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Table 1 Modes of caregiver recognition and response to childhood diarrhea and pneumonia in Badin. Adapted from Colvin et al. [13]

From: Exploring health care seeking knowledge, perceptions and practices for childhood diarrhea and pneumonia and their context in a rural Pakistani community

Caregiver recognition and response Seeking advice and negotiating access Using the middle layer between home and clinic Accessing formal bio-medical services
Actors: Caregivers, immediate and extended family members. Actors: Caregivers, extended family, community members. Actors: Caregivers, lady health workers, medicine sellers. Actors: Caregivers, extended family, community, private sector providers, public sector providers, employers.
Factors affecting response: Knowledge of signs and symptoms of diarrhea, dehydration, and pneumonia; previous experience with child illnesses in household or community. Factors affecting response: Perception of disease severity, belief and experience with home remedies, influence of household elders. Factors affecting response: Experience with self-medication, knowledge of LHW ability to treat childhood disease, belief in LHWs’ ability to provide appropriate care, availability of medicines with LHWs. Factors affecting response: Financial consideration, availability of transport, disease severity, location of health facility, perception of public vs private provider competence, attitude, and attentiveness; caregiver work replacement.