Caregiver recognition and response | Seeking advice and negotiating access | Using the middle layer between home and clinic | Accessing formal bio-medical services |
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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. |