face interview. In addition to descriptive methods, binary logistic regression was used to identify factors associated with health seeking behavior at p value of less than 0.05.</p><p>Results</p><p>Of the sample household heads, 377 (97.2%) (119 urban and 258 rural) were successfully interviewed. Among these, 58.4% (95% CI, 53.3–63.3%) of the households sought care from modern health care that was lower among rural (48.1%) than urban (80.7%) households. The prevalence of self-treatment was 35.3% in urban and 46.1% in rural households. Among the factors considered for modern health care utilization, higher monthly income (AOR, 5.6; 95% CI, 2.04–15.4), perceived severity of disease (AOR, 2.5; 95% CI, 1.1–5.8), acute duration of disease (AOR, 8.9; 95% CI, 2.4–33.3) and short distance from health facilities (AOR, 3; 95% CI, 1.2–8.4) among rural and being married (AOR, 11.3; 95% CI, 1.2–110.2) and perceived severity of disease (AOR, 6.6; 95% CI, 1.1–10.9) among urban households showed statistically significant association.</p><p>Conclusions</p><p>The general health seeking behavior of households on perceived morbidity was satisfactory but lower in rural compared to urban households. Self-medication was also widely practiced in the study area. The findings signal the need to work more on accessibility and promotion of healthcare seeking behavior especially among rural households.</p></div

Factors related to HIV-associated mortality among HIV-infected adults in 2003–2015, JUTH, Southwest Ethiopia.

<p>Factors related to HIV-associated mortality among HIV-infected adults in 2003–2015, JUTH, Southwest Ethiopia.</p

Measurements for variable related to death and ART attrition (mortality and discontinuation).

<p>Measurements for variable related to death and ART attrition (mortality and discontinuation).</p

Clinical & non-clinical characteristics of HIV infected people enrolled in ART care in Southwest Ethiopia from 2003–15.

<p>Clinical & non-clinical characteristics of HIV infected people enrolled in ART care in Southwest Ethiopia from 2003–15.</p

Annual number of HIV infected adults on ART care and their outcomes, Southwest Ethiopia, 2003–15.

<p>Annual number of HIV infected adults on ART care and their outcomes, Southwest Ethiopia, 2003–15.</p

Early mortality among children and adults in antiretroviral therapy programs in Southwest Ethiopia, 2003–15 - Fig 2

<p><b>(a-d) Kaplan-Meier plot of hazard function stratified according to baseline CD4 count, immunologic failure, Tb/HIV co-infection and functional status among a cohort of ART clients respectively; JUTH hospital, Southwest Ethiopia; 2016</b>—This figure presents the association between baseline CD4 count <b>immunologic failure, Tb/HIV co-infection and functional status,</b> and HIV mortality.</p