Organizations In Rural Areas Research Articles

Modern Approaches to Attracting Personnel to Medical Organizations in Rural Areas on an Example of the Voronezh Region

INTRODUCTION: The importance of this study stems from the necessity to search for an effective solution to the problem of provision of the rural healthcare with medical personnel to increase the quality of medical care and its availability for the population. AIM: To scientifically substantiate and develop proposals for attracting and developing the human resources potential of rural medical organizations. MATERIALS AND METHODS: To assess the state of provision of healthcare in the Voronezh Region (VR) with human resources, the data from statistical accounting forms No. 17 and No. 30 were used. The comparative analysis method was used to study the provision of medical organizations of the VR with medical personnel and staffing with medical positions, and the main parameters of the activity of medical organizations in rural areas of the region. To study the factors contributing to the attraction of young specialists to medical organizations in rural areas, an anonymous online survey was conducted. RESULTS: The analysis of provision of healthcare organizations of the VO with personnel showed a satisfactory level of provision with medical workers. The personnel shortage is more pronounced in rural areas the staffing of full-time positions is decreasing, the influx of young specialists is decreasing, the proportion of people of retirement age is increasing. In-depth analysis permitted to identify ‘weak points’ in the formation of the personnel reserve and take them into account when forming the regional personnel policy. Based on the data obtained during the study, a multi-level model of reproduction of human resources was created using the cluster approach. A mechanism for interaction between potential employers and subjects of the educational system was developed. CONCLUSION: The pooling of resources within the framework of cluster interdepartmental interaction led to the expansion of the career guidance space and permitted to build practice-oriented educational activities based on continuity of general, secondary vocational and higher education. The findings of the study can be used in the formation of an effective personnel policy aimed at advanced forecasting of the process of their reproduction in the healthcare system.

Исследование мотивации будущих врачей к работе в сельской местности и малых городах.

The staffing of state medical organizations with medical personnel is one of the main factors in the implementation of the strategic goals of the state. The relevance of studying the attractiveness of public health care in rural areas and small towns for medical university students is due to the need to take preventive measures to increase the interest of future doctors in working in these areas. Purpose of the study is to develop proposals to increase the interest of future doctors in working in rural areas and small towns. Materials and methods. 529 students of Tyumen Medical University participated in the sociological study. The survey questions are aimed at identifying intentions for the future place of residence, the significance of motivating factors and measures of social support for medical workers in rural areas and small towns that can influence the employment decisions. Results. The priority for 9 out of 10 respondents is career. More than a third of respondents want to live in cities with more than a million inhabitants and about 40% – in the largest city up to 1 million people. Four out of five target students do not plan to continue working in the same locality after fulfilling their obligations to the employer. Findings. The risk of staffing in medical organizations located in some rural areas and small towns of the Tyumen region have been identified. The proposed initiatives can be taken into account by authorities and heads of medical organizations when making management decisions and help improve staffing levels in medical organizations in rural areas, small and medium-sized cities.

Реализация кластерной инициативы в развитии кадрового потенциала медицинских организаций сельской местности.

The relevance of this study is due to the need to solve the problems of providing medical personnel for rural healthcare in order to increase the availability and quality of medical care for the population. Purpose of the study: to identify resources and identify risks for the formation of human resources in medical organizations in rural areas. Materials and methods. The work studied and analyzed the literature sources of domestic authors on the personnel problem in healthcare, as well as regulatory documents on the topic of research. To assess the state of health care staffing in the Voronezh region, data from statistical accounting forms No. 17, No. 30 were used. Using the method of comparative analysis, a study was carried out of indicators of the supply of medical personnel and staffing of medical positions in medical organizations of the Voronezh region, the main indicators of the activities of medical organizations in rural areas of the region. In order to study the factors contributing to the attraction of young specialists to medical organizations in rural areas, an anonymous online survey was conducted. To process the data obtained, sociological, analytical and statistical methods were used. Results. The Voronezh region has a satisfactory level of provision with medical workers, but they are unevenly distributed throughout the region. The shortage of personnel is more pronounced in rural areas – staffing of regular positions is decreasing, the proportion of people of retirement age is growing, and the influx of young specialists is decreasing. Discussions. The study made it possible to provide objective information about the state of provision of health care institutions with medical personnel and the reasons for understaffing in rural areas. A subjective assessment of graduates of medical universities of their employment opportunities in medical organizations in rural areas made it possible to identify “weak points” and take them into account when forming the personnel policy of the region. Conclusion. Recommendations for solving the problem of continuous professional development of medical personnel are proposed. The findings of the study can be used in the formation of effective personnel policies aimed at proactively predicting the process of their reproduction in the healthcare system.

