{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T21:40:35Z","timestamp":1760823635857,"version":"build-2065373602"},"reference-count":31,"publisher":"BMJ","issue":"8","funder":[{"name":"University of Western Australia scholarship fund"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,7,27]]},"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study assessed healthcare seeking patterns of families of infants with circumcision-related morbidities and families of infants with acute illnesses in rural Ghana.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>Two population-based cohort studies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>Brong Ahafo Region of central rural Ghana.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>A total of 22\u2009955 infants enrolled in a large population-based trial (Neovita trial) from 16 August 2010 to 7 November 2011 and 3141 infants in a circumcision study from 21 May 2012 to 31 December 2012.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Primary outcome<\/jats:title>\n                  <jats:p>Care seeking for circumcision-related morbidities and acute illnesses unrelated to circumcision.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Two hundred and thirty (8.1%) infants from the circumcision study had circumcision-related morbidities and 6265 (27.3%) infants from the Neovita study had acute illnesses unrelated to circumcision. A much lower proportion (35, 15.2%) of families of infants with circumcision-related morbidities sought healthcare compared with families of infants with acute illnesses in the Neovita study (5520, 88.1%). More families sought care from formal providers (24, 69%) compared with informal providers (11, 31%) for circumcision-related morbidities. There were no obvious determinants of care seeking for acute illnesses or circumcision-related morbidities in the population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Government and non-government organisations need to improve awareness about the complications and care seeking needed for circumcision-related morbidities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-018185","type":"journal-article","created":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T20:10:15Z","timestamp":1504037415000},"page":"e018185","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Healthcare seeking patterns of families of infants with circumcision-related morbidities from two population-based cohort studies in Ghana"],"prefix":"10.1136","volume":"7","author":[{"given":"Thomas","family":"Gyan","sequence":"first","affiliation":[{"name":"Division of Paediatrics, School of Medicine, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Australia"},{"name":"Maternal, Newborn and Adolescent Health Cluster, Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimberley","family":"McAuley","sequence":"additional","affiliation":[{"name":"Division of Paediatrics, School of Medicine, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"O'Leary","sequence":"additional","affiliation":[{"name":"Epidemiology Consultant, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie A.","family":"Strobel","sequence":"additional","affiliation":[{"name":"Division of Paediatrics, School of Medicine, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen M.","family":"Edmond","sequence":"additional","affiliation":[{"name":"Division of Paediatrics, School of Medicine, Faculty of Health and Medical Sciences, University of Western Australia, Perth, Australia"},{"name":"Health Section, United Nations Children's Fund UNICEF, Kabul, Afghanistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,29]]},"reference":[{"key":"2025101813585852000_7.8.e018185.1","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1111\/tmi.12829","article-title":"Determinants of morbidity associated with infant male circumcision: community-level population-based study in rural Ghana","volume":"22","author":"Gyan","year":"2017","journal-title":"Trop Med Int Health"},{"key":"2025101813585852000_7.8.e018185.2","unstructured":"Weiss H , Larke N , Halperin D , et al . 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