Health-seeking behaviour among Ghanaian urban residents: A quantitative exploratory case study

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Lily Yarney
Evelyn Adjei-Mensah
Joseph Darko
Akosua Nyame Adom Frempong

Abstract

Health seeking behaviour is important for personal and social reasons, and several health problems can be adequately treated if they are reported early for appropriate health intervention. We examined the health-seeking behaviour of residents of a suburb in the capital of Ghana, the point in ill-health that they seek healthcare, their first point of call for healthcare, and the determinants of choice of first point of call. Simple random sampling was used to select 316 eligible respondents. Quantitative data were collected with questionnaire and analysed with IBM SPSS version 22. Descriptive statistics and Logistic regression were used to interpret the findings at 95% confidence intervals. Most respondents (50.6%) sought healthcare days to months after their first experience with ill-health, 15.5% sought healthcare when they were severely ill, and about 34% sought healthcare immediately they experienced ill-health. Most of the respondents’ (54.2%) first point of call for healthcare was self-medication with herbal sources or faith-based healing, and 45.8% sought attention from orthodox sources. Males were 1.97 times more likely than females; married individuals were 2.33 times more likely than the unmarried; and health insurance holders were 1.55 times more likely than the uninsured to use orthodox outfits as first point of call for healthcare. Healthcare stakeholders and policy makers need to intensify education on the need to seek orthodox healthcare in ill-health, encourage increased enrolment on the national health insurance scheme and strengthen social support systems that encourage good health-seeking behaviours.

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How to Cite
Yarney, L., Adjei-Mensah, E., Darko, J., & Frempong, A. N. A. (2022). Health-seeking behaviour among Ghanaian urban residents: A quantitative exploratory case study. Research Journal in Medical and Health Sciences, 3(1), 12-24. https://doi.org/10.58256/rjmhs.v3i1.925
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Articles

How to Cite

Yarney, L., Adjei-Mensah, E., Darko, J., & Frempong, A. N. A. (2022). Health-seeking behaviour among Ghanaian urban residents: A quantitative exploratory case study. Research Journal in Medical and Health Sciences, 3(1), 12-24. https://doi.org/10.58256/rjmhs.v3i1.925

References

Abor, Abekah-Nkrumah, Adjasi & Abor, 2011). The socio-economic determinants of maternal healthcare utilization in Ghana. International Journal of Social Economics, 38(7), 628-648.

Abraham, C., & Sheeran, P. (2005). The health belief model. In Conner, M. and Norman, P. (Eds), Predicting Health Behaviour: Research and Practice with Social Cognition Models, Open University Press/McGraw Hill, Maidenhead, pp. 28-80.

Agrawal, G., & Patel, S. K. (2017). Religious differentials in morbidity prevalence and healthcare seeking behaviours among older persons in India. International Journal of Human Rights in Healthcare, 10(1), 14-27.

Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice Hall.

Annesi, J. J. (2006). Relations of physical self-concept and self-efficacy with frequency of voluntary physical activity in preadolescents: Implications for after-school care programming. Journal of Psychosomatic Research, 61(4), 515-520.

Asampong, E., Dwuma-Badu, K., Stephens, J., Srigboh, R., Neitzel, R., Basu, N., & Fobil, J. N. (2015). Health seeking behaviours among electronic waste workers in Ghana. BMC Public Health, 15, 1-9.

Asibey, B. O., Dankwah, A. B., & Agyemang, S. (2019). The relationship between perceived service quality of antenatal care and use among rural women in Ghana. International Journal of Social Economics, 46(5), 598-613.

Assad, T., Okasha, T., Ramy, H., Goueli, T., El-Shinnawy, H., Nasr, M., ... Shorab, I. (2015). Role of traditional healers in the pathway to care of patients with bipolar disorder in Egypt. International Journal of Social Psychiatry, 61, 583–590.

Atindanbila, S., & Thompson, C. E. (2011). The role of African traditional healers in the management of mental challenges in Africa. Journal of Emerging Trends in Educational Research and Policy Studies, 2, 457–464.

Bartholomew, L., Parcel, G., Kok, G., & Gottlieb, N. (2006). Behavior-oriented theories used in health promotion. In J. Allegrante & K. Mcleroy (Eds.), Planning health promotion programs (pp. 81–135). San Francisco, CA: JosseyBass.

Centers for Disease Control and Prevention (2016). Global Health – Ghana. Retrieved from https://www.cdc.gov/globalhealth/countries/ghana/ on September 15, 2021.

