Healthcare seeking patterns of families of infants with circumcision-related morbidities from two population-based cohort studies in Ghana

Thomas Gyan, Kimberley Elizabeth McAuley, Maureen O'Leary, Natalie Ann Strobel, Karen Margaret Edmond

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Abstract

Objective This study assessed healthcare seeking patterns of families of infants with circumcision-related morbidities and families of infants with acute illnesses in rural Ghana.
Design Two population-based cohort studies.
Setting Brong Ahafo Region of central rural Ghana.
Participants A total of 22 955 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.
Primary outcome Care seeking for circumcision-related morbidities and acute illnesses unrelated to circumcision.
Results 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.
Conclusions Government and non-government organisations need to improve awareness about the complications and care seeking needed for circumcision related morbidities.
Original languageEnglish
Article numbere018185
Number of pages12
JournalBMJ (Open)
Volume7
Issue number8
DOIs
Publication statusPublished - Aug 2017

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