providers. This is not surprising because majority of the
parents and especially the mothers were either unem-
ployed (39.7%) or were under paid civil servants. Other
reasons were delay in receiving treatment from health
facilities, far distance to the health facilities and un-
friendly attitude of the health workers.3 These reasons
utilization of health facilities was lack of money. There
is need to intensify the practice of Integrated Manage-
ment of Childhood Illnesses in Bayelsa State to improve
families care seeking behaviours.
Limitations of the study
have also been cited in a previous study .
Information obtained is based on the mothers’ ability to
recall past illnesses suffered by their babies during the
Mothers’ recognition of danger signs in the newborn
was poor in Yenegoa Metropolis. Care seeking from
multiple providers and the use of home remedies de-
layed appropriate and timely medical care seeking for
neonatal illnesses. The commonest reason for non-
All three authors participated in the study design, collec-
tion and analysis of data and writing of the manuscript.
Conflict of interest: None
Federal Ministry of Health. Saving
newborn lives in Nigeria: New-
born Health in the context of the
Integrated Maternal, Newborn and
Child Health Strategy. Revised 2
edition, Federal Ministry of
Health, Abuja, Nigeria 2011.
WHO. Neonatal and Perinatal
Mortality Covering, Regional and
Global Estimates. WHO, Geneva
10. Srivastava NM, Awasthi S, Mishra
R. Neonatal morbidity and care-
seeking behavior in Urban
Lucknow. Indian Pediatr 2008;
17. Juma A. Knowledge, attitude and
practices of mothers on symptoms
and signs of Integrated Manage-
ment of Childhood illness (IMCI)
strategy at Buguruni reproductive
and child health clinics in Dar es
Salaam. Official publication of the
Tanzania Medical Students’ Asso-
ciation. MDS 2007/08.
18. Awasthi S, Srivastava NM, Pant S.
behavior for sick neonates among
urban poor in Lucknow, Northern
India. J Perinatol 2008; 28 (suppl
19. Mohan P, Iyengar SD, Agarwal K,
Martines JC, Sen K. Care-seeking
practices in rural Rajasthan: barri-
ers and facilitating factors. J Peri-
natol 2008; 28 (suppl 2) : 531-537.
20. Sustriana B, Reingold A, Kresno
S, Harrison G, Utomo B. Care
seeking for fatal illnesses in young
children in Indramanyu, West
Java, Indonesia. Lancet 1993; 342.
21. Amarasiri de Silva MW, Wijekoon
A, Hornk R, Martines J. Care seek-
ing in Siri Lanka: One possible
explanation for low childhood
11. Federal Ministry of Health. Inte-
grated Maternal, Newborn and
Child Health Strategy. Federal
Ministry of Health, Abuja, Nigeria
12. Hill Z, Kendall C, Arthur P, Kirk-
wood B, Adjei E. Recognizing
childhood illnesses and their tradi-
tional explanations: exploring
options for care-seeking interven-
tions in the context of the IMCI
strategy in rural Ghana. Trop Med
Int Health 2003; 8: 668–676.
Nigeria Demographic and Health
Survey 2003. Maryland, USA:
National Population Commission/
ORC Macro 2004: 144–50.
Lawn JE, Cousens S, Zupan J. 4
million neonatal deaths: When?
Where? Why? Lancet 2005; 365
3. Bayelsa State. Available at http://
Accessed 10 May 2013.
UNICEF. Count down to 2015
maternal, newborn and child sur-
vival. Tracking progress in mater-
nal, newborn and child survival.
The 2008 report, v2. UNICEF,
New York 2008.
Amarasiri de Silva MW, Wijekoon
A, Hornik R, Martines J. Care
seeking in Sri Lanka: one possible
explanation for low childhood
mortality. Soc Sci Med 2001;
4. WHO/UNICEF. Model IMCI
handbook: Integrated Management
of Childhood Illnesses. WHO/
UNICEF,Genever 2005 .
5. Baqui AH, Arifeen El S, Darm-
stadt GL, Black ER, Santoshan M.
Final report: formative research on
newborn care practices in the
home and pre-testing of alternative
behaviors in Sylhet District, Bang-
ladesh. Johns Hopkins Bloomberg
School of Public Health;2003.
Available at: [http://www/
mortality. Soc Sci Med 2001; 53:
2. Bazzamo AN, Kirkwood BR,
Tawiah-agyemang C, Agyei SO,
Adonyo PB. Beyond symptom
recognition: care-seeking for all
newborns in rural Ghana. Trop
Med Int Health 2008;13 (1): 123-
D’Souza RM. Role of health-
seeking behavior in child mortality
in the slums of Karachi, Pakistan.
J Biosoc Sci 2003; 35:131–144
Jones G, Steketee RW, Black RE,
Bhutta ZA, Morris SS, Bellagio
Child Survival study group. How
many child deaths can we prevent
this year? Lancet 2003; 362: 65-
6. Dongre AR, Deshmukh PR, Garg
BS. Perceptions and health care
seeking about newborn danger
signs among mothers in rural
Wadha. Indian J Pediatr 2008; 75
3. Jaja T, Opara PI, Otaigbe BE.
Health seeking behaviours for
childhood illnesses in Port Har-
court, Southern Nigeria. The Niger
Hlth J 2011;10:43-47.
Awasthi S, Verma T, Agarwal M.
Danger signs of neonatal illnesses:
Perceptions of caregivers and
health workers in North India. Bull
WHO 2006; 84: 1-8.
(4) : 325-329.