Research on the Rule of Law in the Construction of Grassroots Party Organizations in Rural Areas

Rural grassroots party organizations are primarily responsible for rural governance, and there exists a reciprocal influence and promotion between the modernization of rural areas and the legalization of these organizations. It is crucial to actively promote the legalization construction of rural grassroots party organizations, constituting the fundamental task of these organizations. Such promotion is not merely a task but an essential requirement for elevating the standard of rural governance. This article conducts an in-depth analysis of the current situation and challenges confronting the rule of law construction within rural grassroots party organizations. Solutions are proposed across five levels: raising awareness of the rule of law, bolstering the leadership within rural grassroots party organizations, optimizing the team responsible for the rule of law construction within these organizations, deepening the supervision system, and enhancing the legal publicity and education initiatives within rural grassroots party organizations. The aim is to exert concerted efforts towards advancing the rule of law construction within these organizations and subsequently improving their overall effectiveness.

МЕДИЦИНСКИЕ ОРГАНИЗАЦИИ И ИХ СТРУКТУРНЫЕ ПОДРАЗДЕЛЕНИЯ, РАСПОЛОЖЕННЫЕ В СЕЛЬСКОЙ МЕСТНОСТИ

Significance. Provision of equal access to health care regardless of the patient's place of residence is a priority direction of the healthcare development. Identification of problems and development of organizational activities to develop medical infrastructure in rural areas are being currently prioritized. As many researchers note, the recent transformations of the healthcare system failed to yield the expected results in rural areas, including to attract and retain health workers. It should be pointed out that issues related to care access in rural areas are also associated with factors that are less dependable upon the healthcare system, namely, ensuring transport accessibility and increasing the socio-economic level of rural life. The presence of these factors requires a special approach to solving problems characteristic of rural areas. In this regard, it is highly relevant to study the provision of rural areas with a network of medical organizations, units, as well as basic resources. The purpose of the study was to conduct a retrospective analysis of medical infrastructure (medical organizations and their structural units) and available basic resources in rural areas in 2016 - 2022. Material and methods. The study used statistical materials “Rural Health Care in Russia” of the Ministry of Health of the Russian Federation and Federal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian Federation in 2016–2022, prepared using the Medstat program and data extraction from federal statistical observation form No. 30 “Information about a medical organization” on doctor staffing level of medical organizations in the Russian Federation, federal districts and constituent entities of the Russian Federation in 2016-2022. Four constituent entities of the Russian Federation (Donetsk and Lugansk People's Republics, Kherson and Zaporozhye regions) were not included in the analysis. The study used analytical and statistical methods. Descriptive statistics was conducted using the software package Statistica version 13.3. Results. Organization and development of the network of medical organizations in rural areas is carried out with due regard to regional peculiarities. The analysis shows that the infrastructure of medical organizations and their structural subdivisions located in rural areas is being developed due to mobile forms of work, set up of a network of rural outpatient clinics and increasing capacity of polyclinics. Conclusion. The study shows that organization of a network of medical organizations in rural areas has its own peculiarities: specific subdivisions and forms of work of medical specialists are being developed. In Russia, over the last seven years, due to reorganization (consolidation) of the network, the number of independent medical organizations has decreased by 16.2% with an active introduction of mobile forms of work. During the period under study, the number of medical outpatient clinics increased by 10.7%, mobile paramedical and midwifery station and health posts - almost 10-fold and mobile medical teams - by 15.5%. Another important positive aspect is the increase in the planned capacity of outpatient and polyclinic units in rural areas. The established trends suggest a higher access to medical care for rural dwellers. Negative trends have been identified as well: from 2016 to 2022, bed capacity decreased by 9.7%, and the share of buildings in emergency condition and subject to demolition increased from 1.28 to 3.88% or by 2.6 p.p. Scope of application. The study results may be of interest to health administrators, practicing physicians, residents and graduate students of medical universities.