Chilale, H. K., Silungwe, N. D., Gondwe, S., & Masulani-Mwale, C. (2017). Clients and carers perception of mental illness and factors that influence help-seeking: Where they go first and why. International Journal of Social Psychiatry, 63(5), 418–425.

Chilale, H., Banda, R., Muyawa, J., & Kaminga, A. (2014). Duration of untreated psychosis and associated factors in first episode psychosis in Mzuzu Northern Malawi. African Journal of Psychiatry, 17, 503–507

Coles, R., Watkins, F., Swami, V., Jones, S., Woolf, S., & Stanistreet, D. (2010). What men really want: A qualitative investigation of men's health needs from the Halton and St Helens Primary Care Trust men's health promotion project. British Journal of Health Psychology, 15, 921-939.

Cornally, N., & McCarthy, G. (2011). Help-seeking behaviour: A concept analysis. International Journal of Nursing Practice, 17, 280-288.

Demyan, A. L., & Anderson, T. (2012). Effects of a brief media intervention on expectations, attitudes, and intentions of mental health help seeking. Journal of Counseling Psychology, 59, 222-229.

Deng, Z., Liu, S., & Hinz, O. (2015). The health information seeking and usage behavior intention of Chinese consumers through mobile phones. Information Technology & People, 28(2), 405-423.

Doherty, D. T., & Kartalova-O'Doherty, Y. (2010). Gender and self-reported mental health problems: Predictors of help seeking from a general practitioner. British Journal of Health Psychology, 15, 213-228

Fenny, A. P., Asante, F. A., Enemark, U., & Hansen, K. S. (2015). Malaria care seeking behavior of individuals in Ghana under the NHIS: Are we back to the use of informalcare? BMC Public Health, 15(1), 370.

Fernández, A., Haro, J. M., Martinez-Alonso, M., Demyttenaere, K., Brugha, T. S., Autonell, J., Alonso, J. (2007). Treatment adequacy for anxiety and depressive disorders in six European countries. The British Journal of Psychiatry, 190, 172–173.

Gæde, P., Lund-Andersen, H., Parving, H. H., & Pedersen, O. (2008). Effect of a multifactorial intervention on mortality in type 2 diabetes. New England Journal of Medicine, 358(6), 580-591.

George, A., & Fleming, P. (2004). Factors affecting men’s help-seeking in the early detection of prostate cancer: implications for health promotion. Journal of Men's Health and Gender, 1, 345-352.

George, M. (2007). Socio-economic and Cultural Dimensions, and Health-seeking Behaviour for Leptospirosis: A Case Study of Kerala. Journal of Health Management, 9(3), 381–398.

Germond, P., & Cochrane, J. R. (2010). Healthworlds: Conceptualizing landscapes of health and healing. Sociology, 44(2), 307–324.

Ghana Statistical Service. (2014). 2010 population and housing census: District analytical report – Accra Metropolitan Assembly. Accra: Ghana Statistical Service.

Girma, F., Jira, C., & Girma, B. (2011). Health services utilization and associated factors in Jimma zone, Southwest Ethiopia. Ethiopian Journal of Health Sciences, 21(3), 91-100.

Gyasi, R. M., Mensah, C. M., Adjei, P. O. W., & Agyemang, S. (2011). Public perceptions of the role of traditional medicine in the health care delivery system in Ghana. Global Journal of Health Science, 3(2), 40-49.

Haley, C., Drake, R., Bentall, R., & Lewis, S. (2003). Health beliefs link to duration of untreated psychosis and attitudes to later treatment in early psychosis. Social Psychiatry and Psychiatric Epidemiology, 38, 311–316.

Hyzam, D., Zou, M., Boah, M. et al. (2020) Health information and health-seeking behaviour in Yemen: perspectives of health leaders, midwives and mothers in two rural areas of Yemen. BMC Pregnancy Childbirth 20, 404

Institute for Health Metrics and Evaluation (IHME). (2015). Retrieved from http://www.healthdata.org/ghana on July 05, 2021

Jewell, R. T. (2009). Demand for prenatal health care in South America. Applied Economics, 41(4), 469-479.

Johnson, J. L., Oliffe, J. L., Kelly, M. T., Galdas, P., & Ogrodniczuk, J. S. (2012). Men's discourses of help-seeking in the context of men's depression. Sociology of Health & Illness, 34, 345-361.

