title: Healthcare-seeking behaviors for acute respiratory illness in two communities of Java, Indonesia: a cross-sectional survey.
abstract: Understanding healthcare-seeking patterns for respiratory illness can help improve estimations of disease burden and inform public health interventions to control acute respiratory disease in Indonesia. The objectives of this study were to describe healthcare-seeking behaviors for respiratory illnesses in one rural and one urban community in Western Java, and to explore the factors that affect care seeking. From February 8, 2012 to March 1, 2012, a survey was conducted in 2520 households in the East Jakarta and Bogor districts to identify reported recent respiratory illnesses, as well as all hospitalizations from the previous 12-month period. We found that 4% (10% of those less than 5years) of people had respiratory disease resulting in a visit to a healthcare provider in the past 2weeks; these episodes were most commonly treated at government (33%) or private (44%) clinics. Forty-five people (0.4% of those surveyed) had respiratory hospitalizations in the past year, and just over half of these (24/45, 53%) occurred at a public hospital. Public health programs targeting respiratory disease in this region should account for care at private hospitals and clinics, as well as illnesses that are treated at home, in order to capture the true burden of illness in these communities.
authors.affiliation: US Centers for Disease Control and Prevention, Jakarta, Indonesia.
authors.forename: Catharina Y
authors.initials: CY
authors.lastname: Praptiningsih
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA; School of Health Sciences, University of Tampere, Tampere, Finland. Electronic address: gmj3@cdc.gov.
authors.forename: Kathryn E
authors.initials: KE
authors.lastname: Lafond
authors.affiliation: John Hopkins School of Public Health, Center for Communication Program, Baltimore, MD, USA.
authors.forename: Yunita
authors.initials: Y
authors.lastname: Wahyuningrum
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA; Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Storms
authors.affiliation: US Centers for Disease Control and Prevention, Jakarta, Indonesia.
authors.forename: Amalya
authors.initials: A
authors.lastname: Mangiri
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Angela D
authors.initials: AD
authors.lastname: Iuliano
authors.affiliation: US Centers for Disease Control and Prevention, Jakarta, Indonesia.
authors.forename: Gina
authors.initials: G
authors.lastname: Samaan
authors.affiliation: Center for Health Research, Universitas Indonesia, Depok, West Java, Indonesia.
authors.forename: Christiana R
authors.initials: CR
authors.lastname: Titaley
authors.affiliation: Center for Health Research, Universitas Indonesia, Depok, West Java, Indonesia.
authors.forename: Fitra
authors.initials: F
authors.lastname: Yelda
authors.affiliation: John Hopkins School of Public Health, Center for Communication Program, Baltimore, MD, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Kreslake
authors.affiliation: John Hopkins School of Public Health, Center for Communication Program, Baltimore, MD, USA.
authors.forename: Douglas
authors.initials: D
authors.lastname: Storey
authors.affiliation: Influenza Division, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Uyeki
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data*; D012128:Respiratory Distress Syndrome / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D012424:Rural Population / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: Healthcare-seeking behavior; Indonesia; Respiratory illness