Research on the Development Status and Countermeasures of New Cooperative Economic Organizations in Rural Areas in the Information Age

Abstract The article borrows game theory to analyze the development dilemma of new rural cooperative economic organizations. A rural cooperative economic organization that is based on game theory is proposed by describing the new rural cooperative economic organization and game theory. According to the subject of interest, the basic assumptions of the model are determined, and the game theory model for rural cooperative economic organizations is constructed by combining the basic assumptions and relevant variables, and the evolutionary stabilization strategy solution process is given at the same time. The development status of new rural cooperative economic organizations in the context of information technology is evaluated using the model mentioned above. When E 2 = 0.18, the probability of both parties choosing {cooperation, cooperative} strategy will increase to 82.3%. And E 2 = 0.82 will reduce the probability of forming complete cooperation to 71.5% through the introduction of cost and benefit distribution, supervision and punishment mechanisms to achieve a win-win situation for the community of interest, but there is still the probability of the two sides cooperating to choose the optimal strategy will become smaller, revealing that the current development of the rural cooperative economic organization has problems and shortcomings. In order to improve the development of cooperative economic organizations in rural areas, relevant strategies are proposed.

Научное обоснование предложений по совершенствованию медицинской помощи жителям села

P u r p o s e o f t h e s t u d y : based on the analysis of the medical and demographic situation and the staffing of the rural population, develop proposals for improving medical care for the villagers. M a t e r i a l s a n d m e t h o d s : statistical, analytical, direct observation. The article used the forms of state statistical observation of the Ministry of Health of the Russian Federation. The results of the actual research. Materials and methods: statistical, analytical, direct observation, the forms of state statistical observation of the Ministry of Health of the Russian Federation were used. R e s u l t s . The rural population in the Russian Federation (2021) is 36,9 million people (25,2% of the country’s population). The proportion of the rural population of working age was 53,8%, which is lower than in Russia as a whole – 56%. A 21-year analysis showed that the birth rate of the rural population increased until 2012, while mortality rates decreased, in 2013 the mortality and birth rates became equal and amounted to 14,5‰ each, in 2020 the death rate increased to 15,4‰ due to the COVID‑19 pandemic. The average (expected) life expectancy of the rural population (70,7 years) is lower than that of the urban population (71,8 years); the indicator for rural men is extremely low (66 years). The overall incidence of the rural population is 1,4 times lower than that of the urban population, 117993,2 and 166901,5‰oo respectively. Primary morbidity is also 1,5 times lower (55082,4 and 83002,2‰oo, respectively). The difference in primary morbidity rates of the rural population in the federal districts (2020) was 1,3 times, in the constituent entities – 8,3 times. The incidence of COVID‑19 in the rural adult population (2020) was 1986,0‰oo, which is 2 times lower than in the Russian Federation as a whole (3913.9‰oo). There was a significant difference in these indicators (by 59 times) in the subjects of the Russian Federation, which can be associated with a lower density of the rural population, low availability of medical care in the countryside, as well as the ambiguity of COVID‑19 coding. For 6 years (2016–2021), the provision of doctors in medical organizations in rural areas in the Russian Federation decreased from 14,8 to 13,6‰o, and of nurses – from 54,6 to 49,3‰o. The number of nursing staff individuals working for feldsher-obstetric station decreased by 12,5%, paramedics – by 9,4%. Given the special importance of paramedical assistance in the countryside, the reduction in the number of paramedics should be considered a negative. C o n c l u s i o n . The unfavorable medical and demographic situation in the countryside requires the development of organizational and managerial decisions aimed at increasing the availability of medical care to the villagers. C o n c l u s i o n s . Proposals have been developed to improve the provision of medical care to the population of rural areas.

Organization and evolution of climate responsive strategies, used in Turpan vernacular buildings in arid region of China

Under the global crisis of energy shortage and environmental pollution, the climate responsive strategies used in vernacular buildings have attracted much attention for their potential to reduce energy consumption and carbon emissions. However, the relationships between these traditional climatic strategies were not precisely perceived, which may cause the inapplicability of these strategies for contemporary rural houses. In this paper, taking the Turpan vernacular buildings in arid region of China, the climate responsive strategies of buildings in the most significant periods such as the Gaochang period (before 1318), the Khanate and Republican period (1318–1949), the Modern period (1949–2010), and the Contemporary period (2011–present) were summarized. In addition, two different types of climatic strategies organizations, namely multilayer spaces and integrated building envelopes, were identified based on the temperature difference measurement and comparative analysis. The assessment of thermal performance of the organizations was conducted by the methodology of software simulation. Furthermore, the applicability of the organizations in rural areas was discussed, and a new combined organization was proposed. Consequently, this study can contribute to provide the main approaches for climatically responsive rural houses.