Jones & Bartlett Publishers. (2010). Health belief model. In. Theoretical concepts ( pp. 31–36). Retrieved from http:// www.jblearning.com/samples/0763743836/chapter%204. Pdf.

Kim, J. H., Lee, S. G., Lee, K. S., Jang, S. I., Cho, K. H., & Park, E. C. (2016). Impact of health insurance status changes on healthcare utilisation patterns: a longitudinal cohort study in South Korea. BMJ Open, 6(4), 1-9.

Krejcie, K. V., & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30, 607-610.

Kumbani, L. C., Chirwa, E., Odland, J. Ø, & Bjune, G. (2012). Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi. Reproductive Health, 9(1), 30-44.

Lepine, A., & Nestour, A. L. (2013). The determinants of health care utilisation in rural Senegal. J Afr Econ., 22(1), 163–86.

Mackenzie, C. S., Gekoski, W. L., & Knox, V. J. (2006). Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging & Mental Health, 10, 574–582.

Marton, C., & Choo, C. W. (2012). A review of theoretical models of health information seeking on the web. Journal of Documentation, 68(3), 330-352.

Mbwayo, A. W., Ndetei, D. M., Mutiso, V., & Khasakhala, L. I. (2013). Traditional healers and provision of mental health service in cosmopolitan informal settlements in Nairobi, Kenya. African Journal of Psychiatry, 16, 134–140.

Mosadeghrad, A. M. (2012). A conceptual framework for quality of care. Materia Socio-Medica, 24(4), 251-261.

Munro, S., Lewin, S., Swart, T., & Volmink, J. (2007). A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS? BMC Public Health, 7, 104.

Ngangbam, S., & Roy, A. K. (2019). Determinants of Health-seeking Behaviour in Northeast India. Journal of Health Management, 21(2) 234–257.

Nuhu, K. M. (2018). Determinants of health-seeking behavior in Ghana, unpublished PhD Thesis, Department of Public Health and Recreation Professions in the Graduate School Southern, Southern Illinois University Carbondale.

Olenja, J. (2003). Editorial: Health seeking behaviour in context. East African Medical Journal, 80(2), 61-62.

Pillai, K. R., Nallavalli, S., & Immaculate, C. (2019). Inexorable transformation in healthcare-seeking behaviour: a paradigm of choice. International Journal of Pharmaceutical and Healthcare Marketing, 13(2), 200-212.

Rawlett, K. (2011). Analytical evaluation of health belief model and the vulnerable populations conceptual model applied to a medically underserved rural population. International Journal of Applied Science and Technology, 1, 15–21.

Reynolds, H. W., Wong, E. L., & Tucker, H. (2006). Use of maternal and child health services in developing countries. International Family Planning Perspectives, 32(1), 6-16.

Roskar, S., et al. (2017). Attitudes within the general population towards seeking professional help in cases of mental distress. International Journal of Social Psychiatry, 63(7), 614– 621.

Senah, K. A. (2004). In the mighty name of Jesus: Health-seeking behaviour in Ghana. Legon Journal of Sociology, 1(1), 59-70.

Shapiro, A., & Taylor, M. (2002). Effects of a community-based early intervention program on the subjective well-being, institutionalization, and mortality of low-income elders. The Gerontologist, 42(3), 334-341.

Sorketti, E. A., Zuraida, N. Z., & Habil, M. H. (2012). The traditional belief system in relation to mental health and psychiatric services in Sudan. International Psychiatry, 9, 19–20.

Turkson, P. K. (2009). Perceived quality of healthcare delivery in a rural district of Ghana. Ghana Medical Journal, 43(2), 65-70.

Victoor, A., Delnoij, D. M., Friele, R. D., & Rademakers, J. J. (2012). Determinants of patient choice of healthcare providers: A scoping review. BMC Health Services Research, 12(1), 272.

White, A., McKee, M., Richardson, N., de Visser, R., Madsen, S. A., de Sousa, B. C., et al. (2011). Europe's men need their own health strategy. BMJ.

WHO. (2014). General programme of work: not merely the absence of disease. Geneva: World Health Organization.

Yaacob, L. H., Mokti, S. A., & Muhammad, J. (2019). Health seeking behaviour of menopausal women with urinary incontinence in Northeast Malaysia. Journal of Women & Aging, DOI: 10.1080/08952841.2019.1593799.

Yousaf, O., Grunfeld, E. A., & Hunter, M. S. (2015). A systematic review of the factors associated with delays in medical and psychological help-seeking among men. Health Psychology Review, 9 (2), 264-276.