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Acute respiratory illnesses in children under five years in Indramayu, west Java, Indonesia: a rapid ethnographic assessment.
Med Anthropol. 1994 May; 15(4):425-34.MA

Abstract

A rapid, focused ethnographic study was carried out in a rural area of West Java, Indonesia to identify local beliefs, perceptions, and practices surrounding acute respiratory infections (ARI) in infants and young children. The study incorporates key informant interviews, open-ended interviews, and structured data collection from fifty mothers of young children selected to represent the geographical settlement pattern in the area: structured interviews with biomedical and indigenous health care providers; and structured interviews with fifty mothers who sought health care for an infant or young child with a respiratory illness. The most commonly perceived cause for ARI in children was air entering the body through some type of chill, exposure to draft or breeze, or change of weather. When fever or difficult breathing was present, mothers tended to increase the number and diversity the types of medicines used. Mothers recognized difficult as well as rapid breathing, both being described as "difficult breathing." More concern was expressed about fever than about difficulty in breathing. Effective medical care was more likely to be delayed for infants than for older children; infants were also more likely to be taken to an indigenous healer as the first-choice provider. Infants were less likely to receive an effective drug regimen even if appropriate medication was prescribed, because mothers commonly take the drugs in order to deliver them to the infant through breast milk.

Authors+Show Affiliations

Kresno S
Center for Child Survival, University of Indonesia, Depok, West Java.
Harrison GG
No affiliation info available
Sutrisna B
No affiliation info available
Reingold A
No affiliation info available

MeSH

Acute DiseaseAdolescentAdultAnthropology, CulturalChild, PreschoolFemaleHealth Knowledge, Attitudes, PracticeHumansIndonesiaInfantMaleMedicine, TraditionalMothersRespiratory Tract InfectionsRural Health

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

8041239

Citation

Kresno, S, et al. "Acute Respiratory Illnesses in Children Under Five Years in Indramayu, West Java, Indonesia: a Rapid Ethnographic Assessment." Medical Anthropology, vol. 15, no. 4, 1994, pp. 425-34.
Kresno S, Harrison GG, Sutrisna B, et al. Acute respiratory illnesses in children under five years in Indramayu, west Java, Indonesia: a rapid ethnographic assessment. Med Anthropol. 1994;15(4):425-34.
Kresno, S., Harrison, G. G., Sutrisna, B., & Reingold, A. (1994). Acute respiratory illnesses in children under five years in Indramayu, west Java, Indonesia: a rapid ethnographic assessment. Medical Anthropology, 15(4), 425-34.
Kresno S, et al. Acute Respiratory Illnesses in Children Under Five Years in Indramayu, West Java, Indonesia: a Rapid Ethnographic Assessment. Med Anthropol. 1994;15(4):425-34. PubMed PMID: 8041239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acute respiratory illnesses in children under five years in Indramayu, west Java, Indonesia: a rapid ethnographic assessment. AU - Kresno,S, AU - Harrison,G G, AU - Sutrisna,B, AU - Reingold,A, PY - 1994/5/1/pubmed PY - 1994/5/1/medline PY - 1994/5/1/entrez KW - Age Factors KW - Anthropology KW - Anthropology, Cultural KW - Asia KW - Attitude KW - Behavior KW - Beliefs KW - Child KW - Culture KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Health KW - Health Services KW - Indonesia KW - Infections KW - Interviews KW - Knowledge KW - Medicine KW - Medicine, Traditional KW - Population KW - Population Characteristics KW - Psychological Factors KW - Respiratory Infections KW - Rural Population KW - Signs And Symptoms KW - Social Sciences KW - Southeastern Asia KW - Technical Report KW - Treatment KW - Youth SP - 425 EP - 34 JF - Medical anthropology JO - Med Anthropol VL - 15 IS - 4 N2 - A rapid, focused ethnographic study was carried out in a rural area of West Java, Indonesia to identify local beliefs, perceptions, and practices surrounding acute respiratory infections (ARI) in infants and young children. The study incorporates key informant interviews, open-ended interviews, and structured data collection from fifty mothers of young children selected to represent the geographical settlement pattern in the area: structured interviews with biomedical and indigenous health care providers; and structured interviews with fifty mothers who sought health care for an infant or young child with a respiratory illness. The most commonly perceived cause for ARI in children was air entering the body through some type of chill, exposure to draft or breeze, or change of weather. When fever or difficult breathing was present, mothers tended to increase the number and diversity the types of medicines used. Mothers recognized difficult as well as rapid breathing, both being described as "difficult breathing." More concern was expressed about fever than about difficulty in breathing. Effective medical care was more likely to be delayed for infants than for older children; infants were also more likely to be taken to an indigenous healer as the first-choice provider. Infants were less likely to receive an effective drug regimen even if appropriate medication was prescribed, because mothers commonly take the drugs in order to deliver them to the infant through breast milk. SN - 0145-9740 UR - https://www.unboundmedicine.com/medline/citation/8041239/Acute_respiratory_illnesses_in_children_under_five_years_in_Indramayu_west_Java_Indonesia:_a_rapid_ethnographic_assessment_ DB - PRIME DP - Unbound Medicine ER -