Inclusion of Vanishing Cultural Heritage in a Sustainable Rural Development Strategy–Prospects, Opportunities, Recommendations

Cultural heritage consolidates regional cultural identity, expands social capital, and stimulates local communities. These functions make it an important component of sustainable socioeconomic development. The objective of the article is to identify vanishing components of cultural heritage in Małopolskie Voivodeship and propose ways to use them to enhance regional development and promote rural cultural heritage. Moreover, the article aims at identifying such components of cultural heritage that could be included and presented more extensively in future strategic documents despite being disregarded or only superficially acknowledged to date. The research involved a representative sample of the adult residents of rural areas in Małopolskie Voivodeship, Poland (n = 400) using the computer-aided telephone interviewing method (CATI). The research shows that the awareness of the people in Małopolskie Voivodeship is dominated by the ‘classical’ perception of cultural heritage components. The respondents confirmed that traditional professions were still practiced in the voivodeship, and that artisan products were available. The most common of these were beekeeping, sculpture, carpentry, lacemaking and embroidery, smithery, pottery, plaiting, weaving, and musical instrument production. According to the respondents, the most frequent components of vanishing cultural heritage were shrines on trees, old barns (69%), wells (55%) and old root cellars (40%). The respondents most often mentioned farmers’ wives’ associations as independent social and professional organizations in rural areas that promote food traditions. A survey, literature review, and study of strategic documents demonstrated that digital cultural heritage was absent in the responses and strategic documents, even though it is found in rural Małopolskie Voivodeship as rustic cyberfolklore, for example. It is a research gap worth investigating.

Employment in rural areas

Currently, labor relations in modern Russia are regulated on the basis of the Constitution of the Russian Federation (1993), the norms of the Labor Code of the Russian Federation, and other regulatory legal acts adopted at the federal level and in the subjects of the Russian Federation. Legal acts containing employment and labour statutes were also adopted by local self-government bodies until 2006. The rural area is a place of labor and economic activity mainly for residents of rural settlements. The spheres of labor relations are usually agriculture and forestry, and in some regions, subsurface resources management and other types of economic activity. The main legal document regulating the complex of relations, including labor relations, in agriculture is the Federal Law “On the Agriculture Development” and legal acts of agrarian legislation adopted at the level of federal authorities and in the subjects of the Russian Federation. Labor activity in the field of forest management is regulated by the Forest Code of the Russian Federation and regulatory legal acts of forest legislation. Labor relations in other spheres of economic activity in rural areas are regulated by relevant legal acts at the federal level and at the level of the subjects of the Russian Federation. In addition to production organizations in rural areas, there are non-profit entities in which rural residents work. A significant number of the rural population is employed in private subsidiary farmings.

Measuring the Determinant and results of Beneficiaries' Satisfaction in the Public Services to Build Effective Institutional Capacities in Rural Areas in Egypt (An Applied Study on Abu Hommos Health Units as an Example for Governmental Organizations in Rural Areas in Egypt)

Measuring the Determinant and results of Beneficiaries' Satisfaction in the Public Services to Build Effective Institutional Capacities in Rural Areas in Egypt (An Applied Study on Abu Hommos Health Units as an Example for Governmental Organizations in Rural Areas in Egypt)

The problems of rural health care and prospects of development

Further reforming of the rural health care should be proceeded with special attention to availability of medical care in countryside.The purpose of the study is to develop on the basis of analysis of accounting data and research results recommendations for improving organizational forms of medical care to country dwellers. The exploration of peopleware and main performance indicators of medical organizations in rural areas was implemented.The statistical, analytical and sociological methods were applied. The reporting forms 47, 30, 12 of Federal statistical monitoring are analyzed.Results. The provision of population with medical personnel in rural municipalities in 2010-2018 increased from 12.5 to 14.5 per 10 thousand of rural population. The provision with paramedical personnel made up to 52.3%oo and during the same years indicator decreased from 55.4 to 52.3%oo. During the analysis period, 4241 feldsher obstetric posts were reduced and in 2018 their number made up to 33,350. The number of feldshers in rural areas decreased on 18.5%. In 2005-2018 number of central district hospitals and district hospitals decreased in 2.5 times. At that, provision of beds in municipalities of rural areas decreased from 49.6 to 38.8%oo. There significant winding up of district hospitals and their restructuring into branches of central district hospitals occurred. In 2018, remained only 47 out of them equipped with 1549 beds. Unfortunately, the reporting forms of the Ministry of Health of the Russian Federation do not account branches of central district hospitals. This information is to be included in accountability of the Ministry of Health.It is necessary to expand scope of authority of local government bodies in resolving medical and social problems in rural territories.

