Acceptability – a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania

Table 2 Reported symptoms, perceived causes and treatment outcomes for convulsion

	2004-2006						2007-2008
Percentage of respondents who mentioned the outcome	HF Use 71%		HF AM² 67%		AM not HF³ 3%		HF Use 85%		HF AM 77%		AM not HF 5%
	Estimate	p	Estimate	p	Estimate	p	Estimate	p	Estimate	p	Estimate	p
Reported Symptoms
No interest to play	1.16	0.12	2.52	<0.001
Hot abdomen	0.79	0.02	0.56	0.05
Difficult breathing	0.87	0.04	1.55	<0.001
Degedege symptoms⁴					−2.65	0.04					15.16	<0.001
Perceived Causes
Constitution/blood weakness	3.03	0.01	2.95	<0.001
Sanitation/dirty environment	1.54	<0.001					1.43	0.04	1.39	0.03
Bird/insect called degedge			−0.60	<0.001
Spirits	−1.72	0.03

Note: Model fitness based on the likelihood ratio (all models with p < 0.0001).
1 Model outcome: health facility immediate use (HF use) (same day or next day).
2 Model outcome: health facility and anti-malarial immediate use (HF AM) (same day or next day).
3 Model outcome: anti-malarial immediate use not from the health facility (AM not HF) (same day or next day): the definition of this category differs from the definition used in Table four of the baseline study [12] because we regrouped this category to include only AM from the drug shop without prior visit to health facility.
4 Grouped degedege symptoms include responses mentioning at least two of the following symptoms; twitching, body becomes stiff, delirium, eyes turn white, kicking of legs and arms, froth in the mouth, mouth twisted sideways, falling down, easily startled.

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