Assessment of Socio-Economic Differences and Health-seeking Behaviour among Locals in Coastal Communities of Tanzania: A Case of Dunda Ward in Bagamoyo District

Abstract

This study intends to assess the socioeconomic differences concerning health seeking behaviour among locals in coastal communities of Tanzania. Specifically, the study intends to assess the variations in terms of socioeconomic differences among locals in coastal communities and their relationship with health-seeking behaviour and established factors influencing health-seeking behaviour among locals in coastal communities. The study used both quantitative and qualitative research methods. Questionnaires were used for data collection; in-depth interviews were conducted with key informants, and four focus group discussions were conducted within the study area. In all, 200 respondents comprising 64 males and 134 females were interviewed, while in-depth interviews included five sub-village chairpersons and four health staff from the primary health centres within the study area. Data were examined and subjected to statistical tests, mainly chi-square (P≥ 0.05. The findings of the study revealed that most of the respondents within the study area were highly influenced by financial capability, belief in a particular disease (nature of the disease), education level, and availability of health facilities. These were the influencing factors concerning the decision taken at the household level when a person falls ill. Variations among locals in coastal communities based on the mentioned forces. This study, among others, recommends that locals within the study area should use the available health services once they become ill. The decision about health care should be made by understanding illness, seriousness, and financial capacity for the health and productive community.