Understanding Intimate Partner Violence Service Delivery for Latinx Survivors in Rural Areas.

Using a statewide survey, this exploratory, cross-sectional study examined 78 domestic violence (DV) service organizations' service delivery practices and perceived challenges to serving Latinx survivors in the context of rurality. Findings showed that DV organizations in rural areas perceived more challenges to delivering culturally appropriate services for Latinx survivors compared to those in other geographic settings even after accounting for client characteristics, service provision characteristics, and community resources. The study finding offers critical insights to ensure and enhance the provision of linguistically and culturally accessible services for rural Latinx survivors of intimate partner violence.

Farmers’ Willingness to Participate in Voluntary Field Water Management Greenhouse Gas Emission Reduction Projects Based on a Context–Attitude–Behavior Framework

The development of the greenhouse gas (GHGs) voluntary emission reduction market has created a new way for all agricultural GHGs emission reduction projects. Figuring out how to drive farmers to participate in the market is the key to the development of the agricultural voluntary emission reduction project mechanism. Current research on farmers’ participation in voluntary emission reduction projects has mostly been conducted from the perspective of the economic, social, and ecological benefits of the project and lacks research on analyzing farmers’ willingness to participate in combination with specific GHGs operational mechanisms. To find out how the operational mechanism of the field water management voluntary emission reduction (FWMVER) projects influences farmers’ willingness to participate in the project, this study constructed the attitude–context–behavior theoretical framework to consider the FWMVER operational mechanism. Based on the survey data of 789 rice farmers in GuangXi, China, the structural equation model (SEM) was adopted to analyze the impact of social networks, social trust, social norms, profit expectations, cost expectations, and satisfaction with the government in relation to the farmers’ willingness to participate in FWMVER projects. Results showed that social networks, social trust, social norms, profit expectations, cost expectations, and satisfaction with the government had significant impacts on the willingness of farmers to participate in FWMVER projects. Satisfaction with the government can effectively regulate the profit expectations and cost expectations for farmers to participate in the FWMVER projects. Policy implications were proposed based on analytical results to advise local governments to develop agricultural carbon finance, to improve public services in agricultural production, and to encourage establishing non-governmental organizations in rural areas involved in voluntary agricultural GHGs emission reduction projects.

Fieldwork Studies in Rural Areas: Growth of Students in an Urban University in Japan

For rural revitalization, universities in Japan encourage students to nurture relationships with partner organizations in rural areas. Fieldwork studies are one of the prominent methods for rural revitalization. However, students in urban universities should less likely maintain such relationships in rural areas even if they undertake fieldwork studies. The present study illustrated how students and graduates had relationship with rural areas after the fieldwork studies. The author contacted with three professors in an urban university who implemented advanced fieldwork studies in five rural municipalities of Kinki region, Japan. The author asked the three professors about excellent graduates and students who had undertaken fieldwork studies, in total 16 individual. The author interviewed these students for their experiences and growth through the fieldwork studies. As a result, 11 of 16 interviewees lived and worked in urban areas. However, students from urban hometowns became interested in revitalizing rural areas through their jobs, whereas those from rural hometowns were motivated to return in the future. After fieldwork studies, students determined the strengths and weaknesses of rural areas compared with those of urban areas, which could contribute to future rural revitalization through their jobs. For rural revitalization in the future, collaboration between urban universities and rural areas are recommended.

MODERN ISSUES OF RURAL HEALTH CARE

Introduction. The study of health problems requires the development of rural health care in conditions of increasing morbidity, global pandemic, sanction restrictions and poor life quality of the rural population. These problems influence the sustainability of rural development. This article considers healthcare problems from the point of view of a systematic approach. We aim to study rural health problems in Russia and in the Stavropol Territory and to develop recommendations for the elimination of rural health problems, focused primarily on solving the problems of personnel and logistical support. Methodology. Methods of logical and statistical analysis, SWOT analysis and expert assessments were used in studying health problems. Results. 13 priority areas for the development of rural healthcare in the medium term have been identified. Conclusions. The conducted research showed many problems in the health care of rural areas, including systemic ones that require prompt solutions. It is concluded that promising areas for the development of rural healthcare should be: solving the problems of staffing by stimulating medical personnel, changing approaches to the education of medical personnel and their distribution, solving organizational issues on the organization of medical care and drug provision in rural areas, increasing the financial provision of rural healthcare within the framework of the Rural Medicine subprogram, structural transformation of medical organizations in rural areas, development of telemedicine.

