{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T05:35:02Z","timestamp":1791005702921,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To characterise health seeking behaviour (HSB) and determine its predictors amongst children in Malawi in 2016.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used the 2016 Malawi Integrated Household Survey data set. The outcome of interest was HSB, defined as seeking care at a health facility amongst people who reported one or more of a list of possible symptoms given on the questionnaire in the past two weeks. We fitted a multivariate logistic regression model of HSB using a forward step\u2010wise selection method, with age, sex and symptoms entered as a priori variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 5350 children, 1666 (32%) had symptoms in the past two weeks. Of the 1666, 1008 (61%) sought care at health facility. The children aged 5\u201314\u00a0years were less likely to be taken to health facilities for health care than those aged 0\u20134\u00a0years. Having fever vs. not having fever and having a skin problem vs. not having skin problem were associated with increased likelihood of HSB. Having a headache vs. not having a headache was associated with lower likelihood of accessing care at health facilities (AOR\u00a0=\u00a00.50, 95% CI: 0.26\u20130.96, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.04). Children from urban areas were more likely to be taken to health facilities for health care (AOR\u00a0=\u00a01.81, 95% CI: 1.17\u20132.85, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.008), as were children from households with a high wealth status (AOR\u00a0=\u00a01.86, 95% CI: 1.25\u20132.78, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a need to understand and address individual, socio\u2010economic and geographical barriers to health seeking to increase access and use of health care and fast\u2010track progress towards Universal Health Coverage.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13499","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T17:09:37Z","timestamp":1601226577000},"page":"1486-1495","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Factors associated with healthcare seeking behaviour for children in Malawi: 2016"],"prefix":"10.1111","volume":"25","author":[{"given":"Wingston","family":"Ng'ambi","sequence":"first","affiliation":[{"name":"College of Medicine Health Economics and Policy Unit University of Malawi Lilongwe Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Mangal","sequence":"additional","affiliation":[{"name":"Imperial College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Phillips","sequence":"additional","affiliation":[{"name":"University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Colbourn","sequence":"additional","affiliation":[{"name":"University College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Mfutso\u2010Bengo","sequence":"additional","affiliation":[{"name":"College of Medicine Health Economics and Policy Unit University of Malawi Lilongwe Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Revill","sequence":"additional","affiliation":[{"name":"University of York York UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy B.","family":"Hallett","sequence":"additional","affiliation":[{"name":"Imperial College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Editorial Health Seeking Behaviour in Context;2003. 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