Характеристика сельского здравоохранения в современной России

The problems of medical care organization for the population living in rural areas exist in most countries. The results of Russian and foreign studies show the differences in the availability of medical care for rural and urban populations. The analysis of foreign and domestic sources shows, that increasing the availability and quality of medical care for the rural population must be implemented within the framework of comprehensive programs taking into account the region’s level of socio-economic development and infrastructural features and resource provision of healthcare organizations in rural areas.

EDUCATIONAL COMPETENCIES OF SPECIALISTS WORKING IN YOUTH ORGANIZATIONS IN RURAL AREAS

Modern problems of work with youth in rural areas determine the necessity of identification of educational competencies of specialists working in youth organizations, which determines the directions in life of young people. The purpose of the article is to study the most important educational competencies of specialists working in youth organizations in rural areas, based on the analysis of the impact of educational competencies of specialists on the directions in life for youth. Educational competencies of youth work include both general ethical competencies and specific professional competencies related to youth work. The study has been conducted in 2016 and 2021 to compare changes in educational competencies. The structural equation modeling to solve the problem of identifying the relationships between ethical and professional competencies, and the directions in life for youth, and sociological survey to identify the specific area of interest of young people living in rural areas was used.

Social ties, access to loans, and loan repayments in savings and loan associations: evidence from rural Tanzania

PurposeInstitutional structures of rural savings and loan associations influence their performances. One of the guiding principles for defining clear group membership boundaries is by setting rules on who has access. Social ties is a prominent requirement for membership. The objective of the current study is to provide quantitative evidence on the role of social ties membership criteria for the performance of saving and loan associations.Design/methodology/approachA cross-sectional survey was conducted in July–August 2019 comprising 48 associations in 13 villages in the Iringa District of Tanzania. In the current study, the authors use two indicators to measure the social ties between members, namely social closed association (the association applies criteria to accept only members who are relatives, friends or from the same hamlet) and physical distance (the fraction of members from other villages).FindingsThe authors find that associations are diverse both in terms of social ties, physical distance and performance, even in a small homogeneous region like Iringa District. Providing loans more easily to members with social ties has a negative relationship with loan repayment rates. Associations applying the social closeness criteria experience higher default rates than those not applying. The default rates become even worse when the fraction of member members from other villages increases in the socially tied associations.Practical implicationsPhysically distant members are more likely to default as they perceive less social pressure in an association with socially tied members. Development practitioners and policy makers should integrate the potential implications.Originality/valueThe authors provide empirical evidence on the relevance of social ties on credit access and repayment in savings and loan associations, using a novel multi-level data on financial performance in the context of community-based finance organizations in rural areas.

Disparities in mothers\u2019 healthcare seeking behavior for common childhood morbidities in Ethiopia: based on nationally representative data

BackgroundChildhood morbidities such as diarrhea and pneumonia are the leading causes of death in Ethiopia. Appropriate healthcare-seeking behavior of mothers for common childhood illnesses could prevent a significant number of these early deaths; however, little nation-wide research has been conducted in Ethiopia to assess mothers’ healthcare-seeking behavior for their under five children.MethodsThe study used the Ethiopian Demographic and Health Surveys (EDHS) data. The EDHS is a cross sectional survey conducted in 2016 on a nationally representative sample of 10,641 respondents. The main determinants of care-seeking during diarrhea and acute respiratory infection (ARI) episodes were assessed using multiple logistic regression analyses while adjusting for complex survey design.ResultsOnly 43% and 35% of households sought medical attention for their children in episodes of diarrhea and ARI, respectively, during a reference period of 2 weeks before the survey. The odds of seeking care for diarrhea are lower for non-working mothers versus working mothers. The likelihood of seeking care for diarrhea or ARI is higher for literate fathers compared to those with no education. The place of delivery for the child, receiving postnatal checkup and getting at least one immunization in the past determined the likelihood of seeking care for ARI, but not for diarrhea. The odds of seeking care are higher for both diarrhea and ARI among households that are headed by females and where mothers experienced Intimate Partner Violence (IPV) violence. Religion and types of family structure are also significant factors of seeking care for diarrhea episodes, but not for ARI.ConclusionsThe findings call for more coordinated efforts to ensure equitable access to health care services focusing on mothers living in deprived household environment. Strengthening partnerships with public facilities, private health care practitioners, and community-based organizations in rural areas would help further improve access to the services.